Resumen Clínico de Pacientes Embarazadas Chile
0.1.0 - ci-build
Resumen Clínico de Pacientes Embarazadas Chile
0.1.0 - ci-build
Resumen Clínico de Pacientes Embarazadas Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile-BiomedicaUv/IPS-Embarazo/ and changes regularly. See the Directory of published versions
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"resource" : {
"resourceType" : "MedicationRequest",
"id" : "b16e76cc-8ee5-4ede-9dc9-7329aa49292c",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_b16e76cc-8ee5-4ede-9dc9-7329aa49292c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest b16e76cc-8ee5-4ede-9dc9-7329aa49292c</b></p><a name=\"b16e76cc-8ee5-4ede-9dc9-7329aa49292c\"> </a><a name=\"hcb16e76cc-8ee5-4ede-9dc9-7329aa49292c\"> </a><a name=\"b16e76cc-8ee5-4ede-9dc9-7329aa49292c-es-CL\"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>medication</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-edbe2197-1ead-44d3-b572-4b26de4fb427\">Tableta de Calcio</a></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>requester</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Administrar 200 mg por día hasta el final de la gestación.</p><p><b>timing</b>: Once per 1 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>200 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote></div>"
},
"status" : "completed",
"intent" : "original-order",
"medicationReference" : {
"reference" : "urn:uuid:edbe2197-1ead-44d3-b572-4b26de4fb427",
"display" : "Tableta de Calcio"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"requester" : {
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
},
"dosageInstruction" : [
{
"text" : "Administrar 200 mg por día hasta el final de la gestación.",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://standardterms.edqm.eu",
"code" : "20002500",
"display" : "Buccal use"
}
],
"text" : "Vía de administración bucal"
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 200,
"unit" : "mg",
"system" : "http://unitsofmeasure.org",
"code" : "mg"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:4383be84-d431-47e1-85e7-80d995742514",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "4383be84-d431-47e1-85e7-80d995742514",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Alergias-embarazo-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<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>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 3829006}\">Hierro</span></p><p><b>patient</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>onset</b>: 15 años<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codea = 'a')</span></p><p><b>recorder</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>note</b>: ### NOTA:\nEl cuadro clínico que suele presentar la paciente ante la exposición a Hierro es **intenso picor en manos y cuero cabelludo.**\nAdemás, presenta **taquitardia y dificultad respiratoria.**</p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 39579001}\">Anafilaxia</span></td></tr></table></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Activo"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmado"
},
"type" : "allergy",
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3829006",
"display" : "Iron"
}
],
"text" : "Hierro"
},
"patient" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"onsetAge" : {
"value" : 15,
"unit" : "años",
"system" : "http://unitsofmeasure.org",
"code" : "a"
},
"recorder" : {
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
},
"note" : [
{
"text" : "### NOTA:\nEl cuadro clínico que suele presentar la paciente ante la exposición a Hierro es **intenso picor en manos y cuero cabelludo.**\nAdemás, presenta **taquitardia y dificultad respiratoria.**"
}
],
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "39579001",
"display" : "Anaphylaxis"
}
],
"text" : "Anafilaxia"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:fd5676b3-0011-49a3-9c21-d1bd8458f350",
"resource" : {
"resourceType" : "Condition",
"id" : "fd5676b3-0011-49a3-9c21-d1bd8458f350",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Condicion-de-salud-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<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>severity</b>: <span title=\"Codes:{http://snomed.info/sct 6736007}\">Moderado</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 414916001}\">Obesidad</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>onset</b>: 2023-10-30 --> (ongoing)</p><p><b>asserter</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>note</b>: ### NOTA:\nLa paciente durante su post parto anterior presentó hipertensión arterial, dada su condición de salud.</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Activa"
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75326-9",
"display" : "Problem"
}
],
"text" : "Problema"
}
],
"severity" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "6736007",
"display" : "Moderate severity"
}
],
"text" : "Moderado"
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "414916001",
"display" : "Obesity"
}
],
"text" : "Obesidad"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"onsetPeriod" : {
"start" : "2023-10-30"
},
"asserter" : {
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
},
"note" : [
{
"text" : "### NOTA:\nLa paciente durante su post parto anterior presentó hipertensión arterial, dada su condición de salud."
}
]
}
},
{
"fullUrl" : "urn:uuid:44f4b385-d48d-4a7b-8959-3b87f3b23ebe",
"resource" : {
"resourceType" : "Procedure",
"id" : "44f4b385-d48d-4a7b-8959-3b87f3b23ebe",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Procedimientos-embarazo-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_44f4b385-d48d-4a7b-8959-3b87f3b23ebe\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 44f4b385-d48d-4a7b-8959-3b87f3b23ebe</b></p><a name=\"44f4b385-d48d-4a7b-8959-3b87f3b23ebe\"> </a><a name=\"hc44f4b385-d48d-4a7b-8959-3b87f3b23ebe\"> </a><a name=\"44f4b385-d48d-4a7b-8959-3b87f3b23ebe-es-CL\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 386637004}\">Procedimiento obstétrico</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 11466000}\">Cesárea</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>performed</b>: 2024-11-26</p><p><b>note</b>: ### NOTA:\nLa paciente se realizó el procedimiento obstétrico de cesárea con fecha 03 de diciembre del presente año. En este caso, la fecha representa la fecha de nacimiento del bebé.</p></div>"
},
"status" : "completed",
"category" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "386637004",
"display" : "Obstetric procedure (procedure)"
}
],
"text" : "Procedimiento obstétrico"
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11466000",
"display" : "Cesarean section"
}
],
"text" : "Cesárea"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"performedDateTime" : "2024-11-26",
"note" : [
{
"text" : "### NOTA:\nLa paciente se realizó el procedimiento obstétrico de cesárea con fecha 03 de diciembre del presente año. En este caso, la fecha representa la fecha de nacimiento del bebé."
