Resumen Clínico de Paciente de Chile (IPS-CL)
0.2.0 - ci-build
Resumen Clínico de Paciente de Chile (IPS-CL)
0.2.0 - ci-build
This page is part of the Resumen Clinico de Paciente de Chile (v0.2.0: STU1 Draft) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_debdd403-9c7e-48d0-93c4-71a4ecc89f2f"> </a><p class="res-header-id"><b>Generated Narrative: Composition debdd403-9c7e-48d0-93c4-71a4ecc89f2f</b></p><a name="debdd403-9c7e-48d0-93c4-71a4ecc89f2f"> </a><a name="hcdebdd403-9c7e-48d0-93c4-71a4ecc89f2f"> </a><a name="debdd403-9c7e-48d0-93c4-71a4ecc89f2f-es-CL"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Documento resumen del paciente</span></p><p><b>date</b>: 2024-05-28</p><p><b>author</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc">Bundle: identifier = urn:oid:2.16.152.1.10.1#IPS-Bundle-2024-001; type = document; timestamp = 2024-05-30 15:00:00-0400</a></p><p><b>title</b>: International Patient Summary Genérico para uso en Chile</p><p><b>custodian</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-e80c16ae-eec7-4ff7-99c4-27e756ace6fa">Bundle: identifier = urn:oid:2.16.152.1.10.1#IPS-Bundle-2024-001; type = document; timestamp = 2024-05-30 15:00:00-0400</a></p><h3>RelatesTos</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Target[x]</b></td></tr><tr><td style="display: none">*</td><td>Appends</td><td><code>urn:oid:2.16.152.1.10.1</code>/IPS-CL-2024-001</td></tr></table></div>
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<text value="Documento resumen del paciente"/>
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<date value="2024-05-28"/>
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<reference value="urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"/>
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<title
value="International Patient Summary Genérico para uso en Chile"/>
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<reference value="urn:uuid:e80c16ae-eec7-4ff7-99c4-27e756ace6fa"/>
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<system value="urn:oid:2.16.152.1.10.1"/>
<value value="IPS-CL-2024-001"/>
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<section>
<title value="Medicamentos"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
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<text value="Historial de uso de medicamentos"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li><div><b>Medication Name</b>: Aspirina (medicamento)</div><div><b>Code</b>: <span>7947003</span></div><div><b>Status</b>: <span>completed, started 2019-02-04</span></div><div>Instructions: Administrar 500 mg por 3 días</div></li></ul></div>
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<entry>
<reference value="urn:uuid:f6759f7e-630f-400e-bbe2-c8378fa6a1a5"/>
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<section>
<title value="Alergias"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
<text value="Documento de alergias y reacciones adversas"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li><div><b>Allergy Name</b>: Hierro y Clotrimazol</div><div><b>Verification Status</b>: Confirmado</div><div><b>Reaction</b>: <span>Gastritis y Dermatitis inflamatoria</span></div></li></ul></div>
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<entry>
<reference value="urn:uuid:4383be84-d431-47e1-85e7-80d995742514"/>
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<section>
<title value="Problemas de salud - Condiciones"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
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<text value="Lista de problemas"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li><div><b>Condition Name</b>: Hipertensión esencial benigna</div><div><b>Code</b>: <span>1201005</span></div><div><b>Status</b>: <span>Activa</span></div></li></ul></div>
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<entry>
<fullUrl value="urn:uuid:a4104fff-1237-4cc4-8b7e-6c4c235f282a"/>
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<Patient>
<id value="a4104fff-1237-4cc4-8b7e-6c4c235f282a"/>
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value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_a4104fff-1237-4cc4-8b7e-6c4c235f282a"> </a><p class="res-header-id"><b>Generated Narrative: Patient a4104fff-1237-4cc4-8b7e-6c4c235f282a</b></p><a name="a4104fff-1237-4cc4-8b7e-6c4c235f282a"> </a><a name="hca4104fff-1237-4cc4-8b7e-6c4c235f282a"> </a><a name="a4104fff-1237-4cc4-8b7e-6c4c235f282a-es-CL"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Valentina Ester Henriquez (official) Female, DoB: 1995-05-01 ( Chile: 19.241.323-8 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 932785678(Mobile)</li><li>Av. General Vidaurre, casa 84 G, playa ancha(home)</li></ul></td></tr></table></div>
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<code value="152"/>
<display value="Chile"/>
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<coding>
<system
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<code value="NNCHL"/>
<display value="Chile"/>
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<system value="http://regcivil.cl/Validacion/RUN"/>
<value value="19.241.323-8"/>
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<active value="true"/>
<name>
<use value="official"/>
<family value="Henriquez"/>
<given value="Valentina"/>
<given value="Ester"/>
