Guía implementación interoperabilidad FHIR sectorial e intersectorial
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Ejemplo Bundle: APH Urgencias - Bundle

Document Subject

Generated Narrative: Patient Example-APH-Urgencias-Patient-bdb7a6003025

NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

Other Id:Adulto sin Identificar/NN14032025095412 (use: temp, )

Document Content

Generated Narrative: Composition Example-Composition-APH-Urgencias-a7599f77c3bc

identifier: http://hospitalSystemInformation.example.org/Compositions/COMP-APH-001 (use: usual, )

status: Final

type: Emergency department Note

category: Summary of episode note

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

date: 2025-03-18 08:30:00+0000

author: Practitioner Alberto Andrés Camargo Alba(official)

title: REPORTE DE URGENCIAS

confidentiality: very restricted

Attesters

-ModeParty
*LegalPractitioner Alberto Andrés Camargo Alba(official)

custodian: Organization Red de Ambulancias - Secretaría de Salud de Bogotá

Plan de Atención Prehospitalaria

Diagnósticos

Cobertura

Localización de la Atención

Examen Físico

Revisión por Sistemas

Evaluación de Triage

Medicamentos

Administración de Medicamentos

Historial de Medicamentos

Procedimientos Realizados

Rol del Profesional

Primer Respondiente

Additional Resources Included in Document

Entry 2 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CarePlan/Example-CarePlan-APH-Urgencias-b859d25c6671

Rec}:

Generated Narrative: CarePlan Example-CarePlan-APH-Urgencias-b859d25c6671

identifier: http://hospitalSystemInformation.example.org/careplans//CP-12345 (use: usual, )

instantiatesUri: https://example.org/protocols/prehospital-urgent-care

status: Completed

intent: Order

category: Atención de Urgencias Prehospitalaria

title: Plan de atención prehospitalaria para urgencias

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

period: 2025-03-18 07:00:00+0000 --> 2025-03-18 09:00:00+0000

created: 2025-03-18 09:05:00+0000

author: Practitioner Alberto Andrés Camargo Alba(official)

addresses: Condition Concussion without loss of consciousness, initial encounter

Entry 3 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-APH-Urgencias-c8e3ac04017d

Rec}:

Generated Narrative: Condition Example-Condition-APH-Urgencias-c8e3ac04017d

identifier: http://hospitalSystemInformation.example.org/diagnosis//COND-001 (use: usual, )

clinicalStatus: Active

verificationStatus: Provisional

category: Problem List Item

code: Motivo de consulta: Dolor de cabeza intenso

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

recorder: Practitioner Alberto Andrés Camargo Alba(official)

asserter: Practitioner Alberto Andrés Camargo Alba(official)

note: Motivo de consulta: El paciente refiere dolor de cabeza intenso.

Entry 4 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Condition/Example-Condition-APH-Urgencias-c8e3ac04017e

Rec}:

Generated Narrative: Condition Example-Condition-APH-Urgencias-c8e3ac04017e

identifier: http://hospitalSystemInformation.example.org/diagnosis//COND-002 (use: usual, )

clinicalStatus: Active

verificationStatus: Provisional

category: Problem List Item

code: Diagnóstico inicial: Contusión craneal

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

recorder: Practitioner Alberto Andrés Camargo Alba(official)

asserter: Practitioner Alberto Andrés Camargo Alba(official)

note: Diagnóstico inicial: Se sospecha contusión craneal.

Entry 5 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Coverage/Example-Coverage-APH-Urgencias-1296da4a51bb

Rec}:

Generated Narrative: Coverage Example-Coverage-APH-Urgencias-1296da4a51bb

identifier: http://hospitalSystemInformation.example.org/Coverages//CP-20250318-001 (use: usual, )

status: Active

policyHolder: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

subscriber: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

beneficiary: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

period: 2025-01-01 --> 2025-12-31

payor: Organization Red de Ambulancias - Secretaría de Salud de Bogotá

Entry 6 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Encounter/Example-APH-Urgencias-Encounter-e98e8f71e1ef

Rec}:

Generated Narrative: Encounter Example-APH-Urgencias-Encounter-e98e8f71e1ef

ViaIngreso: Vías de ingreso 01: Demanda espontánea

identifier: http://HIS_Source//Enc_ABC123 (use: usual, )

status: Finished

class: ActCode FLD: field

subject: patient/Example-APH-Urgencias-Patient-bdb7a6003025

Participants

-Individual
*practitioner/Example-APH-Urgencias-Practitioner-84011d8e9b7b

period: 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

reasonReference: Condition Headache

Diagnoses

-ConditionUse
*condition/Example-Condition-APH-Urgencias-c8e3ac04017eAdmision diagnosis

