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Narrative

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Generated Narrative: StructureDefinition CompositionCardiocirugia

Name	Flags	Card.	Type	Description & Constraints
Composition			Composition
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Kind of composition (LOINC if possible) Required Pattern: At least the following
coding				Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67727-8
system		0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
date		1..1	dateTime	fecha en la que se inicia e registro de la intervención
author		1..*	Reference(PractitionerCardio)	Profesional encargado de registrar la intervención
title		1..1	string	Human Readable name/title Required Pattern: Composition Cardiocirugia
Slices for section	S	1..10	BackboneElement	Secciones del documento. Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: Códigos para secciones de composition para cardio cirugías. (required)
section:PatientSection	S	1..1	BackboneElement	Sección del paciente
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1
focus		0..1	Reference(PatientCardio)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		13..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:bodyheightObservation		1..1	Reference(Observation Body Height Profile)	Referencia al recurso que contiene la observación de altura del paciente
entry:bodyweightObservation		1..1	Reference(Observation Body Weight Profile)	Referencia al recurso que contiene la observación sobre el peso del paciente
entry:bloodTypeObservation		0..1	Reference(BloodTypeObservation)	Referencia al recurso que contiene la observación que hace referencia al tipo de sangre del paciente
entry:emergencyContact		0..*	Reference(RelatedPerson)	Se referencia a las personas que pueden ser contactadas al momento de una emergencia
entry:DiabetesCondition		1..1	Reference(DiabetesCondition)	Condición de paciente con diabetes
entry:HypertensionCondition		1..1	Reference(HypertensionCondition)	Condición de paciente con hipertensión
entry:HypercholesterolemiaCondition		1..1	Reference(HypercholesterolemiaCondition)	Condición de paciente con hipercolesterolemia
entry:CarotidBruitCondition		1..1	Reference(CarotidBruitCondition)	Condición de paciente con soplos carotideos
entry:neurologicDisfunction		1..1	Reference(NeurologicDisfunctionCondition)	Condición de paciente con disfunción neurológica
entry:ChronicLungDiseaseCondition		1..1	Reference(ChronicLungDiseaseCondition)	Condición de enfermedad pulmonar crónica
entry:ExtraCardiacArteriopathyCondition		1..1	Reference(ExtraCardiacArteriopathyCondition)	Condición de arteriopatía extra cardíaca
entry:NephropathyCondition		1..1	Reference(NephropathyCondition)	Nefropatías del paciente
entry:TypeOfDiseaseCondition		1..1	Reference(TypeOfDiseaseCondition)	Tipo de enfermedad
entry:PacksPerYear		1..1	Reference(PacksPerYearObservation)	Observación de packs por año
entry:SmokingHistory		1..1	Reference(SmokingCondition)	Observación de historial fumador
section:QuestionnaireSection	S	0..1	BackboneElement	Cuestionario realizado al paciente.
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2
focus		0..1	Reference(Procedure)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		1..1	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:Questionnaire		1..1	Reference(ProcedureQuestionnaire)	Referencia al recurso que contiene la información de antecedentes.
section:PractitionerSection	S	0..1	BackboneElement	Profesionales involucrados.
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 3
focus		0..1	Reference(ProcedureCardio)	Who/what the section is about, when it is not about the subject of composition
entry		3..5	Reference(PractitionerRoleCardio)	A reference to data that supports this section
section:ProcedureCardio	S	0..1	BackboneElement	Historial cardíaco
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4
focus		0..1	Reference(Procedure)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		4..5	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:AnginaObservation		1..1	Reference(AnginaObservation)	Angina de pecho reportada por el paciente
entry:FunctionalCapacityObservation		1..1	Reference(FunctionalCapacityObservation)	Capacidad funcional del paciente
entry:PreviousMIObservation		1..1	Reference(PreviousMIObservation)	Número de infartos al miocardio previos
entry:MostRecentMIObservation		1..1	Reference(MostRecentMIObservation)	Días transcurridos desde el último infarto al miocardio
entry:CongestiveHeartFailureObservation		0..1	Reference(CongestiveHeartFailureObservation)	Se indica que el paciente presenta falla cardíaca congestiva
entry:LastCatheterizationObservation		0..1	Reference(LastCatheterizationObservation)	Se indica que la fecha en la que el paciente tuvo su última cateterización
entry:DiseasedCoronarySegmentObservation		0..1	Reference(DiseasedCoronarySegmentObservation)	Observación del número de vasos con problemas.
entry:EjectionFractionObservation		0..1	Reference(EjectionFractionObservation)	Observación de la última fracción de eyección.
entry:EjectionFractionValueObservation		0..1	Reference(EjectionFractionValueObservation)	Observación del valor de la última fracción de eyección
entry:SystolicPressureObservation		0..1	Reference(SystolicPressureObservation)	Presión sistólica observación
entry:AVGradient		0..1	Reference(AVGradientObservation)	Gradiente AV
entry:LVEDPObservation		0..1	Reference(LVEDPObservation)	Presión de Fin de Diástole del Ventrículo Izquierdo
entry:PAWPObservation		0..1	Reference(PAWPObservation)	Medida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)
entry:NumberOfDistalArterialAnastomoses		0..1	Reference(NumberOfDistalArterialAnastomosesObservation)	Observación de número de arterias distal
entry:NumberOfDistalVenousAnastomoses		0..1	Reference(NumberOfDistalVenousAnastomoses)	Observación de número de arterias venosas
entry:ArteriesUsedAsConduitsObservation		0..1	Reference( ArteriesUsedAsConduitsObservation)	Observación de arterias usadas como conductos
entry:organization		0..1	Reference(Organization)	Se hace referencia a la organización
section:ValveProcedureSection	S	0..1	BackboneElement	Sección de válvula
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 5
focus		0..1	Reference(ValveProcedure)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:stenosis		0..1	Reference(StenosisObservation)	Indica la presencia de stenosis
entry:valve		0..1	Reference(ValveProcedure)	Indica la presencia de stenosis
entry:insuficiency		0..1	Reference(ValveProcedure)	Indica la presencia de insuficiencia
entry:valveName		0..1	Reference(ValveDevice)	Indica el nombre de la válvula
entry:valveSize		0..1	Reference(ValveDevice)	Indica el tamaño de la válvula
entry:explantType		0..1	Reference(ValveProcedure)	Indica tipo de explante
entry:reoperationValveReason		0..1	Reference(ValveProcedure)	Indica la razón de reoperación
entry:valveProcedure		0..1	Reference(ValveProcedure)	Indica el procedimiento de válvula
entry:implantType		0..1	Reference(ValveProcedure)	Indica el tipo de implante
entry:endocarditisInfecciosa		0..1	Reference(EndocarditisInfecciosaObservation)	Endocarditis infecciosa
entry:nativeValvePathology		0..1	Reference(NativeValvePathology)	Observación de válvula nativa
section:ProcedureEcocardio	S	0..1	BackboneElement	Sección de ecocardiograma
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 6
focus		0..1	Reference(EchocardiogramProcedure)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:systolicPressureObservation		0..1	Reference(EchocardiogramsObservation)	observación de PSAP
entry:leftatrium		0..1	Reference(EchocardiogramsObservation)	observación de arteria izquierda
entry:aorticRoot		0..1	Reference(EchocardiogramsObservation)	observación de arteria principal
entry:rightCavities		0..1	Reference(EchocardiogramsObservation)	observación de cavidad derecha
entry:endocarditis		0..1	Reference(EchocardiogramsObservation)	observación de endocarditis
entry:valve		0..1	Reference(EchocardiogramsObservation)	observación de tipo de válvua
entry:vegetable		0..1	Reference(EchocardiogramsObservation)	observación de estado de vegetación
entry:abscess		0..1	Reference(EchocardiogramsObservation)	observación de presencia de absceso
entry:prosthesisDetachment		0..1	Reference(EchocardiogramsObservation)	observación de extracción de protesis
entry:cardiacTumor		0..1	Reference(EchocardiogramsObservation)	observación de presencia de tumor cardíaco
entry:other		0..1	Reference(EchocardiogramsObservation)	Otra observación
entry:leftVentricleDiastolicDiameter		0..1	Reference(EchocardiogramsObservation)	observación diámetro diastólico de ventrículo izquierdo
entry:leftVentricleSystolicDiameter		0..1	Reference(EchocardiogramsObservation)	Observación diámetro sistólico de ventrículo izquierdo
entry:aorticValvesMainGradient		0..1	Reference(EchocardiogramsObservation)	observación del gradiente de a válvula principal
entry:aorticValvesMediumGradient		0..1	Reference(EchocardiogramsObservation)	observación del gradiente de a válvula aorta media
entry:aorticValvesMaximumSpeed		0..1	Reference(EchocardiogramsObservation)	observación de la máxima velocidad de válvula aorta
entry:aorticValvesArea		0..1	Reference(EchocardiogramsObservation)	observación del área de válvula aorta
entry:aorticValvesInsufficiency		0..1	Reference(EchocardiogramsObservation)	observación de la insuficiencia de válvula aorta
entry:mitralValveMainGradient		0..1	Reference(EchocardiogramsObservation)	observación de la gradiente principal de la válvula mitral
entry:mitralValveMediumGradient		0..1	Reference(EchocardiogramsObservation)	observación de la gradiente media de la válvula mitral
entry:mitralValveMaximumSpeed		0..1	Reference(EchocardiogramsObservation)	observación de la velocidad máxima de válvula mitral
entry:mitralValveArea		0..1	Reference(EchocardiogramsObservation)	observación del área de válvula mitral
entry:mitralValveInsufficiency		0..1	Reference(EchocardiogramsObservation)	observación de la insuficiencia de válvula mitral
entry:tricuspideValvesInsuficiency		0..1	Reference(EchocardiogramsObservation)	observación de la insuficiencia de válvula tricúspide
entry:diagnostics		0..1	Reference(EchocardiogramsObservation)	Diagnósticos de ecocardiograma
section:PerfusionProcedureSection	S	0..1	BackboneElement	Sección de perfusión
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 7
focus		0..1	Reference(PerfusionProcedure)	Who/what the section is about, when it is not about the subject of composition
Slices for entry		0..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve()
entry:perfusionTemperature		0..1	Reference(PerfusionTemperatureObservation)	Observación de temperatura de perfusión
entry:cardioplegiaSolution		0..1	Reference(CardioplegiaSolution)	Observación de la solución
entry:cardioplegiaTemperature		0..1	Reference(Cardioplegia temperature)	Observación de la temperatura de la solución
entry:cardioplegiaInfusionMode		0..1	Reference(CardioplegiaInfusionModeObservation)	Observación del modo de la infusión de la cardioplegía
entry:cardioplegiaRhythm		0..1	Reference(CardioplegiaRhytmObservation)	Observación del ritmo de cardioplegía
entry:reasonForBallonUsage		0..1	Reference(ReasonBallonObservation)	Observación de balón de la razón de uso de balón contrapulsación
entry:extracorporealCirculationTime		0..1	Reference(ExtracorporealCirculationTimeObservation)	Observación del tiempo de la perfusión
entry:cumulativeCrossClampTime		0..1	Reference(CumulativeCrossClampTimeObservation)	Observación del tiempo acumulado
entry:totalCirculatoryArrestTime		0..1	Reference(TotalCirculatoryArrestTimeObservation)	Observación del tiempo total
entry:arterialCannulations		0..1	Reference(ArterialCannulation)	Observación de canulación arterial