}
]
}
},
{
"fullUrl" : "urn:uuid:ea4b4cb7-d449-4b7e-978c-2a446bd547b1",
"resource" : {
"resourceType" : "Observation",
"id" : "ea4b4cb7-d449-4b7e-978c-2a446bd547b1",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Estado-del-embarazo-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ea4b4cb7-d449-4b7e-978c-2a446bd547b1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ea4b4cb7-d449-4b7e-978c-2a446bd547b1</b></p><a name=\"ea4b4cb7-d449-4b7e-978c-2a446bd547b1\"> </a><a name=\"hcea4b4cb7-d449-4b7e-978c-2a446bd547b1\"> </a><a name=\"ea4b4cb7-d449-4b7e-978c-2a446bd547b1-es-CL\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 82810-3}\">Estado de embarazo</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>effective</b>: 2024-03-03</p><p><b>performer</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 77386006}\">Embarazada</span></p><p><b>note</b>: ### NOTA:\nEl estado de embarazo positivo se dió el día 03 de marzo del 2024.</p><p><b>hasMember</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-660b0997-ec98-4981-92ee-bd7b5d44d215\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82810-3",
"display" : "Pregnancy status"
}
],
"text" : "Estado de embarazo"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"effectiveDateTime" : "2024-03-03",
"performer" : [
{
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "77386006",
"display" : "Pregnancy"
}
],
"text" : "Embarazada"
},
"note" : [
{
"text" : "### NOTA:\nEl estado de embarazo positivo se dió el día 03 de marzo del 2024."
}
],
"hasMember" : [
{
"reference" : "urn:uuid:660b0997-ec98-4981-92ee-bd7b5d44d215"
}
]
}
},
{
"fullUrl" : "urn:uuid:76555e43-8a81-4821-92aa-cab7c57010f0",
"resource" : {
"resourceType" : "Observation",
"id" : "76555e43-8a81-4821-92aa-cab7c57010f0",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Resultados-de-embarazos-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_76555e43-8a81-4821-92aa-cab7c57010f0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 76555e43-8a81-4821-92aa-cab7c57010f0</b></p><a name=\"76555e43-8a81-4821-92aa-cab7c57010f0\"> </a><a name=\"hc76555e43-8a81-4821-92aa-cab7c57010f0\"> </a><a name=\"76555e43-8a81-4821-92aa-cab7c57010f0-es-CL\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11640-0}\">[#] Nacimientos totales</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>effective</b>: 2022-08-18</p><p><b>performer</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>value</b>: 1 hijo<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code1 = '1')</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11640-0",
"display" : "[#] Births total"
}
],
"text" : "[#] Nacimientos totales"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"effectiveDateTime" : "2022-08-18",
"performer" : [
{
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
}
],
"valueQuantity" : {
"value" : 1,
"unit" : "hijo",
"system" : "http://unitsofmeasure.org",
"code" : "1"
}
}
},
{
"fullUrl" : "urn:uuid:660b0997-ec98-4981-92ee-bd7b5d44d215",
"resource" : {
"resourceType" : "Observation",
"id" : "660b0997-ec98-4981-92ee-bd7b5d44d215",
"meta" : {
"profile" : [
🔗 "https://hl7chile.cl/fhir/ig/clembarazos/StructureDefinition/Fecha-estimada-de-parto-cl-ips"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_660b0997-ec98-4981-92ee-bd7b5d44d215\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 660b0997-ec98-4981-92ee-bd7b5d44d215</b></p><a name=\"660b0997-ec98-4981-92ee-bd7b5d44d215\"> </a><a name=\"hc660b0997-ec98-4981-92ee-bd7b5d44d215\"> </a><a name=\"660b0997-ec98-4981-92ee-bd7b5d44d215-es-CL\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11779-6}\">Fecha estimada de parto a partir del último periodo menstrual (FUR Operacional)</span></p><p><b>subject</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-6e251b4d-1ed9-48b9-850a-138d9849507c\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>effective</b>: 2024-05-05</p><p><b>performer</b>: <a href=\"Bundle-Bundle-Emb-Ejemplo.html#urn-uuid-503a0267-1cfd-44cc-a382-e052a78fa5cc\">Bundle: identifier = urn:oid:2.16.152.1.10.1#Document-Bundle-2024-001; type = document; timestamp = 2024-12-03 13:00:00-0400</a></p><p><b>value</b>: 2024-11-26</p><p><b>note</b>: ### NOTA: Se realizó una ecografía el día 05 de mayo (durante el primer trimestre) a la paciente para determinar la fecha de última regla de\nde manera más precisa (FUR Operacional). Por lo tanto, la fecha estimada de parto es en noviembre de este año.</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11779-6",
"display" : "Delivery date Estimated from last menstrual period"
}
],
"text" : "Fecha estimada de parto a partir del último periodo menstrual (FUR Operacional)"
},
"subject" : {
"reference" : "urn:uuid:6e251b4d-1ed9-48b9-850a-138d9849507c"
},
"effectiveDateTime" : "2024-05-05",
"performer" : [
{
"reference" : "urn:uuid:503a0267-1cfd-44cc-a382-e052a78fa5cc"
}
],
"valueDateTime" : "2024-11-26",
"note" : [
{
"text" : "### NOTA: Se realizó una ecografía el día 05 de mayo (durante el primer trimestre) a la paciente para determinar la fecha de última regla de\nde manera más precisa (FUR Operacional). Por lo tanto, la fecha estimada de parto es en noviembre de este año."
}
]
}
}
]
}