Guía implementación interoperabilidad FHIR sectorial e intersectorial
0.14.0 - ci-build

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: REPORTE DE CONSULTA EXTERNA - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="Example-CE-Composition-1a2b3c4d5e6f"/>
  <meta>
    <profile
             value="https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUCE"/>
  </meta>
  <text>
    <status value="generated"/>
    <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 (use: usual, )</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 (use: usual, ); 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>
  </text>
  <identifier>
    <use value="usual"/>
    <system
            value="http://hospitalSystemInformation.example.org/Compositions"/>
    <value value="CE-Comp-001"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="https://loinc.org"/>
      <code value="34108-1"/>
      <display value="Outpatient Note"/>
    </coding>
  </type>
  <category>
    <coding>
      <system
              value="https://hl7.org/fhir/R4/valueset-document-classcodes.html"/>
      <code value="34133-9"/>
      <display value="Summary of episode note"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/Example-CE-Patient-352d698c8230"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example-CE-Encounter-6bf8f5968a20"/>
  </encounter>
  <date value="2025-04-18T08:30:00Z"/>
  <author>🔗 
    <reference value="Practitioner/Example-CE-Practitioner-7ca0b887ef05"/>
  </author>
  <author>🔗 
    <reference
               value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
  </author>
  <title value="REPORTE DE CONSULTA EXTERNA"/>
  <confidentiality value="V"/>
  <attester>
    <mode value="legal"/>
    <party>🔗 
      <reference value="Practitioner/Example-CE-Practitioner-7ca0b887ef05"/>
    </party>
  </attester>
  <custodian>🔗 
    <reference
               value="Organization/Example-Prestador-Organization-5e2803024bcd"/>
  </custodian>
  <section>
    <title value="Motivo de consulta"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="30954-2"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29299-5"/>
        <display value="Reason for visit Narrative"/>
      </coding>
    </code>
    <author>🔗 
      <reference
                 value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
    </author>
    <entry>🔗 
      <reference value="Condition/Example-CE-Condition-Motivo-74f82a94cbb4"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-9646b68b"/>
    </entry>
  </section>
  <section>
    <title value="Grupo Sanguineo"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="48768-6"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="30954-2"/>
        <display value="Relevant diagnostic tests/laboratory data Narrative"/>
      </coding>
    </code>
    <author>🔗 
      <reference
                 value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
    </author>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-c9ee64478e"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-1d6d7f518d"/>
    </entry>
  </section>
  <section>
    <title value="Datos de aseguramiento"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29762-2"/>
        <display value="Social history Narrative"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="48768-6"/>
        <display value="Payment sources Document"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Coverage/Example-Coverage-CE-6f158451b183"/>
    </entry>
  </section>
  <section>
    <title value="Caracterización Poblacional"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42349-1"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29762-2"/>
        <display value="Social history Narrative"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-5f0afad13"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-6cb11cde4f"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-2195d101b9"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-e4be5faa96"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-b29a05b048"/>
    </entry>
  </section>
  <section>
    <title value="Motivo de ingreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29545-1"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42349-1"/>
        <display value="Reason for referral"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Condition/Example-CE-Condition-Motivo-74f82a94cbb4"/>
    </entry>
  </section>
  <section>
    <title value="Antecedentes Familiares"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="8716-3"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="10157-6"/>
        <display value="History of family member diseases Narrative"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="FamilyMemberHistory/Example-CE-FamilyMemberHistory-aa5d19f8934b"/>
    </entry>
  </section>
  <section>
    <title value="Antecedentes Personales"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42347-5"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="11348-0"/>
        <display value="History of Past illness Narrative"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="AllergyIntolerance/Example-CE-AllergyIntolerance-5c8af6ad5013"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationStatement/Example-CE-MedicationStatement-b5140b593e03"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-0dbf91c613"/>
    </entry>
  </section>
  <section>
    <title value="Revision por sistemas"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="18776-5"/>
      </coding>
      <coding>
        <system value="https://loinc.org"/>
        <code value="10187-3"/>
        <display value="Review of systems Narrative"/>
      </coding>
    </code>
    <author>🔗 
      <reference
                 value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
    </author>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-9471f79acc"/>
    </entry>
  </section>
  <section>
    <title value="Examen Físico"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29545-1"/>
        <display value="Physical findings Narrative"/>
      </coding>
    </code>
    <author>🔗 
      <reference
                 value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
    </author>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-e8021b2484"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-94604a4159"/>
    </entry>
  </section>
  <section>
    <title value="Signos Vitales"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="8716-3"/>
        <display value="Vital signs"/>
      </coding>
    </code>
    <author>🔗 
      <reference
                 value="PractitionerRole/Example-CE-PractitionerRole-454bbe92f5ee"/>
    </author>
    <entry>🔗 
      <reference value="Observation/Example-CE-Observation-25710a56f1"/>
    </entry>
  </section>
  <section>
    <title value="Diagnósticos"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42347-5"/>
        <display value="Admission Diagnosis"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Condition/Example-CE-Condition-Dx-Primario-e103f6a91149"/>
    </entry>
    <entry>
      <reference
                 value="Condition/Example-CE-Condition-Dx-Secundario1-f3fefc9bfad2"/>
    </entry>
    <entry>
      <reference
                 value="Condition/Example-CE-Condition-Dx-Secundario2-bf2f763d1653"/>
    </entry>
  </section>
  <section>
    <title value="Plan Manejo"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="18776-5"/>
        <display value="Care Plan"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="CarePlan/Example-CE-CarePlan-b186bdeb2558"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationRequest/Example-CE-MedicationRequest-3b39d9b95911"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationDispense/Example-CE-MedicationDispense-a1013d635b23"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-CE-ServiceRequest-02cf4979cacb"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-CE-ServiceRequest-75721ab3d6c4"/>
    </entry>
  </section>
</Composition>