Tiempos de Espera Interoperable
0.2.1 - draft
Tiempos de Espera Interoperable, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/SIGTEv2-IG/ and changes regularly. See the Directory of published versions
Generated Narrative: Bundle BundleAtenderEjemplo
Bundle BundleAtenderEjemplo of type message
Entry 1 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/MessageHeader/MesssageHeaderAtender
Rec}:
Generated Narrative: MessageHeader MesssageHeaderAtender
Last updated: 2024-02-22 08:30:00-0300
Profile: MessageHeader LE
event: Tipo de Evento atender: Atender
author: PractitionerRole Atendedor
Sources
Software SISMaule focus:
Entry 2 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/ServiceRequest/SolicitudInterconsultaEjemplo6
Rec}:
Generated Narrative: ServiceRequest SolicitudInterconsultaEjemplo6
version: 6.0
Profile: ServiceRequest LE
ExtBool Requiere Examen: true
ExtBool Atención Preferente: true
ExtBool Resolutividad APS: true
Origen Interconsulta: APS
Extension String Fundamento Priorizacion: Paciente es jefe de hogar y cuidador de adulto mayor.
Estado Interconsulta Codigo: A la espera de cierre
Especialidad Médica Destino Código: MEDICINA INTERNA
SubEspecialidad Médica Destino Código: ENDOCRINOLOGÍA ADULTO
Pertinencia Interconsulta
- EvaluacionPertinencia: Pertinente Incompleta
identifier: 123
status: Draft
intent: Order
category: Presencial
priority: Routine
code: No display for ServiceRequest.code (concept: Patient referral to specialist)
authoredOn: 2024-12-10 09:00:00+0000
requester: PractitionerRole Iniciador
performer: PractitionerRole Atendedor
supportingInfo:
- No display for ServiceRequest.supportingInfo (reference: ->Condition Adrenal antibody detected)
- No display for ServiceRequest.supportingInfo (reference: ->AllergyIntolerance Cashew nuts)
- No display for ServiceRequest.supportingInfo (reference: ->Observation Estrategia de cuidado integral centrado en las personas)
- No display for ServiceRequest.supportingInfo (reference: ->Observation Caregiver for person with age-related complaints, chronic diseases or frailty)
- No display for ServiceRequest.supportingInfo (reference: ->Observation Disability status)
- No display for ServiceRequest.supportingInfo (reference: ->Response to Questionnaire '->Motivo de Derivación' about '->María Josefina Gonzalez (official) Male, DoB: 1974-12-25 ( Rol Único Nacional: 90000000-6 (use: official, ))')
- No display for ServiceRequest.supportingInfo (reference: ->ServiceRequest Prostate specific Ag [Mass/volume] in Serum or Plasma)
- No display for ServiceRequest.supportingInfo (reference: ->Observation Adrenal Ab [Units/volume] in Serum)
Entry 3 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Practitioner/PractitionerProfesionalLEAtendedor2
Rec}:
Generated Narrative: Practitioner PractitionerProfesionalLEAtendedor2
identifier: Rol Único Nacional/19949350-7 (use: official, ), Registro Nacional de Prestadores Individuales/1234543 (use: secondary, )
active: true
name: Gonzalo Gonzalez
gender: Male
birthDate: 1980-01-01
qualification
identifier: cert
code: MÉDICO CIRUJANO
period: 2007-11-01 --> (ongoing)
issuer: Universidad de Chile
qualification
identifier: esp
code: MEDICINA INTERNA
period: 2010-11-01 --> (ongoing)
issuer: Pontificia Universidad Católica de Chile
qualification
identifier: subesp
code: ENDOCRINOLOGÍA ADULTO
period: 2014-11-01 --> (ongoing)
issuer: Universidad de Valparaíso
Entry 4 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/PractitionerRole/PractitionerRoleAtendedor2
Rec}:
Generated Narrative: PractitionerRole PractitionerRoleAtendedor2
active: true
practitioner: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
organization: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
code: Atendedor
Entry 5 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Organization/OrganizationLEAtendedor2
Rec}:
Generated Narrative: Organization OrganizationLEAtendedor2
identifier:
https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSEstablecimientoDestino
/121343name: Centro de Referencia de Salud Miraflores
Entry 6 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Encounter/Atencion
Rec}:
Generated Narrative: Encounter Atencion
ExtBool Pertinencia Atencion Box: true
identifier: 123
status: completed
class: Presencial
type: Nueva
basedOn: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
participant
Diagnoses
Condition No display for Encounter.diagnosis.condition (reference: ->Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300)
Entry 7 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/CarePlan/CarePlanAtencion
Rec}:
Generated Narrative: CarePlan CarePlanAtencion
ExtBool Solicitud Examenes: true
status: Active
intent: Plan
description: Se le dara un tratamiento de prednisona de 500 mg, 2 veces al día por por 1 mes. Pasado ese tiempo debe realizarse un examen de Ab Adrenal después de ver mejorias, se hara control cada mes
encounter: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
activity
activity
Entry 8 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Condition/ConditionAtencion
Rec}:
Generated Narrative: Condition ConditionAtencion
clinicalStatus: Activo
verificationStatus: Confirmado
category: Diagnostico del encuentro
severity: Severo
code: insuficiencia adrenal severa
encounter: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
Entry 9 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Observation/AntigenoProstatico
Rec}:
Generated Narrative: Observation AntigenoProstatico
status: Registered
category: Laboratory
code: Antigeno Prostático Específico en Suero o Plasma
encounter: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
effective: 2024-01-24 08:30:00-0300
value: 3.5 ng/mL (Details: UCUM codeng/mL = 'ng/mL')
Entry 10 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/ServiceRequest/Abadrenal
Rec}:
Generated Narrative: ServiceRequest Abadrenal
basedOn: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
status: Draft
intent: Order
code: No display for ServiceRequest.code (concept: Adrenal Ab [Units/volume] in Serum)
authoredOn: 2024-02-22 08:30:00-0300
requester: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
note: para dar seguimiento al tratamiento del paciente
Entry 11 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/Observation/Anamnesis
Rec}:
Generated Narrative: Observation Anamnesis
status: Registered
code: Anamnesis
encounter: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
effective: 2024-01-24 08:30:00-0300
value: A pesar de la severidad de la condición del paciente, se encuentra estable, por lo que, dar un tratamiento más fuerte podría afectar su condición, lo mejor será iniciar con algo lo suficientemente suave. Hay que mantenerlo vigilado.
Entry 12 - fullUrl = http://interoperabilidad.minsal.cl/fhir/ig/tei/MedicationRequest/Prednisona
Rec}:
Generated Narrative: MedicationRequest Prednisona
status: Draft
intent: Order
encounter: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
requester: Bundle: type = message; timestamp = 2024-02-22 08:30:00-0300
note: 2 veces al día por 1 mes