Hospitalizations

-DestinationDischargeDisposition
*Organization CLINICA IPS ATENCION SALUDOther healthcare facility

Locations

-Location
*location/Example-APH-Urgencias-Location-35c4a72b32ff

serviceProvider: organization/Example-APH-Urgencias-Organization-a45fafc233dc

Entry 7 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Location/Example-APH-Urgencias-Location-35c4a72b32ff

Rec}:

Generated Narrative: Location Example-APH-Urgencias-Location-35c4a72b32ff

identifier: https://ohapi-fhir-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/identifiers/location/ACC-LOC-20250318100101

name: Vía pública

type: Ambulance

address: Avenida Calle 68 con Carrera 34, Barrio Chapinero

Positions

-LongitudeLatitude
*-74.06284.6483

managingOrganization: Unidad de Ambulancias - Secretaría Distrital de Salud

Entry 8 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Medication/Example-Medication-APH-Urgencias-17a66feef1ff

Rec}:

Generated Narrative: Medication Example-Medication-APH-Urgencias-17a66feef1ff

identifier: http://hospitalSystemInformation.example.org/Medications//32554645622-11 (use: usual, )

code: IBUPROFENO 400 MG TABLETA

status: Active

form: Tableta

amount: 400 mg/1 Tableta

Entry 9 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Medication/Example-Medication-APH-Urgencias-81dc5cc3a0be

Rec}:

Generated Narrative: Medication Example-Medication-APH-Urgencias-81dc5cc3a0be

identifier: http://hospitalSystemInformation.example.org/Medications//19965499-11 (use: usual, )

code: LOSARTAN 50 MG TABLETA

status: Active

manufacturer: Organization Red de Ambulancias - Secretaría de Salud de Bogotá

form: Tableta

amount: 50 mg/1 Tableta

Batches

-LotNumberExpirationDate
*HASGY1312026-01-01

Entry 10 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationAdministration/Example-MedicationAdministration-APH-Urgencias-5c03c0ecf508

Rec}:

Generated Narrative: MedicationAdministration Example-MedicationAdministration-APH-Urgencias-5c03c0ecf508

identifier: http://hospitalSystemInformation.example.org/MedicationAdministrations//MedAdmin-001 (use: usual, )

status: Completed

category: Inpatient

medication: Medication LOSARTAN 50 MG TABLETA

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

context: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

effective: 2025-03-18 09:05:00+0000

Performers

-Actor
*Practitioner Alberto Andrés Camargo Alba(official)

note: Administración de LOSARTAN 50 MG TABLETA vía bucal durante la atención prehospitalaria.

Dosages

-RouteDose
*Bucal1 tableta

Entry 11 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/MedicationStatement/Example-MedicationStatement-APH-Urgencias-3cc34321fce5

Rec}:

Generated Narrative: MedicationStatement Example-MedicationStatement-APH-Urgencias-3cc34321fce5

identifier: http://hospitalSystemInformation.example.org/MedicationStatements//MedStat-001 (use: usual, )

status: Active

category: Outpatient

medication: Medication IBUPROFENO 400 MG TABLETA

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

context: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

effective: 2025-03-18 00:00:00+0000 --> 2025-03-18 23:59:59+0000

informationSource: RelatedPerson Camila Quintana Roa(official)

note: Primer respondiente refiere que el paciente toma IBUPROFENO 400 MG TABLETA antes de la asistencia.

dosage

route: Bucal

DoseAndRates

-Dose[x]Rate[x]
*1 tableta1 vez al día

Entry 12 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-APH-Urgencias-Revision-Fisica-a3fedfed4a1a

Rec}:

Generated Narrative: Observation Example-Observation-APH-Urgencias-Revision-Fisica-a3fedfed4a1a

identifier: http://hospitalSystemInformation.example.org/observations//OBS-PHYS-001 (use: usual, )

status: completed

code: Examen físico: Hallazgos de trauma de contusión

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

effective: 2025-03-18 07:55:00+0000 --> 2025-03-18 08:05:00+0000

issued: 2025-03-18 08:05:00+0000

performer: Practitioner Alberto Andrés Camargo Alba(official)

value: Se evidencia contusión en la región frontal con leve edema y hematoma, sin signos de compromiso neurológico inmediato.

note: Examen físico realizado para evaluar el trauma por contusión. Los hallazgos indican contusión leve en región craneal, sin otras anomalías.