entry:venousCannulations		0..1	Reference(VenousCannulationsObservation)	Observación de canulación venosa
entry:circulatoryAssistances		0..1	Reference(CirculatoryObservation)	Observación de las asistencias circulatorias
Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "CompositionCardiocirugia",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://centrocardiovascular.cl/StructureDefinition/CompositionCardiocirugia",
  "version": "0.1.0",
  "name": "CompositionCardiocirugia",
  "title": "Composition Cardiocirugia",
  "status": "draft",
  "date": "2026-05-22T04:42:22+00:00",
  "publisher": "Example Publisher",
  "contact": [
    {
      "name": "Example Publisher",
      "telecom": [
        {
          "system": "url",
          "value": "http://example.org/example-publisher"
        }
      ]
    }
  ],
  "description": "Recurso que contiene las referencias identificadas por secciones a los recursos necesarios para representar la información de cirugias cardiacas.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "fhirdocumentreference",
      "uri": "http://hl7.org/fhir/documentreference",
      "name": "FHIR DocumentReference"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
        "definition": "A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).",
        "comment": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "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",
            "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()",
            "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"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "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"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "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."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "rim",
            "map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"
          },
          {
            "identity": "cda",
            "map": "ClinicalDocument"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "when described by DocumentReference"
          }
        ]
      },
      {
        "id": "Composition.id",
        "path": "Composition.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "id"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Composition.meta",
        "path": "Composition.meta",
        "short": "Metadata about the resource",
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Composition.implicitRules",
        "path": "Composition.implicitRules",
        "short": "A set of rules under which this content was created",
        "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.",
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "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
      },
      {
        "id": "Composition.language",
        "path": "Composition.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "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).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "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"
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages|4.0.1"
        }
      },
      {
        "id": "Composition.text",
        "path": "Composition.text",
        "short": "Text summary of the resource, for human interpretation",
        "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.",
        "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.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "Composition.contained",
        "path": "Composition.contained",
        "short": "Contained, inline Resources",
        "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.",
        "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.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.extension",
        "path": "Composition.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.modifierExtension",
        "path": "Composition.modifierExtension",
        "short": "Extensions that cannot be ignored",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "short": "Version-independent identifier for the Composition",
        "definition": "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.",
        "comment": "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.identifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "rim",
            "map": "Document.id / Document.setId"
          },
          {
            "identity": "cda",
            "map": ".setId"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.masterIdentifier"
          }
        ]
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "short": "preliminary | final | amended | entered-in-error",
        "definition": "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
        "comment": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements.   \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
        "requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "patternCode": "final",
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionStatus"
            }
          ],
          "strength": "required",
          "description": "The workflow/clinical status of the composition.",
          "valueSet": "http://hl7.org/fhir/ValueSet/composition-status|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
          },
          {
            "identity": "cda",
            "map": "n/a"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.status"
          }
        ]
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Kind of composition (LOINC if possible)",
        "definition": "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
        "comment": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
        "requirements": "Key metadata element describing the composition, used in searching/filtering.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.type",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "67727-8"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentType"
            }
          ],
          "strength": "preferred",
          "description": "Type of a composition.",
          "valueSet": "http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.type"
          }
        ]
      },
      {
        "id": "Composition.type.id",
        "path": "Composition.type.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.type.extension",
        "path": "Composition.type.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "short": "Code defined by a terminology system",
        "definition": "A reference to a code defined by a terminology system.",
        "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.",
        "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "CodeableConcept.coding",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id": "Composition.type.coding.id",
        "path": "Composition.type.coding.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.type.coding.extension",
        "path": "Composition.type.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "short": "Identity of the terminology system",
        "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
        "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
        "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "patternUri": "http://snomed.info/sct",
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.3"
          },
          {
            "identity": "rim",
            "map": "./codeSystem"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "id": "Composition.type.coding.version",
        "path": "Composition.type.coding.version",
        "short": "Version of the system - if relevant",
        "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.",
        "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.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.version",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.7"
          },
          {
            "identity": "rim",
            "map": "./codeSystemVersion"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "short": "Symbol in syntax defined by the system",
        "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "requirements": "Need to refer to a particular code in the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "id": "Composition.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.type.coding.display",
        "short": "Representation defined by the system",
        "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.2 - but note this is not well followed"
          },
          {
            "identity": "rim",
            "map": "CV.displayName"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "id": "Composition.type.coding.userSelected",
        "path": "Composition.type.coding.userSelected",
        "short": "If this coding was chosen directly by the user",
        "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
        "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.",
        "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,
        "max": "1",
        "base": {
          "path": "Coding.userSelected",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "Sometimes implied by being first"
          },
          {
            "identity": "rim",
            "map": "CD.codingRationale"
          },
          {
            "identity": "orim",
            "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   ]"
          }
        ]
      },
      {
        "id": "Composition.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.type.text",
        "short": "Plain text representation of the concept",
        "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.",
        "comment": "Very often the text is the same as a displayName of one of the codings.",
        "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,
        "max": "1",
        "base": {
          "path": "CodeableConcept.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id": "Composition.category",
        "path": "Composition.category",
        "short": "Categorization of Composition",
        "definition": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
        "comment": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
        "requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.category",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentCategory"
            }
          ],
          "strength": "example",
          "description": "High-level kind of a clinical document at a macro level.",
          "valueSet": "http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity": "cda",
            "map": "n/a"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumenttReference.category"
          }
        ]
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "short": "Who and/or what the composition is about",
        "definition": "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
        "comment": "For clinical documents, this is usually the patient.",
        "requirements": "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.subject",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity": "cda",
            "map": ".recordTarget"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "short": "Context of the Composition",
        "definition": "Describes the clinical encounter or type of care this documentation is associated with.",
        "requirements": "Provides context for the composition and supports searching.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.context"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "rim",
