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
<Composition xmlns="http://hl7.org/fhir">
<id value="Example-Composition-hosp-26a90fd51d5c"/>
<meta>
<profile
value="https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCompositionHCEUHOS"/>
</meta>
<text>
<status value="generated"/>
<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 (use: usual, )</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 (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</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>
</text>
<identifier>
<use value="usual"/>
<system
value="http://hospitalSystemInformation.example.org/Compositions"/>
<value value="composition-26a90fd51d5c"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="https://loinc.org"/>
<code value="34105-7"/>
<display value="Hospital Discharge summary"/>
</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>
<text value="Summary of episode note"/>
</category>
<subject>🔗
<reference value="Patient/Example-Patient-hosp-feb7a6003026"/>
</subject>
<encounter>🔗
<reference value="Encounter/Example-Encounter-hosp-f2922fe057ac"/>
</encounter>
<date value="2025-04-18T08:30:00Z"/>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<title value="REPORTE DE HOSPITALIZACIÓN"/>
<confidentiality value="V"/>
<attester>
<mode value="legal"/>
<party>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</party>
</attester>
<custodian>🔗
<reference
value="Organization/Example-Prestador-Organization-5e2803024bcd"/>
</custodian>
<section>
<title value="Contacto de emergencia"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="48768-6"/>
<display value="Payment sources Document"/>
</coding>
<coding>
<system value="https://loinc.org"/>
<code value="56796-6"/>
<display value="Emergency contact information"/>
</coding>
<text value="Contacto de emergencia"/>
</code>
<entry>🔗
<reference
value="RelatedPerson/Example-RelatedPerson-hosp-4d5a5f6d1f35"/>
</entry>
</section>
<section>
<title value="Motivo de consulta"/>
<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="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
<text value="Motivo de consulta"/>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference
value="Condition/Example-Condition-hosp-motivo-885902ac5e70"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-662dd28224e9"/>
</entry>
</section>
<section>
<title value="Grupo Sanguineo"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="42349-1"/>
<display value="Reason for referral"/>
</coding>
<coding>
<system value="https://loinc.org"/>
<code value="30954-2"/>
<display value="Relevant diagnostic tests/laboratory data Narrative"/>
</coding>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-1d6d7f518d"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-c9ee64478e"/>
</entry>
</section>
<section>
<title value="Datos de aseguramiento"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="42347-5"/>
<display value="Admission Diagnosis"/>
</coding>
<coding>
<system value="https://loinc.org"/>
<code value="48768-6"/>
<display value="Payment sources Document"/>
</coding>
<text value="Datos de aseguramiento"/>
</code>
<entry>🔗
<reference value="Coverage/Example-Coverage-hosp-5f78c1680056"/>
</entry>
</section>
<section>
<title value="Caracterización Poblacional"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="29762-2"/>
<display value="Social history Narrative"/>
</coding>
<text value="Caracterización Poblacional"/>
</code>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-5f0afad13"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-6cb11cde4f"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-2195d101b9"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-b29a05b048"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-e4be5faa96"/>
</entry>
</section>
<section>
<title value="Motivo de ingreso"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="42349-1"/>
<display value="Reason for referral"/>
</coding>
<text value="Motivo de ingreso"/>
</code>
<entry>🔗
<reference
value="Condition/Example-Condition-hosp-motivo-885902ac5e70"/>
</entry>
</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>
<text value="Antecedentes Familiares"/>
</code>
<entry>🔗
<reference
value="FamilyMemberHistory/Example-FamilyMemberHistory-hosp-f56845900685"/>
</entry>
</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>
<text value="Antecedentes Personales"/>
</code>
<entry>🔗
<reference
value="AllergyIntolerance/Example-AllergyIntolerance-hosp-fe463b69e573"/>
</entry>
<entry>🔗
<reference
value="MedicationStatement/Example-MedicationStatement-hosp-5ef26fe8fac1"/>
</entry>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-1fef91c467"/>
</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>
<text value="Revision por sistemas"/>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-2821c7edddcc"/>
</entry>
</section>
<section>
<title value="Examen Físico"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="29545-1"/>
<display value="Physical findings Narrative"/>
</coding>
<text value="Examen Físico"/>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-9a9ccecec3f2"/>
</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="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-587cfe964532c"/>
</entry>
</section>
<section>
<title value="Diagnóstico de ingreso"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="42347-5"/>
<display value="Admission Diagnosis"/>
</coding>
<text value="Diagnóstico de ingreso"/>
</code>
<entry>🔗
<reference
value="Condition/Example-Condition-hosp-dx-principal-8762741d667e"/>
</entry>
<entry>🔗
<reference
value="Condition/Example-Condition-hosp-dx-relacionado-27332a85d31d"/>
</entry>
</section>
<section>
<title value="Plan Manejo"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="18776-5"/>
<display value="Care Plan"/>
</coding>
<text value="Plan Manejo"/>
</code>
<entry>🔗
<reference value="CarePlan/Example-CarePlan-hosp-33d7bae55622"/>
</entry>
<entry>🔗
<reference
value="MedicationRequest/Example-MedicationRequest-hosp-f1a99a50306a"/>
</entry>
<entry>🔗
<reference
value="MedicationDispense/Example-MedicationDispense-hosp-e632cc33eb45"/>
</entry>
<entry>🔗
<reference
value="ServiceRequest/Example-ServiceRequest-hosp-d34c0852a29c"/>
</entry>
<entry>🔗
<reference
value="MedicationAdministration/Example-MedicationAdministration-dcef3e35ef55"/>
</entry>
<entry>🔗
<reference value="Procedure/Example-Procedure-hosp-b8c319305b01"/>
</entry>
</section>
<section>
<title value="Evolución"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="28626-0"/>
<display value="Physician History and physical note"/>
</coding>
<text value="Evolución"/>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>
<reference value="Example-Observation-hosp-04561eef71"/>
</entry>
</section>
<section>
<title value="Diagnóstico de egreso"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="78375-3"/>
<display value="Discharge Diagnosis"/>
</coding>
<text value="Diagnóstico de egreso"/>
</code>
<entry>🔗
<reference
value="Condition/Example-Condition-hosp-dx-egreso-5f1e2d3c4b5a"/>
</entry>
</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>
<text value="Estado Egreso"/>
</code>
<author>🔗
<reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
</author>
<entry>🔗
<reference value="Observation/Example-Observation-hosp-6ba103658efa"/>
</entry>
</section>
<section>
<title value="Plan Manejo Egreso"/>
<code>
<coding>
<system value="https://loinc.org"/>
<code value="58222-1"/>
<display value="Care Plan Discharge"/>
</coding>
<text value="Plan Manejo Egreso"/>
</code>
<entry>
<reference value="Careplan/Example-Careplan-hosp-51f2bdcc598a"/>
</entry>
<entry>🔗
<reference
value="MedicationRequest/Example-MedicationRequest-hosp-35cfd781d1f5"/>
</entry>
</section>
</Composition>