Entry 13 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-APH-Urgencias-Revision-Sistemas-01b7b7a25e71

Rec}:

Generated Narrative: Observation Example-Observation-APH-Urgencias-Revision-Sistemas-01b7b7a25e71

identifier: http://hospitalSystemInformation.example.org/observations//OBS-REVSYS-001 (use: usual, )

status: completed

code: Revisión por sistemas

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

effective: 2025-03-18 07:40:00+0000 --> 2025-03-18 07:50:00+0000

issued: 2025-03-18 07:50:00+0000

performer: Practitioner Alberto Andrés Camargo Alba(official)

value: Revisión por sistemas: Piel y anexos normales; sistema cardiovascular sin anomalías; sistema respiratorio sin alteraciones; sistema neurológico alerta; sistema gastrointestinal sin hallazgos significativos.

note: La revisión por sistemas fue completa y no se identificaron condiciones agudas adicionales.

Entry 14 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Observation/Example-Observation-APH-Urgencias-Triage-269e9c5eb301

Rec}:

Generated Narrative: Observation Example-Observation-APH-Urgencias-Triage-269e9c5eb301

identifier: http://hospitalSystemInformation.example.org/observations//OBS-TRIAGE-001 (use: usual, )

status: completed

code: Triage evaluación

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

effective: 2025-03-18 07:30:00+0000 --> 2025-03-18 07:35:00+0000

issued: 2025-03-18 07:35:00+0000

performer: Practitioner Alberto Andrés Camargo Alba(official)

value: Emergencia

note: Triage realizado: Paciente clasificado como emergente con signos vitales críticos y necesidad de intervención inmediata.

Entry 15 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Organization/Example-APH-Urgencias-Organization-a45fafc233dc

Rec}:

Generated Narrative: Organization Example-APH-Urgencias-Organization-a45fafc233dc

identifier: http://prestadores.minsalud.gov.co/habilitacion/1100177782 (use: official, )

active: true

name: Red de Ambulancias - Secretaría de Salud de Bogotá

Entry 16 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Patient/Example-APH-Urgencias-Patient-bdb7a6003025

Rec}:

Generated Narrative: Patient Example-APH-Urgencias-Patient-bdb7a6003025

NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

Other Id:Adulto sin Identificar/NN14032025095412 (use: temp, )

Entry 17 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Practitioner/Example-APH-Urgencias-Practitioner-84011d8e9b7b

Rec}:

Generated Narrative: Practitioner Example-APH-Urgencias-Practitioner-84011d8e9b7b

identifier: Cédula de Ciudadanía/70655555 (use: official, )

active: true

name: Alberto Andrés Camargo Alba(Official)

Entry 18 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/PractitionerRole/Example-APH-Urgencias-PractitionerRole-12b9154e5df0

Rec}:

Generated Narrative: PractitionerRole Example-APH-Urgencias-PractitionerRole-12b9154e5df0

active: true

practitioner: Practitioner Alberto Andrés Camargo Alba(official)

organization: Organization Red de Ambulancias - Secretaría de Salud de Bogotá

code: Paramédico

​healthcareService: HealthcareService/Example-HealthcareService-d9033d71532b

Entry 19 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/Procedure/Example-Procedure-APH-Urgencias-49bb54a1f81d

Rec}:

Generated Narrative: Procedure Example-Procedure-APH-Urgencias-49bb54a1f81d

identifier: http://hospitalSystemInformation.example.org/procedures//PROC-0001 (use: usual, )

status: Completed

code: Procedimiento de atención para contusión craneal

subject: NN NN(official) Male, DoB: 1985-06-15 ( Medical record number: 3642390034 (use: usual, ))

encounter: Encounter: extension = Demanda espontánea (Vías de ingreso#01); identifier = http://HIS_Source/#Enc_ABC123 (use: usual, ); status = finished; class = field (ActCode#FLD); serviceType = SERVICIO DE URGENCIAS; period = 2025-03-18 08:00:00+0000 --> 2025-03-18 08:30:00+0000

performed: 2025-03-18 08:30:00+0000 --> 2025-03-18 09:00:00+0000

recorder: Practitioner Alberto Andrés Camargo Alba(official)

asserter: Practitioner Alberto Andrés Camargo Alba(official)

Performers

-FunctionActorOnBehalfOf
*Atención prehospitalariaPractitioner Alberto Andrés Camargo Alba(official)Organization Red de Ambulancias - Secretaría de Salud de Bogotá

reasonReference: Condition Concussion without loss of consciousness, initial encounter

bodySite: Región craneal

note: Se realizó la intervención prehospitalaria siguiendo el protocolo para traumatismo craneal. Se atendió una contusión en la región craneal del paciente.

Entry 20 - fullUrl = https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/RelatedPerson/Example-RelatedPerson-APH-Urgencias-417a953f3a71

Rec}:

Generated Narrative: RelatedPerson Example-RelatedPerson-APH-Urgencias-417a953f3a71

identifier: Cédula de Ciudadanía/324345212 (use: official, )

patient: NN NN

relationship: Primer respondiente

name: Camila Quintana Roa(Official)

telecom: +57-300-123-4567