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 - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="Example-Composition-Urgencias-a419331245c5"/>
  <text>
    <status value="generated"/>
    <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 (use: usual, )</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 (use: usual, ); 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>
  </text>
  <identifier>
    <use value="usual"/>
    <system
            value="http://hospitalSystemInformation.example.org/Compositions"/>
    <value value="UR-20250505-01"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="https://loinc.org"/>
      <code value="34111-5"/>
      <display value="Emergency department 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-Patient-Urgencias-bdb7a6003025"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example-Encounter-Urgencias-5e8d54e0dcb8"/>
  </encounter>
  <date value="2025-04-18T08:30:00Z"/>
  <author>🔗 
    <reference
               value="Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d"/>
  </author>
  <title value="REPORTE DE URGENCIAS"/>
  <confidentiality value="V"/>
  <attester>
    <mode value="legal"/>
    <party>🔗 
      <reference
                 value="Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d"/>
    </party>
  </attester>
  <custodian>🔗 
    <reference value="Organization/Example-Organization-2c3a5f6d1e4d"/>
  </custodian>
  <section>
    <title value="Contacto de emergencia"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="56796-6"/>
        <display value="Emergency contact information"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="RelatedPerson/Example-RelatedPerson-Urgencias-2c3a5f6d1e4a"/>
    </entry>
  </section>
  <section>
    <title value="Motivo de consulta"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29299-5"/>
        <display value="Reason for visit Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Grupo Sanguineo"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="30954-2"/>
        <display value="Relevant diagnostic tests/laboratory data Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Datos de aseguramiento"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="48768-6"/>
        <display value="Payment sources Document"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Caracterización Poblacional"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29762-2"/>
        <display value="Social history Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Motivo de ingreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42349-1"/>
        <display value="Reason for referral"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Triage"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="54094-8"/>
        <display value="Emergency department Triage note"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Antecedentes Familiares"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="10157-6"/>
        <display value="History of family member diseases Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Antecedentes Personales"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="11348-0"/>
        <display value="History of Past illness Narrative"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Immunization/Example-Immunization-Urgencias-d35834cde568"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationStatement/Example-MedicationStatement-Urgencias-bd2c49c9bb37"/>
    </entry>
  </section>
  <section>
    <title value="Revision por sistemas"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="10187-3"/>
        <display value="Review of systems Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Examen Físico"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="29545-1"/>
        <display value="Physical findings Narrative"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Signos Vitales"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="8716-3"/>
        <display value="Vital signs"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Observation/Example-Observation-Urgencias-VitalSigns-dbccfe96781c"/>
    </entry>
  </section>
  <section>
    <title value="Diagnóstico de ingreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="42347-5"/>
        <display value="Admission Diagnosis"/>
      </coding>
    </code>
  </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-CarePlan-AtencionCancer-bfccb5579642"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationRequest/Example-MedicationRequest-Urgencias-52dbbee9eb19"/>
    </entry>
    <entry>🔗 
      <reference
                 value="MedicationAdministration/Example-MedicationAdministration-Urgencias-03e6f360947f"/>
    </entry>
    <entry>🔗 
      <reference value="Procedure/Example-Procedure-Urgencias-2008c9f37c2f"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-ServiceRequest-CancerCarePlan-0312bcb88c73"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-ServiceRequest-CancerCarePlan-5b366560c820"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-ServiceRequest-Laboratory-e5687676850c"/>
    </entry>
    <entry>🔗 
      <reference
                 value="ServiceRequest/Example-ServiceRequest-Urgencias-Cirugia-7be6824cc9"/>
    </entry>
    <entry>🔗 
      <reference value="Medication/Example-Medication-7c0bfdb68885"/>
    </entry>
    <entry>🔗 
      <reference value="Specimen/Example-Specimen-Laboratory-07ddf6801714"/>
    </entry>
  </section>
  <section>
    <title value="Evolución Urgencias"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="28626-0"/>
        <display value="Physician History and physical note"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Observation/Example-Observation-Urgencias-Valoracion-1d1d1fb74a0b"/>
    </entry>
  </section>
  <section>
    <title value="Diagnóstico de egreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="78375-3"/>
        <display value="Discharge Diagnosis"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Plan Manejo Egreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="58222-1"/>
        <display value="Care Plan Discharge"/>
      </coding>
    </code>
  </section>
  <section>
    <title value="Estado Egreso"/>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="28626-0"/>
        <display value="Physician History and physical note"/>
      </coding>
    </code>
  </section>
</Composition>