Guía implementación interoperabilidad FHIR sectorial e intersectorial
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: Hospitalización - Estado de Egreso - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example-Observation-hosp-6ba103658efa"/>
  <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-Observation-hosp-6ba103658efa</b></p><a name="Example-Observation-hosp-6ba103658efa"> </a><a name="hcExample-Observation-hosp-6ba103658efa"> </a><a name="Example-Observation-hosp-6ba103658efa-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>/obs-egreso-001 (use: usual, )</p><p><b>basedOn</b>: <a href="CarePlan-Example-Careplan-hosp-51f2bdcc598a.html">CarePlan Plan de manejo de egreso</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{https://loinc.org 74290-8}">Estado de egreso</span></p><p><b>subject</b>: <a href="Patient-Example-Patient-hosp-feb7a6003026.html">Adriana Lucía Cortés García(official) Male, DoB: 1988-06-12 ( Cédula de Ciudadanía: 4656732234 (use: official, ))</a></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>effective</b>: 2025-02-25 15:30:00+0000 --&gt; 2025-02-25 15:35:00+0000</p><p><b>issued</b>: 2025-02-25 15:35:00+0000</p><p><b>performer</b>: <a href="Practitioner-Example-Practitioner-hosp-563d2c3a54fe.html">Practitioner Daniel Hernán Andrade Fernández(official)</a></p><p><b>value</b>: <span title="Codes:{https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/Estado-Egreso 1}">Vivo</span></p><p><b>note</b>: Paciente egresado a domicilio en condiciones estables, tolerando dieta blanda y movilidad sin complicaciones. &lt;br/&gt;Se indicó control ambulatorio en Consulta de Cirugía General a los 7 días. Volver a urgencias si aparece fiebre &gt;38 °C o dolor intenso.</p></div>
  </text>
  <identifier>
    <use value="usual"/>
    <system
            value="http://hospitalSystemInformation.example.org/observations/"/>
    <value value="obs-egreso-001"/>
  </identifier>
  <basedOn>🔗 
    <reference value="CarePlan/Example-Careplan-hosp-51f2bdcc598a"/>
  </basedOn>
  <status value="final"/>
  <code>
    <coding>
      <system value="https://loinc.org"/>
      <code value="74290-8"/>
      <display value="Hospital discharge disposition [NTDS]"/>
    </coding>
    <text value="Estado de egreso"/>
  </code>
  <subject>🔗 
    <reference value="Patient/Example-Patient-hosp-feb7a6003026"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example-Encounter-hosp-f2922fe057ac"/>
  </encounter>
  <effectivePeriod>
    <start value="2025-02-25T15:30:00Z"/>
    <end value="2025-02-25T15:35:00Z"/>
  </effectivePeriod>
  <issued value="2025-02-25T15:35:00Z"/>
  <performer>🔗 
    <reference value="Practitioner/Example-Practitioner-hosp-563d2c3a54fe"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/Estado-Egreso"/>
      <code value="1"/>
      <display value="Vivo"/>
    </coding>
  </valueCodeableConcept>
  <note>
    <text
          value="Paciente egresado a domicilio en condiciones estables, tolerando dieta blanda y movilidad sin complicaciones. &lt;br/&gt;Se indicó control ambulatorio en Consulta de Cirugía General a los 7 días. Volver a urgencias si aparece fiebre &gt;38 °C o dolor intenso."/>
  </note>
</Observation>