{
  "resourceType": "StructureDefinition",
  "id": "itapah-alarm",
  "url": "http://itapah.sagitario.divisait.com/fhir/StructureDefinition/itapah-alarm",
  "version": "1.0.0",
  "name": "ItapahAlarmExtension",
  "title": "Extensión ITAPAH para alarmas clínicas o administrativas",
  "status": "active",
  "date": "2025-05-27",
  "publisher": "SaGITario ITAPAH",
  "description": "Extensión compleja para Observation que modela una alarma asociada a un episodio clínico, incluyendo motivo y nivel de criticidad.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "min": 1,
        "max": "1",
        "definition": "Alarma definida en el sistema referida a un proceso de IT",
        "base": {
          "path": "Observation",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "base": {
          "path": "Observation.focus",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://itapah.sagitario.divisait.com/fhir/StructureDefinition/itapah-episode-of-care"
            ]
          }
        ],
        "short": "Episodio clínico de IT al que se refiere la alarma",
        "definition": "Referencia al Proceso de IT al que está asociada esta alarma."
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Observation.extension",
          "min": 0,
          "max": "*"
        },
        "definition": "Datos específicos de la alarma: causa y prioridad"
      },
      {
        "id": "Observation.extension:reason",
        "path": "Observation.extension",
        "sliceName": "reason",
        "short": "Motivo de la alarma",
        "definition": "Descripción textual del motivo que genera la alarma.",
        "mustSupport": true,
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "base": {
          "path": "Observation.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Observation.extension:severity",
        "path": "Observation.extension",
        "sliceName": "severity",
        "short": "Criticidad de la alarma",
        "definition": "Nivel de gravedad de la alarma según un conjunto codificado de niveles.",
        "mustSupport": true,
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://itapah.sagitario.divisait.com/fhir/ValueSet/itapah-alarm-severity"
        },
        "base": {
          "path": "Observation.extension",
          "min": 0,
          "max": "*"
        }
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://itapah.sagitario.divisait.com/fhir/StructureDefinition/itapah-episode-of-care"
            ]
          }
        ]
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:reason",
        "path": "Observation.extension",
        "sliceName": "reason",
        "short": "Motivo de la alarma",
        "definition": "Descripción textual del motivo que genera la alarma.",
        "mustSupport": true,
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.extension:severity",
        "path": "Observation.extension",
        "sliceName": "severity",
        "short": "Criticidad de la alarma",
        "definition": "Nivel de gravedad de la alarma según un conjunto codificado de niveles.",
        "mustSupport": true,
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://itapah.sagitario.divisait.com/fhir/ValueSet/itapah-alarm-severity"
        }
      }
    ]
  }
}