            "map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          },
          {
            "identity": "cda",
            "map": ".componentOf.encompassingEncounter"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.context.encounter"
          }
        ]
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "short": "fecha en la que se inicia e registro de la intervención",
        "definition": "The composition editing time, when the composition was last logically changed by the author.",
        "comment": "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
        "requirements": "dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.date",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.done[x]"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime[type=\"TS\"]"
          },
          {
            "identity": "cda",
            "map": ".effectiveTime"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.content.attachment.date, DocumentReference.created"
          }
        ]
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "short": "Profesional encargado de registrar la intervención",
        "definition": "Identifies who is responsible for the information in the composition, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "Composition.author",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PractitionerCardio"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer"
          },
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.agent"
          }
        ]
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "Human Readable name/title",
        "definition": "Official human-readable label for the composition.",
        "comment": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.title",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "patternString": "Composition Cardiocirugia",
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.description, DocumentReference.content.attachment.title"
          }
        ]
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "short": "As defined by affinity domain",
        "definition": "The code specifying the level of confidentiality of the Composition.",
        "comment": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).  This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.confidentiality",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentConfidentiality"
            }
          ],
          "strength": "required",
          "description": "Codes specifying the level of confidentiality of the composition.",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".confidentialityCode"
          },
          {
            "identity": "cda",
            "map": ".confidentialityCode"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.securityLabel"
          }
        ]
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "short": "Attests to accuracy of composition",
        "definition": "A participant who has attested to the accuracy of the composition/document.",
        "comment": "Only list each attester once.",
        "requirements": "Identifies responsibility for the accuracy of the composition content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.attester",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".authenticator/.legalAuthenticator"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.authenticator"
          }
        ]
      },
      {
        "id": "Composition.attester.id",
        "path": "Composition.attester.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.attester.extension",
        "path": "Composition.attester.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.attester.modifierExtension",
        "path": "Composition.attester.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.attester.mode",
        "path": "Composition.attester.mode",
        "short": "personal | professional | legal | official",
        "definition": "The type of attestation the authenticator offers.",
        "requirements": "Indicates the level of authority of the attestation.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.attester.mode",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionAttestationMode"
            }
          ],
          "strength": "required",
          "description": "The way in which a person authenticated a composition.",
          "valueSet": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "unique(./modeCode)"
          },
          {
            "identity": "cda",
            "map": "implied by .authenticator/.legalAuthenticator"
          }
        ]
      },
      {
        "id": "Composition.attester.time",
        "path": "Composition.attester.time",
        "short": "When the composition was attested",
        "definition": "When the composition was attested by the party.",
        "requirements": "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.attester.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./time[type=\"TS\" and isNormalDatatype()]"
          },
          {
            "identity": "cda",
            "map": ".authenticator.time"
          }
        ]
      },
      {
        "id": "Composition.attester.party",
        "path": "Composition.attester.party",
        "short": "Who attested the composition",
        "definition": "Who attested the composition in the specified way.",
        "requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.attester.party",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.witness"
          },
          {
            "identity": "rim",
            "map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]"
          },
          {
            "identity": "cda",
            "map": ".authenticator.assignedEnttty"
          }
        ]
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "short": "Organization which maintains the composition",
        "definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
        "comment": "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
        "requirements": "Identifies where to go to find the current version, where to report issues, etc.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.custodian",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
          },
          {
            "identity": "cda",
            "map": ".custodian.assignedCustodian"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.custodian"
          }
        ]
      },
      {
        "id": "Composition.relatesTo",
        "path": "Composition.relatesTo",
        "short": "Relationships to other compositions/documents",
        "definition": "Relationships that this composition has with other compositions or documents that already exist.",
        "comment": "A document is a version specific composition.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.relatesTo",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship"
          },
          {
            "identity": "cda",
            "map": ".relatedDocument"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.relatesTo"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.id",
        "path": "Composition.relatesTo.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.extension",
        "path": "Composition.relatesTo.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.modifierExtension",
        "path": "Composition.relatesTo.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.code",
        "path": "Composition.relatesTo.code",
        "short": "replaces | transforms | signs | appends",
        "definition": "The type of relationship that this composition has with anther composition or document.",
        "comment": "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.relatesTo.code",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentRelationshipType"
            }
          ],
          "strength": "required",
          "description": "The type of relationship between documents.",
          "valueSet": "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship.typeCode"
          },
          {
            "identity": "cda",
            "map": ".relatedDocument.typeCode"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.relatesTo.code"
          }
        ]
      },
      {
        "id": "Composition.relatesTo.target[x]",
        "path": "Composition.relatesTo.target[x]",
        "short": "Target of the relationship",
        "definition": "The target composition/document of this relationship.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.relatesTo.target[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Composition|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
          },
          {
            "identity": "cda",
            "map": ".relatedDocument.id"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.relatesTo.target"
          }
        ]
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "short": "The clinical service(s) being documented",
        "definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
        "comment": "The event needs to be consistent with the type element, though can provide further information if desired.",
        "requirements": "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
          },
          {
            "identity": "cda",
            "map": ".documentationOf.serviceEvent"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.event"
          }
        ]
      },
      {
        "id": "Composition.event.id",
        "path": "Composition.event.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.event.extension",
        "path": "Composition.event.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.event.modifierExtension",
        "path": "Composition.event.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.event.code",
        "path": "Composition.event.code",
        "short": "Code(s) that apply to the event being documented",
        "definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
        "comment": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.event.code",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentEventType"
            }
          ],
          "strength": "example",
          "description": "This list of codes represents the main clinical acts being documented.",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".code"
          },
          {
            "identity": "cda",
            "map": ".code"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.event.code"
          }
        ]
      },
      {
        "id": "Composition.event.period",
        "path": "Composition.event.period",
        "short": "The period covered by the documentation",
        "definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.event.period",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".effectiveTime"
          },
          {
            "identity": "cda",
            "map": ".effectiveTime"
          },
          {
            "identity": "fhirdocumentreference",
            "map": "DocumentReference.event.period"
          }
        ]
      },
      {
        "id": "Composition.event.detail",
        "path": "Composition.event.detail",
        "short": "The event(s) being documented",
        "definition": "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.event.detail",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=\"SUBJ\"].target"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Secciones del documento.",
        "definition": "Sección del documento que contiene los datos asociados a la atención clínica.",
        "min": 1,
        "max": "10",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section.entry",
        "path": "Composition.section.entry",
