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

Ejemplo Observation: Consulta Externa - Registro clínico - Examen físico

identifier: http://hospitalSystemInformation.example.org/observations//observation-ce-012 (use: usual, )

status: Final

code: Physical findings Narrative

subject: Paola Andrea Torres Ramirez(official) Female, DoB: 1988-06-23 ( Medical record number: 36423902344 (use: usual, ))

encounter: 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 --> 2025-04-14 09:30:00+0000

effective: 2025-03-18 07:55:00+0000 --> 2025-03-18 08:05:00+0000

issued: 2025-03-18 08:05:00+0000

performer: Practitioner Felipe Andrés Camargo Parada(official)

component

code: General appearance

value: Paciente luce una condición normal en la revisión básica de salud

component

code: CMS - head and face exam panel

value: El paciente presenta resequedad severa en el cuero cabelludo

component

code: CMS - neck exam panel

value: evaluación médica general sin hallazgos anormales

component

code: Cardiac status

value: Cardiac arrhythmia, unspecified

component

code: Pulmonary Function Test

value: other specified interstitial pulmonary diseases

component

code: Physical findings of Abdomen by Palpation

value: evaluación médica general sin hallazgos anormales

component

code: Genitourinary

value: evaluación médica general sin hallazgos anormales

component

code: Physical findings Extremities

value: evaluación médica general sin hallazgos anormales

component

code: Musculoskeletal assessment panel

value: evaluación médica general sin hallazgos anormales

component

code: central nervous system panel

value: evaluación médica general sin hallazgos anormales

component

code: Skin assessment [Interpretation]

value: evaluación médica general sin hallazgos anormales