Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/clcore_2.0/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Ejemplo de Cabecera de Documento - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "DocumentoEjemplo1",
  "meta" : {
    "profile" : [
      🔗 "https://hl7chile.cl/fhir/ig/clcore2/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 --&gt; 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"
        }
      ]
    }
  ]
}