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection",
        "path": "Composition.section",
        "sliceName": "PatientSection",
        "short": "Sección del paciente",
        "definition": "Información acerca del paciente",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "1"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PatientCardio"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 13,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:bodyheightObservation",
        "path": "Composition.section.entry",
        "sliceName": "bodyheightObservation",
        "short": "Referencia  al recurso que contiene la observación de altura del paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/bodyheight"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:bodyweightObservation",
        "path": "Composition.section.entry",
        "sliceName": "bodyweightObservation",
        "short": "Referencia  al recurso que contiene la observación sobre el peso del paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/bodyweight"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:bloodTypeObservation",
        "path": "Composition.section.entry",
        "sliceName": "bloodTypeObservation",
        "short": "Referencia  al recurso que contiene la observación que hace referencia al tipo de sangre del paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/BloodTypeObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:emergencyContact",
        "path": "Composition.section.entry",
        "sliceName": "emergencyContact",
        "short": "Se referencia a las personas que pueden ser contactadas al momento de una emergencia",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:DiabetesCondition",
        "path": "Composition.section.entry",
        "sliceName": "DiabetesCondition",
        "short": "Condición de paciente con diabetes",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/DiabetesCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:HypertensionCondition",
        "path": "Composition.section.entry",
        "sliceName": "HypertensionCondition",
        "short": "Condición de paciente con hipertensión",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/HypertensionCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:HypercholesterolemiaCondition",
        "path": "Composition.section.entry",
        "sliceName": "HypercholesterolemiaCondition",
        "short": "Condición de paciente con hipercolesterolemia",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/HypercholesterolemiaCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:CarotidBruitCondition",
        "path": "Composition.section.entry",
        "sliceName": "CarotidBruitCondition",
        "short": "Condición de paciente con soplos carotideos",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CarotidBruitCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:neurologicDisfunction",
        "path": "Composition.section.entry",
        "sliceName": "neurologicDisfunction",
        "short": "Condición de paciente con disfunción neurológica",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NeurologicDisfunctionCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:ChronicLungDiseaseCondition",
        "path": "Composition.section.entry",
        "sliceName": "ChronicLungDiseaseCondition",
        "short": "Condición de enfermedad pulmonar crónica",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ChronicLungDiseaseCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:ExtraCardiacArteriopathyCondition",
        "path": "Composition.section.entry",
        "sliceName": "ExtraCardiacArteriopathyCondition",
        "short": "Condición de arteriopatía extra cardíaca",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ExtraCardiacArteriopathyCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:NephropathyCondition",
        "path": "Composition.section.entry",
        "sliceName": "NephropathyCondition",
        "short": "Nefropatías del paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NephropathyCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:TypeOfDiseaseCondition",
        "path": "Composition.section.entry",
        "sliceName": "TypeOfDiseaseCondition",
        "short": "Tipo de enfermedad",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/TypeOfDiseaseCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:PacksPerYear",
        "path": "Composition.section.entry",
        "sliceName": "PacksPerYear",
        "short": "Observación de packs por año",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PacksPerYearObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:SmokingHistory",
        "path": "Composition.section.entry",
        "sliceName": "SmokingHistory",
        "short": "Observación de historial fumador",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/SmokingCondition"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection",
        "path": "Composition.section",
        "sliceName": "QuestionnaireSection",
        "short": "Cuestionario realizado al paciente.",
        "definition": "Antecedentes de intervenciones previas para realizar el procedimiento al paciente.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "2"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.entry:Questionnaire",
        "path": "Composition.section.entry",
        "sliceName": "Questionnaire",
        "short": "Referencia al recurso que contiene la información de antecedentes.",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ProcedureQuestionnaire"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection",
        "path": "Composition.section",
        "sliceName": "PractitionerSection",
        "short": "Profesionales involucrados.",
        "definition": "Sección en la que se definen los profesionales involucrados en el procedimiento.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "3"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ProcedureCardio"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.entry",
        "path": "Composition.section.entry",
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 3,
        "max": "5",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PractitionerRoleCardio"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio",
        "path": "Composition.section",
        "sliceName": "ProcedureCardio",
        "short": "Historial cardíaco",
        "definition": "Sección en la que se describe el historial cardiaco del paciente.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "4"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 4,
        "max": "5",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:AnginaObservation",
        "path": "Composition.section.entry",
        "sliceName": "AnginaObservation",
        "short": "Angina de pecho reportada por el paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/AnginaObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:FunctionalCapacityObservation",
        "path": "Composition.section.entry",
        "sliceName": "FunctionalCapacityObservation",
        "short": "Capacidad funcional del paciente",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/FunctionalCapacityObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:PreviousMIObservation",
        "path": "Composition.section.entry",
        "sliceName": "PreviousMIObservation",
        "short": "Número de infartos al miocardio previos",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PreviousMIObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:MostRecentMIObservation",
        "path": "Composition.section.entry",
        "sliceName": "MostRecentMIObservation",
        "short": "Días transcurridos desde el último infarto al miocardio",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/MostRecentMIObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:CongestiveHeartFailureObservation",
        "path": "Composition.section.entry",
        "sliceName": "CongestiveHeartFailureObservation",
        "short": "Se indica que el paciente presenta falla cardíaca congestiva",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CongestiveHeartFailureObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:LastCatheterizationObservation",
        "path": "Composition.section.entry",
        "sliceName": "LastCatheterizationObservation",
        "short": "Se indica que la fecha en la que el paciente tuvo su última cateterización",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/LastCatheterizationObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:DiseasedCoronarySegmentObservation",
        "path": "Composition.section.entry",
        "sliceName": "DiseasedCoronarySegmentObservation",
        "short": "Observación del número de vasos con problemas.",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/DiseasedCoronarySegmentObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:EjectionFractionObservation",
        "path": "Composition.section.entry",
        "sliceName": "EjectionFractionObservation",
        "short": "Observación de la última fracción de eyección.",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EjectionFractionObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:EjectionFractionValueObservation",
        "path": "Composition.section.entry",
        "sliceName": "EjectionFractionValueObservation",
        "short": "Observación del valor de la última fracción de eyección",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EjectionFractionValueObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:SystolicPressureObservation",
        "path": "Composition.section.entry",
        "sliceName": "SystolicPressureObservation",
        "short": "Presión sistólica observación",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/SystolicPressureObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:AVGradient",
        "path": "Composition.section.entry",
        "sliceName": "AVGradient",
        "short": "Gradiente AV",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/AVGradient"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:LVEDPObservation",
        "path": "Composition.section.entry",
        "sliceName": "LVEDPObservation",
        "short": "Presión de Fin de Diástole del Ventrículo Izquierdo",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/LVEDPObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:PAWPObservation",
        "path": "Composition.section.entry",
        "sliceName": "PAWPObservation",
        "short": "Medida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PAWPObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:NumberOfDistalArterialAnastomoses",
        "path": "Composition.section.entry",
        "sliceName": "NumberOfDistalArterialAnastomoses",
        "short": "Observación de número de arterias distal",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NumberOfDistalArterialAnastomosesObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:NumberOfDistalVenousAnastomoses",
        "path": "Composition.section.entry",
        "sliceName": "NumberOfDistalVenousAnastomoses",
        "short": "Observación de número de arterias venosas",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NumberOfDistalVenousAnastomosesObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:ArteriesUsedAsConduitsObservation",
        "path": "Composition.section.entry",
        "sliceName": "ArteriesUsedAsConduitsObservation",
        "short": "Observación de arterias usadas como conductos",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ArteriesUsedAsConduitsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:organization",
