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: Hospitalización - Documento - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "Example-Composition-hosp-26a90fd51d5c",
  "meta" : {
    "profile" : [
      🔗 "https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUHOS"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition Example-Composition-hosp-26a90fd51d5c</b></p><a name=\"Example-Composition-hosp-26a90fd51d5c\"> </a><a name=\"hcExample-Composition-hosp-26a90fd51d5c\"> </a><a name=\"Example-Composition-hosp-26a90fd51d5c-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-ProfileCompositionHCEUHOS.html\">HCEU - Hospitalización - Composition</a></p></div><p><b>identifier</b>: <code>http://hospitalSystemInformation.example.org/Compositions</code>/composition-26a90fd51d5c\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{https://loinc.org 34105-7}\">Hospital Discharge summary</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-hosp-f2922fe057ac.html\">Encounter: extension = Derivado de urgencias (Vías de ingreso#03); identifier = http://HIS_Source/#Enc_Hosp_ABC456\u00a0(use:\u00a0usual,\u00a0); status = finished; class = inpatient encounter (ActCode#IMP); serviceType = CIRUGIA GENERAL; period = 2025-02-20 08:30:00+0000 --&gt; 2025-02-25 14:00:00+0000</a></p><p><b>date</b>: 2025-04-18 08:30:00+0000</p><p><b>author</b>: <a href=\"Practitioner-Example-Practitioner-hosp-563d2c3a54fe.html\">Practitioner Daniel Hernán Andrade Fernández(official)</a></p><p><b>title</b>: REPORTE DE HOSPITALIZACIÓN</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-hosp-563d2c3a54fe.html\">Practitioner Daniel Hernán Andrade Fernández(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" : "composition-26a90fd51d5c"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "https://loinc.org",
        "code" : "34105-7",
        "display" : "Hospital Discharge summary"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://hl7.org/fhir/R4/valueset-document-classcodes.html",
          "code" : "34133-9",
          "display" : "Summary of episode note"
        }
      ],
      "text" : "Summary of episode note"
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/Example-Patient-hosp-feb7a6003026"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example-Encounter-hosp-f2922fe057ac"
  },
  "date" : "2025-04-18T08:30:00Z",
  "author" : [
    {
      🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
    }
  ],
  "title" : "REPORTE DE HOSPITALIZACIÓN",
  "confidentiality" : "V",
  "attester" : [
    {
      "mode" : "legal",
      "party" : {
        🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
      }
    }
  ],
  "custodian" : {
    🔗 "reference" : "Organization/Example-Prestador-Organization-5e2803024bcd"
  },
  "section" : [
    {
      "title" : "Contacto de emergencia",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "48768-6",
            "display" : "Payment sources Document"
          },
          {
            "system" : "https://loinc.org",
            "code" : "56796-6",
            "display" : "Emergency contact information"
          }
        ],
        "text" : "Contacto de emergencia"
      },
      "entry" : [
        {
          🔗 "reference" : "RelatedPerson/Example-RelatedPerson-hosp-4d5a5f6d1f35"
        }
      ]
    },
    {
      "title" : "Motivo de consulta",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          },
          {
            "system" : "https://loinc.org",
            "code" : "29299-5",
            "display" : "Reason for visit Narrative"
          }
        ],
        "text" : "Motivo de consulta"
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-Condition-hosp-motivo-885902ac5e70"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-662dd28224e9"
        }
      ]
    },
    {
      "title" : "Grupo Sanguineo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42349-1",
            "display" : "Reason for referral"
          },
          {
            "system" : "https://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data Narrative"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-1d6d7f518d"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-c9ee64478e"
        }
      ]
    },
    {
      "title" : "Datos de aseguramiento",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42347-5",
            "display" : "Admission Diagnosis"
          },
          {
            "system" : "https://loinc.org",
            "code" : "48768-6",
            "display" : "Payment sources Document"
          }
        ],
        "text" : "Datos de aseguramiento"
      },
      "entry" : [
        {
          🔗 "reference" : "Coverage/Example-Coverage-hosp-5f78c1680056"
        }
      ]
    },
    {
      "title" : "Caracterización Poblacional",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29762-2",
            "display" : "Social history Narrative"
          }
        ],
        "text" : "Caracterización Poblacional"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-5f0afad13"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-6cb11cde4f"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-2195d101b9"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-b29a05b048"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-e4be5faa96"
