Guía MHD para el Intercambio de Información de Salud en Chile
0.1.0 - ci-build
Guía MHD para el Intercambio de Información de Salud en Chile
0.1.0 - ci-build
Guía MHD para el Intercambio de Información de Salud en 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/MHD-CL/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="BundleDocumentoIpsEjemplo"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Bundle-documento-ips-cl"/>
</meta>
<identifier>
<system value="http://hsisalud.org/documentos"/>
<value value="DOC-IPS-CL-0001"/>
</identifier>
<type value="document"/>
<timestamp value="2026-07-06T10:30:00-03:00"/>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0001"/>
<resource>
<Composition>
<id value="ComposicionIps-Ejemplo"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Composition-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_ComposicionIps-Ejemplo"> </a><p class="res-header-id"><b>Generated Narrative: Composition ComposicionIps-Ejemplo</b></p><a name="ComposicionIps-Ejemplo"> </a><a name="hcComposicionIps-Ejemplo"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-Composition-cl-ips.html">Documento</a></p></div><p><b>identifier</b>: <code>http://hsisalud.org/documentos</code>/DOC-IPS-CL-0001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2026-07-06 10:30:00-0300</p><p><b>author</b>: <a href="Bundle-BundleDocumentoIpsEjemplo.html#urn-uuid-5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0002">María Laura Gómez Perez</a></p><p><b>title</b>: Resumen Internacional del Paciente - Chile</p></div>
</text>
<identifier>
<system value="http://hsisalud.org/documentos"/>
<value value="DOC-IPS-CL-0001"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<display value="Pablo Fernandez Perez"/>
</subject>
<date value="2026-07-06T10:30:00-03:00"/>
<author>
<reference value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0002"/>
<display value="María Laura Gómez Perez"/>
</author>
<title value="Resumen Internacional del Paciente - Chile"/>
<section>
<title value="Inmunizaciones"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
<display value="History of Immunization note"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Registro mínimo de inmunización.</div>
</text>
<entry>
<reference value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0003"/>
<display value="Inmunización COVID-19 registrada"/>
</entry>
</section>
<section>
<title value="Problemas y condiciones"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Condición clínica registrada.</div>
</text>
<entry>
<reference value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0004"/>
</entry>
</section>
<section>
<title value="Medicación"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Medicación activa registrada.</div>
</text>
<entry>
<reference value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0005"/>
</entry>
</section>
<section>
<title value="Alergias e intolerancias"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Alergia registrada.</div>
</text>
<entry>
<reference value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0006"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<resource>
<Patient>
<id value="Paciente-Interno"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Paciente-Interno"> </a><p class="res-header-id"><b>Generated Narrative: Patient Paciente-Interno</b></p><a name="Paciente-Interno"> </a><a name="hcPaciente-Interno"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-Paciente-cl-ips.html">Paciente</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Pablo Fernandez Perez(official) Male, DoB: 1912-06-12 ( https://www.registrocivil.cl/run#99999999-9 (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">ph: 1141233100</td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<system value="https://www.registrocivil.cl/run"/>
<value value="99999999-9"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="Pablo Fernandez Perez"/>
<family value="Fernandez">
<extension
url="https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido">
<valueString value="Perez"/>
</extension>
</family>
<given value="Pablo"/>
</name>
<telecom>
<system value="phone"/>
<value value="1141233100"/>
</telecom>
<gender value="male"/>
<birthDate value="1912-06-12"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0002"/>
<resource>
<Practitioner>
<id value="PrestadorCLInline"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_PrestadorCLInline"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner PrestadorCLInline</b></p><a name="PrestadorCLInline"> </a><a name="hcPrestadorCLInline"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-Prestador-cl-ips.html">Prestador Individual</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">María Laura Gómez (official) (RNPI: 987654 (use: usual))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Administrative gender">Gender:</td><td>Female</td></tr><tr><td style="background-color: #f3f5da" title="Date of birth">Date of Birth:</td><td colspan="3">1980-05-12</td></tr><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">RUN/12345678-K (use: official)</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Practitioner">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+5695555-1234">+56 9 5555-1234</a></li><li><a href="mailto:maria.perez@example.org">maria.perez@example.org</a></li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Certification, licensure, or training pertaining to the provision of care">Qualification:</td><td colspan="3"><span title="Codes:">Médica</span><ul><li>Identifier: cert</li></ul></td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador"/>
<code value="01"/>
</coding>
</type>
<system value="https://www.registrocivil.cl/run"/>
<value value="12345678-K"/>
</identifier>
<identifier>
<use value="usual"/>
<type>
<coding>
<system
value="https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador"/>
<code value="13"/>