        "path": "Composition.section.entry",
        "sliceName": "organization",
        "short": "Se hace referencia a la organización",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection",
        "path": "Composition.section",
        "sliceName": "ValveProcedureSection",
        "short": "Sección de válvula",
        "definition": "Información acerca de vávula del paciente",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "5"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:stenosis",
        "path": "Composition.section.entry",
        "sliceName": "stenosis",
        "short": "Indica la presencia de stenosis",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/StenosisObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valve",
        "path": "Composition.section.entry",
        "sliceName": "valve",
        "short": "Indica la presencia de stenosis",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:insuficiency",
        "path": "Composition.section.entry",
        "sliceName": "insuficiency",
        "short": "Indica la presencia de insuficiencia",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveName",
        "path": "Composition.section.entry",
        "sliceName": "valveName",
        "short": "Indica el nombre de la válvula",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveDevice"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveSize",
        "path": "Composition.section.entry",
        "sliceName": "valveSize",
        "short": "Indica el tamaño de la válvula",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveDevice"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:explantType",
        "path": "Composition.section.entry",
        "sliceName": "explantType",
        "short": "Indica tipo de explante",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:reoperationValveReason",
        "path": "Composition.section.entry",
        "sliceName": "reoperationValveReason",
        "short": "Indica la razón de reoperación",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveProcedure",
        "path": "Composition.section.entry",
        "sliceName": "valveProcedure",
        "short": "Indica el procedimiento de válvula",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:implantType",
        "path": "Composition.section.entry",
        "sliceName": "implantType",
        "short": "Indica el tipo de implante",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:endocarditisInfecciosa",
        "path": "Composition.section.entry",
        "sliceName": "endocarditisInfecciosa",
        "short": "Endocarditis infecciosa",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EndocarditisInfecciosaObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:nativeValvePathology",
        "path": "Composition.section.entry",
        "sliceName": "nativeValvePathology",
        "short": "Observación de válvula nativa",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NativeValvePathologyObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio",
        "path": "Composition.section",
        "sliceName": "ProcedureEcocardio",
        "short": "Sección de ecocardiograma",
        "definition": "Información acerca del ecocardiograma",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "6"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramProcedure"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:systolicPressureObservation",
        "path": "Composition.section.entry",
        "sliceName": "systolicPressureObservation",
        "short": "observación de PSAP",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftatrium",
        "path": "Composition.section.entry",
        "sliceName": "leftatrium",
        "short": "observación de arteria izquierda",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticRoot",
        "path": "Composition.section.entry",
        "sliceName": "aorticRoot",
        "short": "observación de arteria principal",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:rightCavities",
        "path": "Composition.section.entry",
        "sliceName": "rightCavities",
        "short": "observación de cavidad derecha",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:endocarditis",
        "path": "Composition.section.entry",
        "sliceName": "endocarditis",
        "short": "observación de endocarditis",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:valve",
        "path": "Composition.section.entry",
        "sliceName": "valve",
        "short": "observación de tipo de válvua",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:vegetable",
        "path": "Composition.section.entry",
        "sliceName": "vegetable",
        "short": "observación de estado de vegetación",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:abscess",
        "path": "Composition.section.entry",
        "sliceName": "abscess",
        "short": "observación de presencia de absceso",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:prosthesisDetachment",
        "path": "Composition.section.entry",
        "sliceName": "prosthesisDetachment",
        "short": "observación de extracción de protesis",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:cardiacTumor",
        "path": "Composition.section.entry",
        "sliceName": "cardiacTumor",
        "short": "observación de presencia de tumor cardíaco",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:other",
        "path": "Composition.section.entry",
        "sliceName": "other",
        "short": "Otra observación",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftVentricleDiastolicDiameter",
        "path": "Composition.section.entry",
        "sliceName": "leftVentricleDiastolicDiameter",
        "short": "observación diámetro diastólico de ventrículo izquierdo",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftVentricleSystolicDiameter",
        "path": "Composition.section.entry",
        "sliceName": "leftVentricleSystolicDiameter",
        "short": "Observación diámetro sistólico de ventrículo izquierdo",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMainGradient",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMainGradient",
        "short": "observación del gradiente de a válvula principal",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMediumGradient",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMediumGradient",
        "short": "observación del gradiente de a válvula aorta media",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMaximumSpeed",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMaximumSpeed",
        "short": "observación de la máxima velocidad de válvula aorta",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesArea",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesArea",
        "short": "observación del área de válvula aorta",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesInsufficiency",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesInsufficiency",
        "short": "observación de la insuficiencia de válvula aorta",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMainGradient",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMainGradient",
        "short": "observación de la gradiente principal de la válvula mitral",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMediumGradient",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMediumGradient",
        "short": "observación de la gradiente media de la válvula mitral",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMaximumSpeed",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMaximumSpeed",
        "short": "observación de la velocidad máxima de válvula mitral",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveArea",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveArea",
        "short": "observación del área de válvula mitral",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
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        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveInsufficiency",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveInsufficiency",
        "short": "observación de la insuficiencia de válvula mitral",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:tricuspideValvesInsuficiency",
        "path": "Composition.section.entry",
        "sliceName": "tricuspideValvesInsuficiency",
        "short": "observación de la insuficiencia de válvula tricúspide",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:diagnostics",
        "path": "Composition.section.entry",
        "sliceName": "diagnostics",
        "short": "Diagnósticos de ecocardiograma",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection",
        "path": "Composition.section",
        "sliceName": "PerfusionProcedureSection",
        "short": "Sección de perfusión",
        "definition": "Información acerca de la perfusión",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "cmp-1",
            "severity": "error",
            "human": "A section must contain at least one of text, entries, or sub-sections",
            "expression": "text.exists() or entry.exists() or section.exists()",
            "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "cmp-2",
            "severity": "error",
            "human": "A section can only have an emptyReason if it is empty",
            "expression": "emptyReason.empty() or entry.empty()",
            "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
            "source": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.structuredBody.component.section"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.id",
        "path": "Composition.section.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.extension",
        "path": "Composition.section.extension",
        "short": "Additional content defined by implementations",
        "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.",
        "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "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).",
        "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.",
        "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).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.title",
        "path": "Composition.section.title",
        "short": "Label for section (e.g. for ToC)",
        "definition": "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
        "comment": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
        "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
        "alias": [
          "header",
          "label",
          "caption"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.title",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./title"
          },
          {
            "identity": "cda",
            "map": ".title"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.code",
        "path": "Composition.section.code",
        "short": "Classification of section (recommended)",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "comment": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
        "requirements": "Provides computable standardized labels to topics within the document.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Composition.section.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "7"
            }
          ]
        },
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "cda",
            "map": ".code"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.author",
        "path": "Composition.section.author",
        "short": "Who and/or what authored the section",
