Guía implementación interoperabilidad FHIR sectorial e intersectorial
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: Hospitalización - Documento - XML Representation

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<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 --&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>
  </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>