</coding>
</type>
<system value="https://rnpi.superdesalud.gob.cl/#"/>
<value value="987654"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Gómez">
<extension
url="https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido">
<valueString value="Perez"/>
</extension>
</family>
<given value="María"/>
<given value="Laura"/>
</name>
<telecom>
<system value="phone"/>
<value value="+56 9 5555-1234"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="maria.perez@example.org"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1980-05-12"/>
<qualification>
<identifier>
<value value="cert"/>
</identifier>
<code>
<text value="Médica"/>
</code>
</qualification>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0003"/>
<resource>
<Immunization>
<id value="inmunizacion-1"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Inmunizacion-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Immunization_inmunizacion-1"> </a><p class="res-header-id"><b>Generated Narrative: Immunization inmunizacion-1</b></p><a name="inmunizacion-1"> </a><a name="hcinmunizacion-1"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-Inmunizacion-cl-ips.html">Inmunización</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/cvx 207}">COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose</span></p><p><b>patient</b>: <a href="Bundle-BundleDocumentoIpsEjemplo.html#urn-uuid-991a7102-d221-498d-9157-c4192934e3b7">Pablo Fernandez Perez</a></p><p><b>occurrence</b>: 2024-05-10</p><p><b>primarySource</b>: true</p><p><b>location</b>: Centro de Salud de Ejemplo (Identifier: <code>http://refes.msal.gob.ar</code>/REFES-0001)</p><p><b>lotNumber</b>: L240510A</p><p><b>reasonCode</b>: <span title="Codes:">Calendario nacional de vacunación</span></p><h3>ProtocolApplieds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>DoseNumber[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td></tr></table></div>
</text>
<status value="completed"/>
<vaccineCode>
<coding>
<system value="http://hl7.org/fhir/sid/cvx"/>
<code value="207"/>
<display
value="COVID-19, mRNA, LNP-S, PF, 100 mcg/0.5mL dose or 50 mcg/0.25mL dose"/>
</coding>
</vaccineCode>
<patient>
<reference value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<display value="Pablo Fernandez Perez"/>
</patient>
<occurrenceDateTime value="2024-05-10"/>
<primarySource value="true"/>
<location>
<identifier>
<system value="http://refes.msal.gob.ar"/>
<value value="REFES-0001"/>
</identifier>
<display value="Centro de Salud de Ejemplo"/>
</location>
<lotNumber value="L240510A"/>
<reasonCode>
<text value="Calendario nacional de vacunación"/>
</reasonCode>
<protocolApplied>
<doseNumberPositiveInt value="1"/>
</protocolApplied>
</Immunization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0004"/>
<resource>
<Condition>
<id value="condicion-1"/>
<meta>
<profile
value="https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Condition-cl-ips"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_condicion-1"> </a><p class="res-header-id"><b>Generated Narrative: Condition condicion-1</b></p><a name="condicion-1"> </a><a name="hccondicion-1"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-Condition-cl-ips.html">Condición</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 38341003}">Hypertensive disorder, systemic arterial</span></p><p><b>subject</b>: <a href="Bundle-BundleDocumentoIpsEjemplo.html#urn-uuid-991a7102-d221-498d-9157-c4192934e3b7">Pablo Fernandez Perez</a></p><p><b>onset</b>: 2020-01-01</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38341003"/>
<display value="Hypertensive disorder, systemic arterial"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<display value="Pablo Fernandez Perez"/>
</subject>
<onsetDateTime value="2020-01-01"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0005"/>
<resource>
<MedicationStatement>
<id value="medicacion-1"/>
<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_medicacion-1"> </a><p class="res-header-id"><b>Generated Narrative: MedicationStatement medicacion-1</b></p><a name="medicacion-1"> </a><a name="hcmedicacion-1"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-RegMedicamentos-cl-ips.html">Declaración de medicación</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <span title="Codes:">Amlodipina 5 mg comprimido</span></p><p><b>subject</b>: <a href="Bundle-BundleDocumentoIpsEjemplo.html#urn-uuid-991a7102-d221-498d-9157-c4192934e3b7">Pablo Fernandez Perez</a></p><p><b>effective</b>: 2026-07-06</p></div>
</text>
<status value="active"/>
<medicationCodeableConcept>
<text value="Amlodipina 5 mg comprimido"/>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<display value="Pablo Fernandez Perez"/>
</subject>
<effectiveDateTime value="2026-07-06"/>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5e1c2f0a-7b0d-4c55-9a43-0c1f6a1d0006"/>
<resource>
<AllergyIntolerance>
<id value="alergia-1"/>
<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_alergia-1"> </a><p class="res-header-id"><b>Generated Narrative: AllergyIntolerance alergia-1</b></p><a name="alergia-1"> </a><a name="hcalergia-1"> </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="https://build.fhir.org/ig/HL7Chile/IPS-CL/StructureDefinition-AllergiaInt-cl-ips.html">Alergias e Intolerancias</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}">Confirmed</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 91936005}">Allergy to penicillin</span></p><p><b>patient</b>: <a href="Bundle-BundleDocumentoIpsEjemplo.html#urn-uuid-991a7102-d221-498d-9157-c4192934e3b7">Pablo Fernandez Perez</a></p><p><b>onset</b>: 2018-03-15</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91936005"/>
<display value="Allergy to penicillin"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:991a7102-d221-498d-9157-c4192934e3b7"/>
<display value="Pablo Fernandez Perez"/>
</patient>
<onsetDateTime value="2018-03-15"/>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>