Example-CE-Composition-1a2b3c4d5e6f
type: Composition
node role: treeRoot
id:
  v: Example-CE-Composition-1a2b3c4d5e6f
meta:
  profile:
    v: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUCE
    link: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUCE
text:
  status:
    v: generated
  div: Generated Narrative: Composition Example-CE-Composition-1a2b3c4d5e6f Profile: HCEU - Consulta Externa - Composition identifier: http://hospitalSystemInformation.example.org/Compositions/CE-Comp-001 (use: usual, ) status: Final type: Outpatient Note category: Summary of episode note encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://hospitalSystemInformation.example.org/admissions#ENC-001 (use: usual, ); status = finished; class = Consulta Externa (ActCode#AMB); serviceType = GENERAL ADULTOS; period = 2025-04-14 09:00:00+0000 --> 2025-04-14 09:30:00+0000 date: 2025-04-18 08:30:00+0000 author: Practitioner Felipe Andrés Camargo Parada(official) PractitionerRole General medicine title: REPORTE DE CONSULTA EXTERNA confidentiality: very restricted Attesters - Mode Party * Legal Practitioner Felipe Andrés Camargo Parada(official) custodian: Organization CLINICA IPS ATENCION SALUD
identifier:
  use:
    v: usual
  system:
    v: http://hospitalSystemInformation.example.org/Compositions
  value:
    v: CE-Comp-001
status:
  v: final
type:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 34108-1
    display:
      v: Outpatient Note
category:
  coding:
    system:
      v: https://hl7.org/fhir/R4/valueset-document-classcodes.html
    code:
      v: 34133-9
    display:
      v: Summary of episode note
subject:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Patient/Example-CE-Patient-352d698c8230
  reference:
    v: Patient/Example-CE-Patient-352d698c8230
encounter:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Encounter/Example-CE-Encounter-6bf8f5968a20
  reference:
    v: Encounter/Example-CE-Encounter-6bf8f5968a20
date:
  v: 2025-04-18T08:30:00Z
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-CE-Practitioner-7ca0b887ef05
  reference:
    v: Practitioner/Example-CE-Practitioner-7ca0b887ef05
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  reference:
    v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
title:
  v: REPORTE DE CONSULTA EXTERNA
confidentiality:
  v: V
attester:
  mode:
    v: legal
  party:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-CE-Practitioner-7ca0b887ef05
    reference:
      v: Practitioner/Example-CE-Practitioner-7ca0b887ef05
custodian:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Organization/Example-Prestador-Organization-5e2803024bcd
  reference:
    v: Organization/Example-Prestador-Organization-5e2803024bcd
section:
  title:
    v: Motivo de consulta
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 30954-2
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29299-5
      display:
        v: Reason for visit Narrative
  author:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
    reference:
      v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-CE-Condition-Motivo-74f82a94cbb4
    reference:
      v: Condition/Example-CE-Condition-Motivo-74f82a94cbb4
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-9646b68b
    reference:
      v: Observation/Example-CE-Observation-9646b68b
section:
  title:
    v: Grupo Sanguineo
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 48768-6
    coding:
      system:
        v: https://loinc.org
      code:
        v: 30954-2
      display:
        v: Relevant diagnostic tests/laboratory data Narrative
  author:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
    reference:
      v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-c9ee64478e
    reference:
      v: Observation/Example-CE-Observation-c9ee64478e
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-1d6d7f518d
    reference:
      v: Observation/Example-CE-Observation-1d6d7f518d
section:
  title:
    v: Datos de aseguramiento
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29762-2
      display:
        v: Social history Narrative
    coding:
      system:
        v: https://loinc.org
      code:
        v: 48768-6
      display:
        v: Payment sources Document
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Coverage/Example-Coverage-CE-6f158451b183
    reference:
      v: Coverage/Example-Coverage-CE-6f158451b183
section:
  title:
    v: Caracterización Poblacional
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 42349-1
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29762-2
      display:
        v: Social history Narrative
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-5f0afad13
    reference:
      v: Observation/Example-CE-Observation-5f0afad13
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-6cb11cde4f
    reference:
      v: Observation/Example-CE-Observation-6cb11cde4f
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-2195d101b9
    reference:
      v: Observation/Example-CE-Observation-2195d101b9
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-e4be5faa96
    reference:
      v: Observation/Example-CE-Observation-e4be5faa96
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-b29a05b048
    reference:
      v: Observation/Example-CE-Observation-b29a05b048
section:
  title:
    v: Motivo de ingreso
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29545-1
    coding:
      system:
        v: https://loinc.org
      code:
        v: 42349-1
      display:
        v: Reason for referral
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-CE-Condition-Motivo-74f82a94cbb4