        }
      ]
    },
    {
      "title" : "Motivo de ingreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42349-1",
            "display" : "Reason for referral"
          }
        ],
        "text" : "Motivo de ingreso"
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-Condition-hosp-motivo-885902ac5e70"
        }
      ]
    },
    {
      "title" : "Antecedentes Familiares",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "10157-6",
            "display" : "History of family member diseases Narrative"
          }
        ],
        "text" : "Antecedentes Familiares"
      },
      "entry" : [
        {
          🔗 "reference" : "FamilyMemberHistory/Example-FamilyMemberHistory-hosp-f56845900685"
        }
      ]
    },
    {
      "title" : "Antecedentes Personales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "11348-0",
            "display" : "History of Past illness Narrative"
          }
        ],
        "text" : "Antecedentes Personales"
      },
      "entry" : [
        {
          🔗 "reference" : "AllergyIntolerance/Example-AllergyIntolerance-hosp-fe463b69e573"
        },
        {
          🔗 "reference" : "MedicationStatement/Example-MedicationStatement-hosp-5ef26fe8fac1"
        },
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-1fef91c467"
        }
      ]
    },
    {
      "title" : "Revision por sistemas",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "10187-3",
            "display" : "Review of systems Narrative"
          }
        ],
        "text" : "Revision por sistemas"
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-2821c7edddcc"
        }
      ]
    },
    {
      "title" : "Examen Físico",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "29545-1",
            "display" : "Physical findings Narrative"
          }
        ],
        "text" : "Examen Físico"
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-9a9ccecec3f2"
        }
      ]
    },
    {
      "title" : "Signos Vitales",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "8716-3",
            "display" : "Vital signs"
          }
        ]
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-587cfe964532c"
        }
      ]
    },
    {
      "title" : "Diagnóstico de ingreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "42347-5",
            "display" : "Admission Diagnosis"
          }
        ],
        "text" : "Diagnóstico de ingreso"
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-Condition-hosp-dx-principal-8762741d667e"
        },
        {
          🔗 "reference" : "Condition/Example-Condition-hosp-dx-relacionado-27332a85d31d"
        }
      ]
    },
    {
      "title" : "Plan Manejo",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "18776-5",
            "display" : "Care Plan"
          }
        ],
        "text" : "Plan Manejo"
      },
      "entry" : [
        {
          🔗 "reference" : "CarePlan/Example-CarePlan-hosp-33d7bae55622"
        },
        {
          🔗 "reference" : "MedicationRequest/Example-MedicationRequest-hosp-f1a99a50306a"
        },
        {
          🔗 "reference" : "MedicationDispense/Example-MedicationDispense-hosp-e632cc33eb45"
        },
        {
          🔗 "reference" : "ServiceRequest/Example-ServiceRequest-hosp-d34c0852a29c"
        },
        {
          🔗 "reference" : "MedicationAdministration/Example-MedicationAdministration-dcef3e35ef55"
        },
        {
          🔗 "reference" : "Procedure/Example-Procedure-hosp-b8c319305b01"
        }
      ]
    },
    {
      "title" : "Evolución",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "28626-0",
            "display" : "Physician History and physical note"
          }
        ],
        "text" : "Evolución"
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          "reference" : "Example-Observation-hosp-04561eef71"
        }
      ]
    },
    {
      "title" : "Diagnóstico de egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "78375-3",
            "display" : "Discharge Diagnosis"
          }
        ],
        "text" : "Diagnóstico de egreso"
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/Example-Condition-hosp-dx-egreso-5f1e2d3c4b5a"
        }
      ]
    },
    {
      "title" : "Estado Egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "28626-0",
            "display" : "Physician History and physical note"
          }
        ],
        "text" : "Estado Egreso"
      },
      "author" : [
        {
          🔗 "reference" : "Practitioner/Example-Practitioner-hosp-563d2c3a54fe"
        }
      ],
      "entry" : [
        {
          🔗 "reference" : "Observation/Example-Observation-hosp-6ba103658efa"
        }
      ]
    },
    {
      "title" : "Plan Manejo Egreso",
      "code" : {
        "coding" : [
          {
            "system" : "https://loinc.org",
            "code" : "58222-1",
            "display" : "Care Plan Discharge"
          }
        ],
        "text" : "Plan Manejo Egreso"
      },
      "entry" : [
        {
          "reference" : "Careplan/Example-Careplan-hosp-51f2bdcc598a"
        },
        {
          🔗 "reference" : "MedicationRequest/Example-MedicationRequest-hosp-35cfd781d1f5"
        }
      ]
    }
  ]
}