{
  "resourceType": "StructureDefinition",
  "id": "itapah-episode-of-care",
  "url": "http://itapah.sagitario.divisait.com/fhir/StructureDefinition/itapah-episode-of-care",
  "version": "1.0.2",
  "name": "ItapahEpisodeOfCareExtension",
  "title": "Extensión ITAPAH para un proceso clinico sujeto a IT",
  "status": "active",
  "date": "2025-05-27",
  "publisher": "SaGITario ITAPAH",
  "description": "Perfil extendido para EpisodeOfCare en ITAPAH con extensiones específicas y campos estándar requeridos.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "EpisodeOfCare",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "EpisodeOfCare",
        "path": "EpisodeOfCare",
        "min": 1,
        "max": "1",
        "definition": "Recurso que representa el episodio clínico sujeto a IT en el modelo ITAPAH."
      },
      {
        "id": "EpisodeOfCare.identifier",
        "path": "EpisodeOfCare.identifier",
        "min": 1,
        "max": "1",
        "short": "Identificador único del episodio",
        "definition": "Identificador único del proceso ITAPAH.",
        "mustSupport": true,
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.period",
        "path": "EpisodeOfCare.period",
        "min": 1,
        "max": "1",
        "short": "Periodo del episodio",
        "definition": "Periodo durante el cual el episodio está activo.",
        "mustSupport": true,
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.patient",
        "path": "EpisodeOfCare.patient",
        "min": 1,
        "max": "1",
        "short": "Paciente asociado al episodio",
        "definition": "Referencia al paciente asociado con este episodio.",
        "mustSupport": true,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "EpisodeOfCare.careManager",
        "path": "EpisodeOfCare.careManager",
        "min": 1,
        "max": "1",
        "short": "Profesional responsable",
        "definition": "Referencia al profesional sanitario responsable de este episodio.",
        "mustSupport": true,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ]
      },
      {
        "id": "EpisodeOfCare.diagnosis",
        "path": "EpisodeOfCare.diagnosis",
        "min": 1,
        "max": "1",
        "short": "Diagnóstico(s) asociados",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "definition": "Un único diagnóstico en formato CIE10",
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.status",
        "path": "EpisodeOfCare.status",
        "min": 1,
        "max": "1",
        "definition": "El estado de la IT",
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.type",
        "path": "EpisodeOfCare.type",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "definition": "El tipo de la IT segun los tipos de episodio definidos",
        "binding": {
          "strength": "required",
          "valueSet": "http://itapah.sagitario.divisait.com/fhir/ValueSet/episode-types"
        }
      },
      {
        "id": "EpisodeOfCare.extension",
        "path": "EpisodeOfCare.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "definition": "Las extensiones para las alarmas que tengo vinculadas"
      },
      {
        "id": "EpisodeOfCare.extension:userIdentifier",
        "path": "EpisodeOfCare.extension",
        "sliceName": "userIdentifier",
        "min": 1,
        "max": "1",
        "short": "Identificador del usuario",
        "definition": "Identificador del usuario (eDNI)",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.extension:registeredOn",
        "path": "EpisodeOfCare.extension",
        "sliceName": "registeredOn",
        "min": 1,
        "max": "1",
        "short": "Fecha de registro del episodio",
        "definition": "Fecha en la que se creó el registro del episodio.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.extension:nextVisit",
        "path": "EpisodeOfCare.extension",
        "sliceName": "nextVisit",
        "min": 0,
        "max": "1",
        "short": "Fecha de próxima visita",
        "definition": "Fecha prevista para la próxima revisión médica.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.extension:proposedEndPeriod",
        "path": "EpisodeOfCare.extension",
        "sliceName": "proposedEndPeriod",
        "min": 0,
        "max": "1",
        "short": "Fecha propuesta de alta",
        "definition": "Fecha propuesta para finalizar el episodio.",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "EpisodeOfCare.extension:externalReference",
        "path": "EpisodeOfCare.extension",
        "sliceName": "externalReference",
        "min": 0,
        "max": "*",
        "short": "Referencias a episodios externos",
        "definition": "Referencias a episodios externos de otras aplicaciones, incluyendo detalles específicos.",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://itapah.sagitario.divisait.com/fhir/StructureDefinition/itapah-related-episode"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}