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

Guía implementación interoperabilidad FHIR sectorial e intersectorial - Local Development build (v0.14.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: REPORTE DE URGENCIAS - JSON Representation

Raw json | Descargar

{
  "resourceType" : "Composition",
  "id" : "Example-Composition-Urgencias-a419331245c5",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition Example-Composition-Urgencias-a419331245c5</b></p><a name=\"Example-Composition-Urgencias-a419331245c5\"> </a><a name=\"hcExample-Composition-Urgencias-a419331245c5\"> </a><a name=\"Example-Composition-Urgencias-a419331245c5-es-ES\"> </a><p><b>identifier</b>: <code>http://hospitalSystemInformation.example.org/Compositions</code>/UR-20250505-01\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://loinc.org 34111-5}\">Emergency department 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-Encounter-Urgencias-5e8d54e0dcb8.html\">Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123\u00a0(use:\u00a0usual,\u00a0); status = finished; class = Emergency (ActCode#EMER); type = Emergency Department Note; serviceType = SERVICIO DE URGENCIAS; priority = Nivel I; period = 2025-02-20 08:30:00+0000 --&gt; 2025-02-20 10:00:00+0000</a></p><p><b>date</b>: 2025-04-18 08:30:00+0000</p><p><b>author</b>: <a href=\"Practitioner-Example-Practitioner-Urgencias-8f6d2c3a5f6d.html\">Practitioner Carlos Andrés Gómez Pérez(official)</a></p><p><b>title</b>: REPORTE DE URGENCIAS</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-Practitioner-Urgencias-8f6d2c3a5f6d.html\">Practitioner Carlos Andrés Gómez Pérez(official)</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-Example-Organization-2c3a5f6d1e4d.html\">Organization CLINICA IPS ATENCION SALUD</a></p></div>"
  },
  "identifier" : {
    "use" : "usual",
    "system" : "http://hospitalSystemInformation.example.org/Compositions",
    "value" : "UR-20250505-01"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "https://loinc.org",
        "code" : "34111-5",
        "display" : "Emergency department 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-Patient-Urgencias-bdb7a6003025"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example-Encounter-Urgencias-5e8d54e0dcb8"
  },
  "date" : "2025-04-18T08:30:00Z",
  "author" : [
    {
      🔗 "reference" : "Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d"
    }
  ],
  "title" : "REPORTE DE URGENCIAS",
  "confidentiality" : "V",
  "attester" : [
    {
      "mode" : "legal",
      "party" : {
        🔗 "reference" : "Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d"
      }
    }
  ],
  "custodian" : {
    🔗 "reference" : "Organization/Example-Organization-2c3a5f6d1e4d"
  },
  "section" : [
    {
      "title" : "Contacto de emergencia",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "56796-6",
            "display" : "Emergency contact information"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "RelatedPerson/Example-RelatedPerson-Urgencias-2c3a5f6d1e4a"
        }
      ]
    },
    {
      "title" : "Motivo de consulta",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29299-5",
            "display" : "Reason for visit Narrative"
          }
        ]
      }
    },
    {
      "title" : "Grupo Sanguineo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data Narrative"
          }
        ]
      }
    },
    {
      "title" : "Datos de aseguramiento",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "48768-6",
            "display" : "Payment sources Document"
          }
        ]
      }
    },
    {
      "title" : "Caracterización Poblacional",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          }
        ]
      }
    },
    {
      "title" : "Motivo de ingreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42349-1",
            "display" : "Reason for referral"
          }
        ]
      }
    },
    {
      "title" : "Triage",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "54094-8",
            "display" : "Emergency department Triage note"
          }
        ]
      }
    },
    {
      "title" : "Antecedentes Familiares",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases Narrative"
          }
        ]
      }
    },
    {
      "title" : "Antecedentes Personales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "11348-0",
            "display" : "History of Past illness Narrative"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Immunization/Example-Immunization-Urgencias-d35834cde568"
        },
        {
          🔗 "reference" : "MedicationStatement/Example-MedicationStatement-Urgencias-bd2c49c9bb37"
        }
      ]
    },
    {
      "title" : "Revision por sistemas",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "10187-3",
            "display" : "Review of systems Narrative"
          }
        ]
      }
    },
    {
      "title" : "Examen Físico",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29545-1",
            "display" : "Physical findings Narrative"
          }
        ]
      }
    },
    {
      "title" : "Signos Vitales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-Urgencias-VitalSigns-dbccfe96781c"
        }
      ]
    },
    {
      "title" : "Diagnóstico de ingreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42347-5",
            "display" : "Admission Diagnosis"
          }
        ]
      }
    },
    {
      "title" : "Plan Manejo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "18776-5",
            "display" : "Care Plan"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "CarePlan/Example-CarePlan-AtencionCancer-bfccb5579642"
        },
        {
          🔗 "reference" : "MedicationRequest/Example-MedicationRequest-Urgencias-52dbbee9eb19"
        },
        {
          🔗 "reference" : "MedicationAdministration/Example-MedicationAdministration-Urgencias-03e6f360947f"
        },
        {
          🔗 "reference" : "Procedure/Example-Procedure-Urgencias-2008c9f37c2f"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-ServiceRequest-CancerCarePlan-0312bcb88c73"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-ServiceRequest-CancerCarePlan-5b366560c820"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-ServiceRequest-Laboratory-e5687676850c"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-ServiceRequest-Urgencias-Cirugia-7be6824cc9"
        },
        {
          🔗 "reference" : "Medication/Example-Medication-7c0bfdb68885"
        },
        {
          🔗 "reference" : "Specimen/Example-Specimen-Laboratory-07ddf6801714"
        }
      ]
    },
    {
      "title" : "Evolución Urgencias",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "28626-0",
            "display" : "Physician History and physical note"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-Urgencias-Valoracion-1d1d1fb74a0b"
        }
      ]
    },
    {
      "title" : "Diagnóstico de egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "78375-3",
            "display" : "Discharge Diagnosis"
          }
        ]
      }
    },
    {
      "title" : "Plan Manejo Egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "58222-1",
            "display" : "Care Plan Discharge"
          }
        ]
      }
    },
    {
      "title" : "Estado Egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "28626-0",
            "display" : "Physician History and physical note"
          }
        ]
      }
    }
  ]
}