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<telecom>
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<value value="932785678"/>
<use value="mobile"/>
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<gender value="female"/>
<birthDate value="1995-05-01"/>
<address>
<use value="home"/>
<text value="Av. General Vidaurre, casa 84 G, playa ancha"/>
<line value="Av. General Vidaurre, casa 84 G"/>
<city value="Santiago Centro">
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<code value="13101"/>
<display value="Santiago Centro"/>
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</city>
<state value="Metropolitana de Santiago">
<extension
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<code value="13"/>
<display value="Metropolitana de Santiago"/>
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<country value="Chile">
<extension
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<code value="152"/>
<display value="Chile"/>
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<entry>
<fullUrl value="urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"/>
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<Practitioner>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_503a0267-1cfd-44cc-a382-e052a78fa5cc"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 503a0267-1cfd-44cc-a382-e052a78fa5cc</b></p><a name="503a0267-1cfd-44cc-a382-e052a78fa5cc"> </a><a name="hc503a0267-1cfd-44cc-a382-e052a78fa5cc"> </a><a name="503a0267-1cfd-44cc-a382-e052a78fa5cc-es-CL"> </a><p><b>identifier</b>: RUN/17435678-2 (use: official, )</p><p><b>name</b>: Nicolás Bastian Figueroa (Official)</p><p><b>telecom</b>: <a href="mailto:DrNicolasB@hotmail.com">DrNicolasB@hotmail.com</a></p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>subesp</td><td><span title="Codes:">Cirugía cardiovascular</span></td></tr></table></div>
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<identifier>
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<code value="01"/>
<display value="RUN"/>
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<value value="17435678-2"/>
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<name>
<use value="official"/>
<family value="Figueroa"/>
<given value="Nicolás"/>
<given value="Bastian"/>
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<telecom>
<system value="email"/>
<value value="DrNicolasB@hotmail.com"/>
<use value="work"/>
</telecom>
<qualification>
<identifier>
<value value="subesp"/>
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<code>
<text value="Cirugía cardiovascular"/>
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<entry>
<fullUrl value="urn:uuid:e80c16ae-eec7-4ff7-99c4-27e756ace6fa"/>
<resource>
<Organization>
<id value="e80c16ae-eec7-4ff7-99c4-27e756ace6fa"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_e80c16ae-eec7-4ff7-99c4-27e756ace6fa"> </a><p class="res-header-id"><b>Generated Narrative: Organization e80c16ae-eec7-4ff7-99c4-27e756ace6fa</b></p><a name="e80c16ae-eec7-4ff7-99c4-27e756ace6fa"> </a><a name="hce80c16ae-eec7-4ff7-99c4-27e756ace6fa"> </a><a name="e80c16ae-eec7-4ff7-99c4-27e756ace6fa-es-CL"> </a><p><b>identifier</b>: <code>https://datos.gob.cl/dataset/establecimientos-de-salud-vigentes/resource/2c44d782-3365-44e3-aefb-2c8b8363a1bc</code>/3271</p><p><b>name</b>: Hospital Dr. Gustavo Fricke</p><p><b>alias</b>: Hospital Gustavo Fricke</p><p><b>telecom</b>: ph: 322577571(Work)</p></div>
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<identifier>
<system
value="https://datos.gob.cl/dataset/establecimientos-de-salud-vigentes/resource/2c44d782-3365-44e3-aefb-2c8b8363a1bc"/>
<value value="3271"/>
</identifier>
<name value="Hospital Dr. Gustavo Fricke"/>
<alias value="Hospital Gustavo Fricke"/>
<telecom>
<system value="phone"/>
<value value="322577571"/>
<use value="work"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f6759f7e-630f-400e-bbe2-c8378fa6a1a5"/>
<resource>
<MedicationStatement>
<id value="f6759f7e-630f-400e-bbe2-c8378fa6a1a5"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RegMedicamentos-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationStatement_f6759f7e-630f-400e-bbe2-c8378fa6a1a5"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement f6759f7e-630f-400e-bbe2-c8378fa6a1a5</b></p><a name="f6759f7e-630f-400e-bbe2-c8378fa6a1a5"> </a><a name="hcf6759f7e-630f-400e-bbe2-c8378fa6a1a5"> </a><a name="f6759f7e-630f-400e-bbe2-c8378fa6a1a5-es-CL"> </a><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-edbe2197-1ead-44d3-b572-4b26de4fb427">Pastilla Aspirina</a></p><p><b>subject</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-a4104fff-1237-4cc4-8b7e-6c4c235f282a">Bundle: identifier = urn:oid:2.16.152.1.10.1#IPS-Bundle-2024-001; type = document; timestamp = 2024-05-30 15:00:00-0400</a></p><p><b>effective</b>: 2019-02-04 --> 2019-02-07</p><blockquote><p><b>dosage</b></p><p><b>text</b>: Administrar 500 mg/día</p><p><b>timing</b>: Once per 3 days</p><p><b>route</b>: <span title="Codes:{http://standardterms.edqm.eu 20002500}">Vía de administración bucal</span></p><h3>DoseAndRates</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Dose[x]</b></td></tr><tr><td style="display: none">*</td><td>500 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote></div>
</text>
<status value="completed"/>
<medicationReference>
<reference value="urn:uuid:edbe2197-1ead-44d3-b572-4b26de4fb427"/>
