Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.9.2 - draft
CL
This page is part of the Chile Core (v1.9.2: STU2 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Composition",
"id" : "DocumentoEjemplo1",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition DocumentoEjemplo1</b></p><a name=\"DocumentoEjemplo1\"> </a><a name=\"hcDocumentoEjemplo1\"> </a><a name=\"DocumentoEjemplo1-es-CL\"> </a><p><b>identifier</b>: 2b2f3f16-12c4-40b1-97ec-c0e091412960</p><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11503-0}\">Registro Médico</span></p><p><b>encounter</b>: <a href=\"Encounter-EjemploEncounterCL.html\">Encounter: status = planned; class = Virtual (ActCode#VR); type = Programada; serviceType = Medicina General; period = 2022-06-23 00:00:00-0300 --> 2022-06-23 00:50:00-0300</a></p><p><b>date</b>: 2022-08-07 10:30:00-0300</p><p><b>author</b>: <a href=\"PractitionerRole-EjemploEspecialidadCL2.html\">PractitionerRole: specialty = Medicina Familiar</a></p><p><b>title</b>: Registro Médico de Una Condición al Paciente</p><p><b>custodian</b>: <a href=\"Organization-OrganizacionClEjemplo1.html\">Organization Centro de Salud Familiar Arauco</a></p></div>"
},
"identifier" : {
"value" : "2b2f3f16-12c4-40b1-97ec-c0e091412960"
},
"status" : "preliminary",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11503-0",
"display" : "Medical records"
}
],
"text" : "Registro Médico"
},
"subject" : {
🔗 "reference" : "Patient/PacienteCL"
},
"encounter" : {
🔗 "reference" : "Encounter/EjemploEncounterCL"
},
"date" : "2022-08-07T10:30:00-03:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/EjemploEspecialidadCL2"
}
],
"title" : "Registro Médico de Una Condición al Paciente",
"custodian" : {
🔗 "reference" : "Organization/OrganizacionClEjemplo1"
},
"section" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70004-7",
"display" : "Diagnostic study note"
}
],
"text" : "Diagnostico Estudio"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Paciente presenta recaída sin confirmar de faringoamigdalitis, se realizará más estudios para confirmar</p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/DiagnosticoEj2"
}
]
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "57852-6",
"display" : "Problem list Narrative - Reported"
}
],
"text" : "Listado de problemas"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Adicionalmente el paciente ya poseía un diagnostico prevío de hipertensión</p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/DiagnosticoEj"
}
]
}
]
}