Guía implementación interoperabilidad FHIR sectorial e intersectorial
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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

: Consulta Externa - Registro clínico - Revisión por sistemas - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example-CE-Observation-9471f79acc"/>
  <meta>
    <profile
             value="https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation Example-CE-Observation-9471f79acc</b></p><a name="Example-CE-Observation-9471f79acc"> </a><a name="hcExample-CE-Observation-9471f79acc"> </a><a name="Example-CE-Observation-9471f79acc-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-ProfileObservationHCEU.html">HCEU - Intramural - Observation</a></p></div><p><b>identifier</b>: <code>http://hospitalSystemInformation.example.org/observations/</code>/observation-ce-006 (use: usual, )</p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://loinc.org 10187-3}">Review of systems Narrative</span></p><p><b>subject</b>: <a href="Patient-Example-CE-Patient-352d698c8230.html">Paola Andrea Torres Ramirez(official) Female, DoB: 1988-06-23 ( Medical record number: 36423902344 (use: usual, ))</a></p><p><b>encounter</b>: <a href="Encounter-Example-CE-Encounter-6bf8f5968a20.html">Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://hospitalSystemInformation.example.org/admissions#ENC-001 (use: usual, ); status = finished; class = Consulta Externa (ActCode#AMB); serviceType = GENERAL ADULTOS; period = 2025-04-14 09:00:00+0000 --&gt; 2025-04-14 09:30:00+0000</a></p><p><b>effective</b>: 2025-03-18 07:55:00+0000 --&gt; 2025-03-18 08:05:00+0000</p><p><b>issued</b>: 2025-03-18 08:05:00+0000</p><p><b>performer</b>: <a href="Practitioner-Example-CE-Practitioner-7ca0b887ef05.html">Practitioner Felipe Andrés Camargo Parada(official)</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 76445-6}">Body structure ICF code Patient history</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 46020-4}">Endocrine, metabolic or nutritional diseases or conditions</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 78575-8}">Otolaryngology Diagnostic study note</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 26441-6}">Cardiology studies</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 81458-2}">Pulmonary function test panel</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 79381-0}">Gastrointestinal pathogens panel</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es A08.19}">Acute gastroenteropathy due to other small round viruses</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org LP30000-1}">Genitourinary system</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 45689-7}">Urinary tract infection</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es N39.9}">Disorder of urinary system, unspecified</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 21894-1}">Regional lymph nodes examined</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 59784-9}">Disease with presumed immunity</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 10173-3}">History of Musculoskeletal system disorders Narrative</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org 46023-8}">Neurological diseases or conditions Set</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://loinc.org LP73297-1}">Review of systems</span></p><p><b>value</b>: <span title="Codes:{https://icd.who.int/browse/2024-01/mms/es Z00.00}">evaluación médica general sin hallazgos anormales</span></p></blockquote></div>
  </text>
  <identifier>
    <use value="usual"/>
    <system
            value="http://hospitalSystemInformation.example.org/observations/"/>
    <value value="observation-ce-006"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="https://loinc.org"/>
      <code value="10187-3"/>
      <display value="Review of systems Narrative"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/Example-CE-Patient-352d698c8230"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example-CE-Encounter-6bf8f5968a20"/>
  </encounter>
  <effectivePeriod>
    <start value="2025-03-18T07:55:00Z"/>
    <end value="2025-03-18T08:05:00Z"/>
  </effectivePeriod>
  <issued value="2025-03-18T08:05:00Z"/>
  <performer>🔗 
    <reference value="Practitioner/Example-CE-Practitioner-7ca0b887ef05"/>
  </performer>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="76445-6"/>
        <display value="Body structure ICF code Patient history"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="46020-4"/>
        <display
                 value="Endocrine, metabolic or nutritional diseases or conditions"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="78575-8"/>
        <display value="Otolaryngology Diagnostic study note"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="26441-6"/>
        <display value="Cardiology studies"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="81458-2"/>
        <display value="Pulmonary function test panel"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="79381-0"/>
        <display value="Gastrointestinal pathogens panel"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="A08.19"/>
        <display
                 value="Acute gastroenteropathy due to other small round viruses"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="LP30000-1"/>
        <display value="Genitourinary system"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="45689-7"/>
        <display value="Urinary tract infection"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="N39.9"/>
        <display value="Disorder of urinary system, unspecified"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="21894-1"/>
        <display value="Regional lymph nodes examined"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="59784-9"/>
        <display value="Disease with presumed immunity"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="10173-3"/>
        <display
                 value="History of Musculoskeletal system disorders Narrative"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="46023-8"/>
        <display value="Neurological diseases or conditions Set"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="https://loinc.org"/>
        <code value="LP73297-1"/>
        <display value="Review of systems"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="https://icd.who.int/browse/2024-01/mms/es"/>
        <code value="Z00.00"/>
        <display value="evaluación médica general sin hallazgos anormales"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>