<display value="Pastilla Aspirina"/>
</medicationReference>
<subject>
<reference value="urn:uuid:a4104fff-1237-4cc4-8b7e-6c4c235f282a"/>
</subject>
<effectivePeriod>
<start value="2019-02-04"/>
<end value="2019-02-07"/>
</effectivePeriod>
<dosage>
<text value="Administrar 500 mg/día"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="3"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="20002500"/>
<display value="Buccal use"/>
</coding>
<text value="Vía de administración bucal"/>
</route>
<doseAndRate>
<doseQuantity>
<value value="500"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:edbe2197-1ead-44d3-b572-4b26de4fb427"/>
<resource>
<Medication>
<id value="edbe2197-1ead-44d3-b572-4b26de4fb427"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Medicamento-cl-ips"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_edbe2197-1ead-44d3-b572-4b26de4fb427"> </a><p class="res-header-id"><b>Generated Narrative: Medication edbe2197-1ead-44d3-b572-4b26de4fb427</b></p><a name="edbe2197-1ead-44d3-b572-4b26de4fb427"> </a><a name="hcedbe2197-1ead-44d3-b572-4b26de4fb427"> </a><a name="edbe2197-1ead-44d3-b572-4b26de4fb427-es-CL"> </a><p><b>Nombre Comercial Fármaco</b>: Aspirina</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 7947003}">Aspirina (medicamento)</span></p><p><b>form</b>: <span title="Codes:{http://standardterms.edqm.eu 10323000}">Pastilla</span></p></div>
</text>
<extension
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<valueString value="Aspirina"/>
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<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="7947003"/>
<display value="Product containing aspirin (medicinal product)">
<extension
url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="es"/>
</extension>
<extension url="content">
<valueString value="Aspirina (medicamento)"/>
</extension>
</extension>
</display>
</coding>
<text value="Aspirina (medicamento)"/>
</code>
<form>
<coding>
<system value="http://standardterms.edqm.eu"/>
<code value="10323000"/>
<display value="Pastille"/>
</coding>
<text value="Pastilla"/>
</form>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4383be84-d431-47e1-85e7-80d995742514"/>
<resource>
<AllergyIntolerance>
<id value="4383be84-d431-47e1-85e7-80d995742514"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/AllergiaInt-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_4383be84-d431-47e1-85e7-80d995742514"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance 4383be84-d431-47e1-85e7-80d995742514</b></p><a name="4383be84-d431-47e1-85e7-80d995742514"> </a><a name="hc4383be84-d431-47e1-85e7-80d995742514"> </a><a name="4383be84-d431-47e1-85e7-80d995742514-es-CL"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Activo</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmado</span></p><p><b>type</b>: Allergy</p><p><b>code</b>: <span title="Codes:{http://www.whocc.no/atc A01AB18}">Clotrimazol</span></p><p><b>patient</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-a4104fff-1237-4cc4-8b7e-6c4c235f282a">Bundle: identifier = urn:oid:2.16.152.1.10.1#IPS-Bundle-2024-001; type = document; timestamp = 2024-05-30 15:00:00-0400</a></p><p><b>onset</b>: 11 años<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Activo"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmado"/>
</verificationStatus>
<type value="allergy"/>
<code>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="A01AB18"/>
<display value="clotrimazole"/>
</coding>
<text value="Clotrimazol"/>
</code>
<patient>
<reference value="urn:uuid:a4104fff-1237-4cc4-8b7e-6c4c235f282a"/>
</patient>
<onsetAge>
<value value="11"/>
<unit value="años"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
</onsetAge>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fd5676b3-0011-49a3-9c21-d1bd8458f350"/>
<resource>
<Condition>
<id value="fd5676b3-0011-49a3-9c21-d1bd8458f350"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Condition-cl-ips"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_fd5676b3-0011-49a3-9c21-d1bd8458f350"> </a><p class="res-header-id"><b>Generated Narrative: Condition fd5676b3-0011-49a3-9c21-d1bd8458f350</b></p><a name="fd5676b3-0011-49a3-9c21-d1bd8458f350"> </a><a name="hcfd5676b3-0011-49a3-9c21-d1bd8458f350"> </a><a name="fd5676b3-0011-49a3-9c21-d1bd8458f350-es-CL"> </a><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Activa</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 75326-9}">Problema</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1201005}">Hipertensión esencial benigna</span></p><p><b>subject</b>: <a href="Bundle-Bundle-CL-Ejemplo.html#urn-uuid-a4104fff-1237-4cc4-8b7e-6c4c235f282a">Bundle: identifier = urn:oid:2.16.152.1.10.1#IPS-Bundle-2024-001; type = document; timestamp = 2024-05-30 15:00:00-0400</a></p><p><b>onset</b>: 2023-08-04 --> (ongoing)</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Activa"/>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="75326-9"/>
<display value="Problem"/>
</coding>
<text value="Problema"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1201005"/>
<display value="Benign essential hypertension"/>
</coding>
<text value="Hipertensión esencial benigna"/>
</code>
<subject>
<reference value="urn:uuid:a4104fff-1237-4cc4-8b7e-6c4c235f282a"/>
</subject>
<onsetPeriod>
<start value="2023-08-04"/>
</onsetPeriod>
</Condition>
</resource>
</entry>
</Bundle>