Example-Composition-hosp-26a90fd51d5c
type: Composition
node role: treeRoot
id:
  v: Example-Composition-hosp-26a90fd51d5c
meta:
  profile:
    v: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUHOS
    link: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUHOS
text:
  status:
    v: generated
  div: Generated Narrative: Composition Example-Composition-hosp-26a90fd51d5c Profile: HCEU - Hospitalización - Composition identifier: http://hospitalSystemInformation.example.org/Compositions/composition-26a90fd51d5c (use: usual, ) status: Final type: Hospital Discharge summary category: Summary of episode note encounter: Encounter: extension = Derivado de urgencias (Vías de ingreso#03); identifier = http://HIS_Source/#Enc_Hosp_ABC456 (use: usual, ); status = finished; class = inpatient encounter (ActCode#IMP); serviceType = CIRUGIA GENERAL; period = 2025-02-20 08:30:00+0000 --> 2025-02-25 14:00:00+0000 date: 2025-04-18 08:30:00+0000 author: Practitioner Daniel Hernán Andrade Fernández(official) title: REPORTE DE HOSPITALIZACIÓN confidentiality: very restricted Attesters - Mode Party * Legal Practitioner Daniel Hernán Andrade Fernández(official) custodian: Organization CLINICA IPS ATENCION SALUD
identifier:
  use:
    v: usual
  system:
    v: http://hospitalSystemInformation.example.org/Compositions
  value:
    v: composition-26a90fd51d5c
status:
  v: final
type:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 34105-7
    display:
      v: Hospital Discharge summary
category:
  coding:
    system:
      v: https://hl7.org/fhir/R4/valueset-document-classcodes.html
    code:
      v: 34133-9
    display:
      v: Summary of episode note
  text:
    v: Summary of episode note
subject:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Patient/Example-Patient-hosp-feb7a6003026
  reference:
    v: Patient/Example-Patient-hosp-feb7a6003026
encounter:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Encounter/Example-Encounter-hosp-f2922fe057ac
  reference:
    v: Encounter/Example-Encounter-hosp-f2922fe057ac
date:
  v: 2025-04-18T08:30:00Z
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
title:
  v: REPORTE DE HOSPITALIZACIÓN
confidentiality:
  v: V
attester:
  mode:
    v: legal
  party:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
    reference:
      v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
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: Contacto de emergencia
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 48768-6
      display:
        v: Payment sources Document
    coding:
      system:
        v: https://loinc.org
      code:
        v: 56796-6
      display:
        v: Emergency contact information
    text:
      v: Contacto de emergencia
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/RelatedPerson/Example-RelatedPerson-hosp-4d5a5f6d1f35
    reference:
      v: RelatedPerson/Example-RelatedPerson-hosp-4d5a5f6d1f35
section:
  title:
    v: Motivo de consulta
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29762-2
      display:
        v: Social history Narrative
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29299-5
      display:
        v: Reason for visit Narrative
    text:
      v: Motivo de consulta
  author:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
    reference:
      v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-hosp-motivo-885902ac5e70
    reference:
      v: Condition/Example-Condition-hosp-motivo-885902ac5e70
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-662dd28224e9
    reference:
      v: Observation/Example-Observation-hosp-662dd28224e9
section:
  title:
    v: Grupo Sanguineo
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 42349-1
      display:
        v: Reason for referral
    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/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
    reference:
      v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-1d6d7f518d
    reference:
      v: Observation/Example-Observation-hosp-1d6d7f518d
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-c9ee64478e
    reference:
      v: Observation/Example-Observation-hosp-c9ee64478e
section:
  title:
    v: Datos de aseguramiento
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 42347-5
      display:
        v: Admission Diagnosis
    coding:
      system:
        v: https://loinc.org
      code:
        v: 48768-6
      display:
        v: Payment sources Document
    text:
      v: Datos de aseguramiento
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Coverage/Example-Coverage-hosp-5f78c1680056
    reference:
      v: Coverage/Example-Coverage-hosp-5f78c1680056
section:
  title:
    v: Caracterización Poblacional
  code:
    coding:
      system:
        v: https://loinc.org
      code:
        v: 29762-2
      display:
        v: Social history Narrative
    text:
      v: Caracterización Poblacional
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-5f0afad13
    reference:
      v: Observation/Example-Observation-hosp-5f0afad13
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-6cb11cde4f
    reference:
      v: Observation/Example-Observation-hosp-6cb11cde4f
  entry:
    link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-2195d101b9
    reference:
      v: Observation/Example-Observation-hosp-2195d101b9

link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-b29a05b048
reference:
  v: Observation/Example-Observation-hosp-b29a05b048

link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-e4be5faa96
reference:
  v: Observation/Example-Observation-hosp-e4be5faa96