        "definition": "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
        "requirements": "Identifies who is responsible for the content.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.author",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Device|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1",
              "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity": "cda",
            "map": ".author.assignedAuthor"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.focus",
        "path": "Composition.section.focus",
        "short": "Who/what the section is about, when it is not about the subject of composition",
        "definition": "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
        "comment": "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.focus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PerfusionProcedure"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "cda",
            "map": ".subject? (CDA did not differentiate between subject and focus)"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.text",
        "path": "Composition.section.text",
        "short": "Text summary of the section, for human interpretation",
        "definition": "A human-readable narrative that contains the attested content of the section, 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.",
        "comment": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".text"
          },
          {
            "identity": "cda",
            "map": ".text"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.mode",
        "path": "Composition.section.mode",
        "short": "working | snapshot | changes",
        "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
        "comment": "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
        "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.mode",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionMode"
            }
          ],
          "strength": "required",
          "description": "The processing mode that applies to this section.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1"
        },
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "short": "Order of section entries",
        "definition": "Specifies the order applied to the items in the section entries.",
        "comment": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
        "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.orderedBy",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEntryOrder"
            }
          ],
          "strength": "preferred",
          "description": "What order applies to the items in the entry.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-order|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "A reference to data that supports this section",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource|4.0.1"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:perfusionTemperature",
        "path": "Composition.section.entry",
        "sliceName": "perfusionTemperature",
        "short": "Observación de temperatura de perfusión",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PerfusionTemperatureObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaSolution",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaSolution",
        "short": "Observación de la solución",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaTemperature",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaTemperature",
        "short": "Observación de la temperatura de la solución",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaTemperatureObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaInfusionMode",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaInfusionMode",
        "short": "Observación del modo de la infusión de la cardioplegía",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaInfusionModeObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaRhythm",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaRhythm",
        "short": "Observación del ritmo de cardioplegía",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaRhytmObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:reasonForBallonUsage",
        "path": "Composition.section.entry",
        "sliceName": "reasonForBallonUsage",
        "short": "Observación de balón de la razón de uso de balón contrapulsación",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ReasonBallonObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:extracorporealCirculationTime",
        "path": "Composition.section.entry",
        "sliceName": "extracorporealCirculationTime",
        "short": "Observación del tiempo de la perfusión",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ExtracorporealCirculationTimeObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cumulativeCrossClampTime",
        "path": "Composition.section.entry",
        "sliceName": "cumulativeCrossClampTime",
        "short": "Observación del tiempo acumulado",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CumulativeCrossClampTimeObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:totalCirculatoryArrestTime",
        "path": "Composition.section.entry",
        "sliceName": "totalCirculatoryArrestTime",
        "short": "Observación del tiempo total",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/TotalCirculatoryArrestTimeObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:arterialCannulations",
        "path": "Composition.section.entry",
        "sliceName": "arterialCannulations",
        "short": "Observación de canulación arterial",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ArterialCannulationObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:venousCannulations",
        "path": "Composition.section.entry",
        "sliceName": "venousCannulations",
        "short": "Observación de canulación venosa",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/VenousCannulationsObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:circulatoryAssistances",
        "path": "Composition.section.entry",
        "sliceName": "circulatoryAssistances",
        "short": "Observación de las asistencias circulatorias",
        "definition": "A reference to the actual resource from which the narrative in the section is derived.",
        "comment": "If there are no entries in the list, an emptyReason SHOULD be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.entry",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CirculatoryObservation"
            ]
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity": "cda",
            "map": ".entry"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "short": "Why the section is empty",
        "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
        "comment": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
        "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Composition.section.emptyReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "cmp-2"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SectionEmptyReason"
            }
          ],
          "strength": "preferred",
          "description": "If a section is empty, why it is empty.",
          "valueSet": "http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]"
          },
          {
            "identity": "cda",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.section",
        "path": "Composition.section.section",
        "short": "Nested Section",
        "definition": "A nested sub-section within this section.",
        "comment": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Composition.section.section",
          "min": 0,
          "max": "*"
        },
        "contentReference": "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section",
        "condition": [
          "cmp-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity": "cda",
            "map": ".component.section"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "patternCode": "final"
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "67727-8"
            }
          ]
        }
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "patternUri": "http://snomed.info/sct"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "short": "fecha en la que se inicia e registro de la intervención"
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "short": "Profesional encargado de registrar la intervención",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PractitionerCardio"
            ]
          }
        ]
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "patternString": "Composition Cardiocirugia"
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Secciones del documento.",
        "definition": "Sección del documento que contiene los datos asociados a la atención clínica.",
        "min": 1,
        "max": "10",
        "mustSupport": true
      },
      {
        "id": "Composition.section.code",
        "path": "Composition.section.code",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS"
        }
      },
      {
        "id": "Composition.section:PatientSection",
        "path": "Composition.section",
        "sliceName": "PatientSection",
        "short": "Sección del paciente",
        "definition": "Información acerca del paciente",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:PatientSection.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "1"
            }
          ]
        }
      },
      {
        "id": "Composition.section:PatientSection.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PatientCardio"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "min": 13
      },
      {
        "id": "Composition.section:PatientSection.entry:bodyheightObservation",
        "path": "Composition.section.entry",
        "sliceName": "bodyheightObservation",
        "short": "Referencia  al recurso que contiene la observación de altura del paciente",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/bodyheight"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:bodyweightObservation",
        "path": "Composition.section.entry",
        "sliceName": "bodyweightObservation",
        "short": "Referencia  al recurso que contiene la observación sobre el peso del paciente",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/bodyweight"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:bloodTypeObservation",
        "path": "Composition.section.entry",
        "sliceName": "bloodTypeObservation",
        "short": "Referencia  al recurso que contiene la observación que hace referencia al tipo de sangre del paciente",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/BloodTypeObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:emergencyContact",
        "path": "Composition.section.entry",
        "sliceName": "emergencyContact",
        "short": "Se referencia a las personas que pueden ser contactadas al momento de una emergencia",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:DiabetesCondition",
        "path": "Composition.section.entry",
        "sliceName": "DiabetesCondition",
        "short": "Condición de paciente con diabetes",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/DiabetesCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:HypertensionCondition",
        "path": "Composition.section.entry",
        "sliceName": "HypertensionCondition",
        "short": "Condición de paciente con hipertensión",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/HypertensionCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:HypercholesterolemiaCondition",
