Example-Observation-Urgencias-Valoracion-1d1d1fb74a0b
type: Observation
node role: treeRoot
id:
  v: Example-Observation-Urgencias-Valoracion-1d1d1fb74a0b
meta:
  profile:
    v: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU
    link: https://ohapi-fhir-dev-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileObservationHCEU
text:
  status:
    v: generated
  div: Generated Narrative: Observation Example-Observation-Urgencias-Valoracion-1d1d1fb74a0b Profile: HCEU - Intramural - Observation identifier: http://hospitalSystemInformation.example.org/observations//OBS-EVOL-20250225002 (use: usual, ) status: Final category: Clinical code: Emergency Department Progress Note subject: Juan García(official) Male, DoB: 1985-06-15 ( Cédula de Ciudadanía: 1234567890 (use: official, )) encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = Emergency (ActCode#EMER); type = Emergency Department Note; serviceType = SERVICIO DE URGENCIAS; priority = Nivel I; period = 2025-02-20 08:30:00+0000 --> 2025-02-20 10:00:00+0000 effective: 2025-02-25 11:00:00+0000 --> 2025-02-25 11:15:00+0000 issued: 2025-02-25 10:30:00+0000 performer: Practitioner Carlos Andrés Gómez Pérez(official) note: Valoración realizada por el especialista: el paciente presenta una evolución clínica favorable, se observa mejoría en el estado general y se recomienda continuar con el tratamiento y seguimiento en urgencias.
identifier:
  use:
    v: usual
  system:
    v: http://hospitalSystemInformation.example.org/observations/
  value:
    v: OBS-EVOL-20250225002
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
    code:
      v: clinical
    display:
      v: Clinical
code:
  coding:
    system:
      v: https://loinc.org
    code:
      v: 75325-1
    display:
      v: Emergency Department Progress Note
subject:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Patient/Example-Patient-Urgencias-bdb7a6003025
  reference:
    v: Patient/Example-Patient-Urgencias-bdb7a6003025
encounter:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Encounter/Example-Encounter-Urgencias-5e8d54e0dcb8
  reference:
    v: Encounter/Example-Encounter-Urgencias-5e8d54e0dcb8
effective: Period
  start:
    v: 2025-02-25T11:00:00Z
  end:
    v: 2025-02-25T11:15:00Z
issued:
  v: 2025-02-25T10:30:00Z
performer:
  link: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d
  reference:
    v: Practitioner/Example-Practitioner-Urgencias-8f6d2c3a5f6d
note:
  text:
    v: Valoración realizada por el especialista: el paciente presenta una evolución clínica favorable, se observa mejoría en el estado general y se recomienda continuar con el tratamiento y seguimiento en urgencias.