v: Condition/Example-CE-Condition-Motivo-74f82a94cbb4

title:
  v: Antecedentes Familiares
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 8716-3
  coding:
    system:
      v: https://loinc.org
    code:
      v: 10157-6
    display:
      v: History of family member diseases Narrative
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/FamilyMemberHistory/Example-CE-FamilyMemberHistory-aa5d19f8934b
  reference:
    v: FamilyMemberHistory/Example-CE-FamilyMemberHistory-aa5d19f8934b

title:
  v: Antecedentes Personales
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 42347-5
  coding:
    system:
      v: https://loinc.org
    code:
      v: 11348-0
    display:
      v: History of Past illness Narrative
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/AllergyIntolerance/Example-CE-AllergyIntolerance-5c8af6ad5013
  reference:
    v: AllergyIntolerance/Example-CE-AllergyIntolerance-5c8af6ad5013
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationStatement/Example-CE-MedicationStatement-b5140b593e03
  reference:
    v: MedicationStatement/Example-CE-MedicationStatement-b5140b593e03
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-0dbf91c613
  reference:
    v: Observation/Example-CE-Observation-0dbf91c613

title:
  v: Revision por sistemas
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 18776-5
  coding:
    system:
      v: https://loinc.org
    code:
      v: 10187-3
    display:
      v: Review of systems Narrative
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  reference:
    v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-9471f79acc
  reference:
    v: Observation/Example-CE-Observation-9471f79acc

title:
  v: Examen Físico
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 29545-1
    display:
      v: Physical findings Narrative
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  reference:
    v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-e8021b2484
  reference:
    v: Observation/Example-CE-Observation-e8021b2484
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-94604a4159
  reference:
    v: Observation/Example-CE-Observation-94604a4159

title:
  v: Signos Vitales
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 8716-3
    display:
      v: Vital signs
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
  reference:
    v: PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-CE-Observation-25710a56f1
  reference:
    v: Observation/Example-CE-Observation-25710a56f1

title:
  v: Diagnósticos
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 42347-5
    display:
      v: Admission Diagnosis
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-CE-Condition-Dx-Primario-e103f6a91149
  reference:
    v: Condition/Example-CE-Condition-Dx-Primario-e103f6a91149
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-CE-Condition-Dx-Secundario1-f3fefc9bfad2
  reference:
    v: Condition/Example-CE-Condition-Dx-Secundario1-f3fefc9bfad2
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-CE-Condition-Dx-Secundario2-bf2f763d1653
  reference:
    v: Condition/Example-CE-Condition-Dx-Secundario2-bf2f763d1653

title:
  v: Plan Manejo
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 18776-5
    display:
      v: Care Plan
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CarePlan/Example-CE-CarePlan-b186bdeb2558
  reference:
    v: CarePlan/Example-CE-CarePlan-b186bdeb2558
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationRequest/Example-CE-MedicationRequest-3b39d9b95911
  reference:
    v: MedicationRequest/Example-CE-MedicationRequest-3b39d9b95911
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationDispense/Example-CE-MedicationDispense-a1013d635b23
  reference:
    v: MedicationDispense/Example-CE-MedicationDispense-a1013d635b23
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/ServiceRequest/Example-CE-ServiceRequest-02cf4979cacb
  reference:
    v: ServiceRequest/Example-CE-ServiceRequest-02cf4979cacb
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/ServiceRequest/Example-CE-ServiceRequest-75721ab3d6c4
  reference:
    v: ServiceRequest/Example-CE-ServiceRequest-75721ab3d6c4