        "path": "Composition.section.entry",
        "sliceName": "HypercholesterolemiaCondition",
        "short": "Condición de paciente con hipercolesterolemia",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/HypercholesterolemiaCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:CarotidBruitCondition",
        "path": "Composition.section.entry",
        "sliceName": "CarotidBruitCondition",
        "short": "Condición de paciente con soplos carotideos",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CarotidBruitCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:neurologicDisfunction",
        "path": "Composition.section.entry",
        "sliceName": "neurologicDisfunction",
        "short": "Condición de paciente con disfunción neurológica",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NeurologicDisfunctionCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:ChronicLungDiseaseCondition",
        "path": "Composition.section.entry",
        "sliceName": "ChronicLungDiseaseCondition",
        "short": "Condición de enfermedad pulmonar crónica",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ChronicLungDiseaseCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:ExtraCardiacArteriopathyCondition",
        "path": "Composition.section.entry",
        "sliceName": "ExtraCardiacArteriopathyCondition",
        "short": "Condición de arteriopatía extra cardíaca",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ExtraCardiacArteriopathyCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:NephropathyCondition",
        "path": "Composition.section.entry",
        "sliceName": "NephropathyCondition",
        "short": "Nefropatías del paciente",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NephropathyCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:TypeOfDiseaseCondition",
        "path": "Composition.section.entry",
        "sliceName": "TypeOfDiseaseCondition",
        "short": "Tipo de enfermedad",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/TypeOfDiseaseCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:PacksPerYear",
        "path": "Composition.section.entry",
        "sliceName": "PacksPerYear",
        "short": "Observación de packs por año",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PacksPerYearObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PatientSection.entry:SmokingHistory",
        "path": "Composition.section.entry",
        "sliceName": "SmokingHistory",
        "short": "Observación de historial fumador",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/SmokingCondition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection",
        "path": "Composition.section",
        "sliceName": "QuestionnaireSection",
        "short": "Cuestionario realizado al paciente.",
        "definition": "Antecedentes de intervenciones previas para realizar el procedimiento al paciente.",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:QuestionnaireSection.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "2"
            }
          ]
        }
      },
      {
        "id": "Composition.section:QuestionnaireSection.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:QuestionnaireSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:QuestionnaireSection.entry:Questionnaire",
        "path": "Composition.section.entry",
        "sliceName": "Questionnaire",
        "short": "Referencia al recurso que contiene la información de antecedentes.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ProcedureQuestionnaire"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection",
        "path": "Composition.section",
        "sliceName": "PractitionerSection",
        "short": "Profesionales involucrados.",
        "definition": "Sección en la que se definen los profesionales involucrados en el procedimiento.",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:PractitionerSection.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "3"
            }
          ]
        }
      },
      {
        "id": "Composition.section:PractitionerSection.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ProcedureCardio"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PractitionerSection.entry",
        "path": "Composition.section.entry",
        "min": 3,
        "max": "5",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PractitionerRoleCardio"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio",
        "path": "Composition.section",
        "sliceName": "ProcedureCardio",
        "short": "Historial cardíaco",
        "definition": "Sección en la que se describe el historial cardiaco del paciente.",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:ProcedureCardio.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "4"
            }
          ]
        }
      },
      {
        "id": "Composition.section:ProcedureCardio.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "min": 4,
        "max": "5"
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:AnginaObservation",
        "path": "Composition.section.entry",
        "sliceName": "AnginaObservation",
        "short": "Angina de pecho reportada por el paciente",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/AnginaObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:FunctionalCapacityObservation",
        "path": "Composition.section.entry",
        "sliceName": "FunctionalCapacityObservation",
        "short": "Capacidad funcional del paciente",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/FunctionalCapacityObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:PreviousMIObservation",
        "path": "Composition.section.entry",
        "sliceName": "PreviousMIObservation",
        "short": "Número de infartos al miocardio previos",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PreviousMIObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:MostRecentMIObservation",
        "path": "Composition.section.entry",
        "sliceName": "MostRecentMIObservation",
        "short": "Días transcurridos desde el último infarto al miocardio",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/MostRecentMIObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:CongestiveHeartFailureObservation",
        "path": "Composition.section.entry",
        "sliceName": "CongestiveHeartFailureObservation",
        "short": "Se indica que el paciente presenta falla cardíaca congestiva",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CongestiveHeartFailureObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:LastCatheterizationObservation",
        "path": "Composition.section.entry",
        "sliceName": "LastCatheterizationObservation",
        "short": "Se indica que la fecha en la que el paciente tuvo su última cateterización",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/LastCatheterizationObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:DiseasedCoronarySegmentObservation",
        "path": "Composition.section.entry",
        "sliceName": "DiseasedCoronarySegmentObservation",
        "short": "Observación del número de vasos con problemas.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/DiseasedCoronarySegmentObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:EjectionFractionObservation",
        "path": "Composition.section.entry",
        "sliceName": "EjectionFractionObservation",
        "short": "Observación de la última fracción de eyección.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EjectionFractionObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:EjectionFractionValueObservation",
        "path": "Composition.section.entry",
        "sliceName": "EjectionFractionValueObservation",
        "short": "Observación del valor de la última fracción de eyección",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EjectionFractionValueObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:SystolicPressureObservation",
        "path": "Composition.section.entry",
        "sliceName": "SystolicPressureObservation",
        "short": "Presión sistólica observación",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/SystolicPressureObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:AVGradient",
        "path": "Composition.section.entry",
        "sliceName": "AVGradient",
        "short": "Gradiente AV",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/AVGradient"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:LVEDPObservation",
        "path": "Composition.section.entry",
        "sliceName": "LVEDPObservation",
        "short": "Presión de Fin de Diástole del Ventrículo Izquierdo",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/LVEDPObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:PAWPObservation",
        "path": "Composition.section.entry",
        "sliceName": "PAWPObservation",
        "short": "Medida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PAWPObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:NumberOfDistalArterialAnastomoses",
        "path": "Composition.section.entry",
        "sliceName": "NumberOfDistalArterialAnastomoses",
        "short": "Observación de número de arterias distal",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NumberOfDistalArterialAnastomosesObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:NumberOfDistalVenousAnastomoses",
        "path": "Composition.section.entry",
        "sliceName": "NumberOfDistalVenousAnastomoses",
        "short": "Observación de número de arterias venosas",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NumberOfDistalVenousAnastomosesObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:ArteriesUsedAsConduitsObservation",
        "path": "Composition.section.entry",
        "sliceName": "ArteriesUsedAsConduitsObservation",
        "short": "Observación de arterias usadas como conductos",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ArteriesUsedAsConduitsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureCardio.entry:organization",
        "path": "Composition.section.entry",
        "sliceName": "organization",
        "short": "Se hace referencia a la organización",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection",
        "path": "Composition.section",
        "sliceName": "ValveProcedureSection",
        "short": "Sección de válvula",
        "definition": "Información acerca de vávula del paciente",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:ValveProcedureSection.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "5"
            }
          ]
        }
      },
      {
        "id": "Composition.section:ValveProcedureSection.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:stenosis",
        "path": "Composition.section.entry",
        "sliceName": "stenosis",
        "short": "Indica la presencia de stenosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/StenosisObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valve",
        "path": "Composition.section.entry",
        "sliceName": "valve",
        "short": "Indica la presencia de stenosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:insuficiency",
        "path": "Composition.section.entry",
        "sliceName": "insuficiency",
        "short": "Indica la presencia de insuficiencia",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveName",
        "path": "Composition.section.entry",
        "sliceName": "valveName",
        "short": "Indica el nombre de la válvula",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveDevice"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveSize",
        "path": "Composition.section.entry",
        "sliceName": "valveSize",
