Guía implementación interoperabilidad FHIR sectorial e intersectorial
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: REPORTE DE CONSULTA EXTERNA - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "Example-CE-Composition-1a2b3c4d5e6f",
  "meta" : {
    "profile" : [
      🔗 "https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUCE"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition Example-CE-Composition-1a2b3c4d5e6f</b></p><a name=\"Example-CE-Composition-1a2b3c4d5e6f\"> </a><a name=\"hcExample-CE-Composition-1a2b3c4d5e6f\"> </a><a name=\"Example-CE-Composition-1a2b3c4d5e6f-es-ES\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ProfileCompositionHCEUCE.html\">HCEU - Consulta Externa - Composition</a></p></div><p><b>identifier</b>: <code>http://hospitalSystemInformation.example.org/Compositions</code>/CE-Comp-001\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://loinc.org 34108-1}\">Outpatient Note</span></p><p><b>category</b>: <span title=\"Codes:{https://hl7.org/fhir/R4/valueset-document-classcodes.html 34133-9}\">Summary of episode note</span></p><p><b>encounter</b>: <a href=\"Encounter-Example-CE-Encounter-6bf8f5968a20.html\">Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://hospitalSystemInformation.example.org/admissions#ENC-001\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Consulta Externa (ActCode#AMB); serviceType = GENERAL ADULTOS; period = 2025-04-14 09:00:00+0000 --&gt; 2025-04-14 09:30:00+0000</a></p><p><b>date</b>: 2025-04-18 08:30:00+0000</p><p><b>author</b>: </p><ul><li><a href=\"Practitioner-Example-CE-Practitioner-7ca0b887ef05.html\">Practitioner Felipe Andrés Camargo Parada(official)</a></li><li><a href=\"PractitionerRole-Example-CE-PractitionerRole-454bbe92f5ee.html\">PractitionerRole General medicine</a></li></ul><p><b>title</b>: REPORTE DE CONSULTA EXTERNA</p><p><b>confidentiality</b>: very restricted</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Legal</td><td><a href=\"Practitioner-Example-CE-Practitioner-7ca0b887ef05.html\">Practitioner Felipe Andrés Camargo Parada(official)</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-Example-Prestador-Organization-5e2803024bcd.html\">Organization CLINICA IPS ATENCION SALUD</a></p></div>"
  },
  "identifier" : {
    "use" : "usual",
    "system" : "http://hospitalSystemInformation.example.org/Compositions",
    "value" : "CE-Comp-001"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "https://loinc.org",
        "code" : "34108-1",
        "display" : "Outpatient Note"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://hl7.org/fhir/R4/valueset-document-classcodes.html",
          "code" : "34133-9",
          "display" : "Summary of episode note"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Example-CE-Patient-352d698c8230"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example-CE-Encounter-6bf8f5968a20"
  },
  "date" : "2025-04-18T08:30:00Z",
  "author" : [
    {
      🔗 "reference" : "Practitioner/Example-CE-Practitioner-7ca0b887ef05"
    },
    {
      🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
    }
  ],
  "title" : "REPORTE DE CONSULTA EXTERNA",
  "confidentiality" : "V",
  "attester" : [
    {
      "mode" : "legal",
      "party" : {
        🔗 "reference" : "Practitioner/Example-CE-Practitioner-7ca0b887ef05"
      }
    }
  ],
  "custodian" : {
    🔗 "reference" : "Organization/Example-Prestador-Organization-5e2803024bcd"
  },
  "section" : [
    {
      "title" : "Motivo de consulta",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "30954-2"
          },
          {
            "system" : "https://loinc.org",
            "code" : "29299-5",
            "display" : "Reason for visit Narrative"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-CE-Condition-Motivo-74f82a94cbb4"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-9646b68b"
        }
      ]
    },
    {
      "title" : "Grupo Sanguineo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "48768-6"
          },
          {
            "system" : "https://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data Narrative"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-CE-Observation-c9ee64478e"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-1d6d7f518d"
        }
      ]
    },
    {
      "title" : "Datos de aseguramiento",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          },
          {
            "system" : "https://loinc.org",
            "code" : "48768-6",
            "display" : "Payment sources Document"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Coverage/Example-Coverage-CE-6f158451b183"
        }
      ]
    },
    {
      "title" : "Caracterización Poblacional",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42349-1"
          },
          {
            "system" : "https://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-CE-Observation-5f0afad13"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-6cb11cde4f"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-2195d101b9"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-e4be5faa96"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-b29a05b048"
        }
      ]
    },
    {
      "title" : "Motivo de ingreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29545-1"
          },
          {
            "system" : "https://loinc.org",
            "code" : "42349-1",
            "display" : "Reason for referral"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-CE-Condition-Motivo-74f82a94cbb4"
        }
      ]
    },
    {
      "title" : "Antecedentes Familiares",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "8716-3"
          },
          {
            "system" : "https://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases Narrative"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "FamilyMemberHistory/Example-CE-FamilyMemberHistory-aa5d19f8934b"
        }
      ]
    },
    {
      "title" : "Antecedentes Personales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42347-5"
          },
          {
            "system" : "https://loinc.org",
            "code" : "11348-0",
            "display" : "History of Past illness Narrative"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "AllergyIntolerance/Example-CE-AllergyIntolerance-5c8af6ad5013"
        },
        {
          🔗 "reference" : "MedicationStatement/Example-CE-MedicationStatement-b5140b593e03"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-0dbf91c613"
        }
      ]
    },
    {
      "title" : "Revision por sistemas",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "18776-5"
          },
          {
            "system" : "https://loinc.org",
            "code" : "10187-3",
            "display" : "Review of systems Narrative"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-CE-Observation-9471f79acc"
        }
      ]
    },
    {
      "title" : "Examen Físico",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29545-1",
            "display" : "Physical findings Narrative"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-CE-Observation-e8021b2484"
        },
        {
          🔗 "reference" : "Observation/Example-CE-Observation-94604a4159"
        }
      ]
    },
    {
      "title" : "Signos Vitales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-CE-Observation-25710a56f1"
        }
      ]
    },
    {
      "title" : "Diagnósticos",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42347-5",
            "display" : "Admission Diagnosis"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-CE-Condition-Dx-Primario-e103f6a91149"
        },
        {
          "reference" : "Condition/Example-CE-Condition-Dx-Secundario1-f3fefc9bfad2"
        },
        {
          "reference" : "Condition/Example-CE-Condition-Dx-Secundario2-bf2f763d1653"
        }
      ]
    },
    {
      "title" : "Plan Manejo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "18776-5",
            "display" : "Care Plan"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "CarePlan/Example-CE-CarePlan-b186bdeb2558"
        },
        {
          🔗 "reference" : "MedicationRequest/Example-CE-MedicationRequest-3b39d9b95911"
        },
        {
          🔗 "reference" : "MedicationDispense/Example-CE-MedicationDispense-a1013d635b23"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-CE-ServiceRequest-02cf4979cacb"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-CE-ServiceRequest-75721ab3d6c4"
        }
      ]
    }
  ]
}