title:
  v: Motivo de ingreso
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 42349-1
    display:
      v: Reason for referral
  text:
    v: Motivo de ingreso
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-hosp-motivo-885902ac5e70
  reference:
    v: Condition/Example-Condition-hosp-motivo-885902ac5e70

title:
  v: Antecedentes Familiares
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 10157-6
    display:
      v: History of family member diseases Narrative
  text:
    v: Antecedentes Familiares
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/FamilyMemberHistory/Example-FamilyMemberHistory-hosp-f56845900685
  reference:
    v: FamilyMemberHistory/Example-FamilyMemberHistory-hosp-f56845900685

title:
  v: Antecedentes Personales
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 11348-0
    display:
      v: History of Past illness Narrative
  text:
    v: Antecedentes Personales
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/AllergyIntolerance/Example-AllergyIntolerance-hosp-fe463b69e573
  reference:
    v: AllergyIntolerance/Example-AllergyIntolerance-hosp-fe463b69e573
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationStatement/Example-MedicationStatement-hosp-5ef26fe8fac1
  reference:
    v: MedicationStatement/Example-MedicationStatement-hosp-5ef26fe8fac1
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-1fef91c467
  reference:
    v: Observation/Example-Observation-hosp-1fef91c467

title:
  v: Revision por sistemas
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 10187-3
    display:
      v: Review of systems Narrative
  text:
    v: Revision por sistemas
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-2821c7edddcc
  reference:
    v: Observation/Example-Observation-hosp-2821c7edddcc

title:
  v: Examen Físico
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 29545-1
    display:
      v: Physical findings Narrative
  text:
    v: Examen Físico
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-9a9ccecec3f2
  reference:
    v: Observation/Example-Observation-hosp-9a9ccecec3f2

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/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-587cfe964532c

title:
  v: Diagnóstico de ingreso
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 42347-5
    display:
      v: Admission Diagnosis
  text:
    v: Diagnóstico de ingreso
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-hosp-dx-principal-8762741d667e
  reference:
    v: Condition/Example-Condition-hosp-dx-principal-8762741d667e
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-hosp-dx-relacionado-27332a85d31d
  reference:
    v: Condition/Example-Condition-hosp-dx-relacionado-27332a85d31d

title:
  v: Plan Manejo
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 18776-5
    display:
      v: Care Plan
  text:
    v: Plan Manejo
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CarePlan/Example-CarePlan-hosp-33d7bae55622
  reference:
    v: CarePlan/Example-CarePlan-hosp-33d7bae55622
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationRequest/Example-MedicationRequest-hosp-f1a99a50306a
  reference:
    v: MedicationRequest/Example-MedicationRequest-hosp-f1a99a50306a
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationDispense/Example-MedicationDispense-hosp-e632cc33eb45
  reference:
    v: MedicationDispense/Example-MedicationDispense-hosp-e632cc33eb45
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/ServiceRequest/Example-ServiceRequest-hosp-d34c0852a29c
  reference:
    v: ServiceRequest/Example-ServiceRequest-hosp-d34c0852a29c
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationAdministration/Example-MedicationAdministration-dcef3e35ef55
  reference:
    v: MedicationAdministration/Example-MedicationAdministration-dcef3e35ef55
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Procedure/Example-Procedure-hosp-b8c319305b01
  reference:
    v: Procedure/Example-Procedure-hosp-b8c319305b01

title:
  v: Evolución
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 28626-0
    display:
      v: Physician History and physical note
  text:
    v: Evolución
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
entry:
  reference:
    v: Example-Observation-hosp-04561eef71

title:
  v: Diagnóstico de egreso
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 78375-3
    display:
      v: Discharge Diagnosis
  text:
    v: Diagnóstico de egreso
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-hosp-dx-egreso-5f1e2d3c4b5a
  reference:
    v: Condition/Example-Condition-hosp-dx-egreso-5f1e2d3c4b5a

title:
  v: Estado Egreso
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 28626-0
    display:
      v: Physician History and physical note
  text:
    v: Estado Egreso
author:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-hosp-563d2c3a54fe
  reference:
    v: Practitioner/Example-Practitioner-hosp-563d2c3a54fe
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-hosp-6ba103658efa
  reference:
    v: Observation/Example-Observation-hosp-6ba103658efa

title:
  v: Plan Manejo Egreso
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 58222-1
    display:
      v: Care Plan Discharge
  text:
    v: Plan Manejo Egreso
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Careplan/Example-Careplan-hosp-51f2bdcc598a
  reference:
    v: Careplan/Example-Careplan-hosp-51f2bdcc598a
entry:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationRequest/Example-MedicationRequest-hosp-35cfd781d1f5
  reference:
    v: MedicationRequest/Example-MedicationRequest-hosp-35cfd781d1f5