        "short": "Indica el tamaño de la válvula",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveDevice"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:explantType",
        "path": "Composition.section.entry",
        "sliceName": "explantType",
        "short": "Indica tipo de explante",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:reoperationValveReason",
        "path": "Composition.section.entry",
        "sliceName": "reoperationValveReason",
        "short": "Indica la razón de reoperación",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:valveProcedure",
        "path": "Composition.section.entry",
        "sliceName": "valveProcedure",
        "short": "Indica el procedimiento de válvula",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:implantType",
        "path": "Composition.section.entry",
        "sliceName": "implantType",
        "short": "Indica el tipo de implante",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ValveProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:endocarditisInfecciosa",
        "path": "Composition.section.entry",
        "sliceName": "endocarditisInfecciosa",
        "short": "Endocarditis infecciosa",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EndocarditisInfecciosaObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ValveProcedureSection.entry:nativeValvePathology",
        "path": "Composition.section.entry",
        "sliceName": "nativeValvePathology",
        "short": "Observación de válvula nativa",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/NativeValvePathologyObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio",
        "path": "Composition.section",
        "sliceName": "ProcedureEcocardio",
        "short": "Sección de ecocardiograma",
        "definition": "Información acerca del ecocardiograma",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:ProcedureEcocardio.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "6"
            }
          ]
        }
      },
      {
        "id": "Composition.section:ProcedureEcocardio.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:systolicPressureObservation",
        "path": "Composition.section.entry",
        "sliceName": "systolicPressureObservation",
        "short": "observación de PSAP",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftatrium",
        "path": "Composition.section.entry",
        "sliceName": "leftatrium",
        "short": "observación de arteria izquierda",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticRoot",
        "path": "Composition.section.entry",
        "sliceName": "aorticRoot",
        "short": "observación de arteria principal",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:rightCavities",
        "path": "Composition.section.entry",
        "sliceName": "rightCavities",
        "short": "observación de cavidad derecha",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:endocarditis",
        "path": "Composition.section.entry",
        "sliceName": "endocarditis",
        "short": "observación de endocarditis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:valve",
        "path": "Composition.section.entry",
        "sliceName": "valve",
        "short": "observación de tipo de válvua",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:vegetable",
        "path": "Composition.section.entry",
        "sliceName": "vegetable",
        "short": "observación de estado de vegetación",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:abscess",
        "path": "Composition.section.entry",
        "sliceName": "abscess",
        "short": "observación de presencia de absceso",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:prosthesisDetachment",
        "path": "Composition.section.entry",
        "sliceName": "prosthesisDetachment",
        "short": "observación de extracción de protesis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:cardiacTumor",
        "path": "Composition.section.entry",
        "sliceName": "cardiacTumor",
        "short": "observación de presencia de tumor cardíaco",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:other",
        "path": "Composition.section.entry",
        "sliceName": "other",
        "short": "Otra observación",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftVentricleDiastolicDiameter",
        "path": "Composition.section.entry",
        "sliceName": "leftVentricleDiastolicDiameter",
        "short": "observación diámetro diastólico de ventrículo izquierdo",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:leftVentricleSystolicDiameter",
        "path": "Composition.section.entry",
        "sliceName": "leftVentricleSystolicDiameter",
        "short": "Observación diámetro sistólico de ventrículo izquierdo",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMainGradient",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMainGradient",
        "short": "observación del gradiente de a válvula principal",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMediumGradient",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMediumGradient",
        "short": "observación del gradiente de a válvula aorta media",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesMaximumSpeed",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesMaximumSpeed",
        "short": "observación de la máxima velocidad de válvula aorta",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesArea",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesArea",
        "short": "observación del área de válvula aorta",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:aorticValvesInsufficiency",
        "path": "Composition.section.entry",
        "sliceName": "aorticValvesInsufficiency",
        "short": "observación de la insuficiencia de válvula aorta",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMainGradient",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMainGradient",
        "short": "observación de la gradiente principal de la válvula mitral",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMediumGradient",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMediumGradient",
        "short": "observación de la gradiente media de la válvula mitral",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveMaximumSpeed",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveMaximumSpeed",
        "short": "observación de la velocidad máxima de válvula mitral",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveArea",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveArea",
        "short": "observación del área de válvula mitral",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:mitralValveInsufficiency",
        "path": "Composition.section.entry",
        "sliceName": "mitralValveInsufficiency",
        "short": "observación de la insuficiencia de válvula mitral",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:tricuspideValvesInsuficiency",
        "path": "Composition.section.entry",
        "sliceName": "tricuspideValvesInsuficiency",
        "short": "observación de la insuficiencia de válvula tricúspide",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:ProcedureEcocardio.entry:diagnostics",
        "path": "Composition.section.entry",
        "sliceName": "diagnostics",
        "short": "Diagnósticos de ecocardiograma",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/EchocardiogramsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection",
        "path": "Composition.section",
        "sliceName": "PerfusionProcedureSection",
        "short": "Sección de perfusión",
        "definition": "Información acerca de la perfusión",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.code",
        "path": "Composition.section.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "7"
            }
          ]
        }
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.focus",
        "path": "Composition.section.focus",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PerfusionProcedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:perfusionTemperature",
        "path": "Composition.section.entry",
        "sliceName": "perfusionTemperature",
        "short": "Observación de temperatura de perfusión",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/PerfusionTemperatureObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaSolution",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaSolution",
        "short": "Observación de la solución",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaTemperature",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaTemperature",
        "short": "Observación de la temperatura de la solución",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaTemperatureObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaInfusionMode",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaInfusionMode",
        "short": "Observación del modo de la infusión de la cardioplegía",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaInfusionModeObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cardioplegiaRhythm",
        "path": "Composition.section.entry",
        "sliceName": "cardioplegiaRhythm",
        "short": "Observación del ritmo de cardioplegía",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CardioplegiaRhytmObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:reasonForBallonUsage",
        "path": "Composition.section.entry",
        "sliceName": "reasonForBallonUsage",
        "short": "Observación de balón de la razón de uso de balón contrapulsación",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ReasonBallonObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:extracorporealCirculationTime",
        "path": "Composition.section.entry",
        "sliceName": "extracorporealCirculationTime",
        "short": "Observación del tiempo de la perfusión",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ExtracorporealCirculationTimeObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:cumulativeCrossClampTime",
        "path": "Composition.section.entry",
        "sliceName": "cumulativeCrossClampTime",
        "short": "Observación del tiempo acumulado",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CumulativeCrossClampTimeObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:totalCirculatoryArrestTime",
        "path": "Composition.section.entry",
        "sliceName": "totalCirculatoryArrestTime",
        "short": "Observación del tiempo total",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/TotalCirculatoryArrestTimeObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:arterialCannulations",
        "path": "Composition.section.entry",
        "sliceName": "arterialCannulations",
        "short": "Observación de canulación arterial",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/ArterialCannulationObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:venousCannulations",
        "path": "Composition.section.entry",
        "sliceName": "venousCannulations",
        "short": "Observación de canulación venosa",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/VenousCannulationsObservation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:PerfusionProcedureSection.entry:circulatoryAssistances",
        "path": "Composition.section.entry",
        "sliceName": "circulatoryAssistances",
        "short": "Observación de las asistencias circulatorias",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://centrocardiovascular.cl/StructureDefinition/CirculatoryObservation"
            ]
          }
        ]
      }
    ]
  }
}