{
  "resourceType": "Bundle",
  "id": "Resumen-HC-IPS-SaludDigital.ar",
  "meta": {
    "lastUpdated": "2018-01-26T17:30:00+00:00"
  },
  "language": "es-AR",
  "entry": [
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Composition/IPS-examples-Composition-01",
      "resource": {
        "id": "IPS-Composition-01",
        "subject": {
          "reference": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01"
        },
        "section": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "display": "Problem list",
                  "code": "11450-4"
                }
              ]
            },
            "entry": [
              {
                "reference": "http://hapi.fhir.org/baseR4/Condition/IPS-examples-Condition-01"
              }
            ],
            "title": "Problemas",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">asma (trastorno)</div>"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "display": "Medication use",
                  "code": "10160-0"
                }
              ]
            },
            "entry": [
              {
                "reference": "http://hapi.fhir.org/baseR4/MedicationStatement/IPS-examples-MedicationStatement-01"
              }
            ],
            "title": "Medicamentos",
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table>\n                                <thead>\n                                    <tr>\n                                        <th>Medicamento</th>\n                                        <th>Strength</th>\n                                        <th>Forma</th>\n                                        <th>Dosis</th>\n                                        <th>Comentario</th>\n                                    </tr>\n                                </thead>\n                                <tbody>\n                                    <tr>\n                                        <td>salbutamol (sustancia)</td>\n                                        <td>200 mcg</td>\n                                        <td>disparo</td>\n                                        <td>uno por día</td>\n                                        <td>tratamiento de asma</td>\n                                    </tr>\n                                                          </tbody>\n                            </table>\n                        </div>"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "display": "Allergies and/or adverse reactions",
                  "code": "48765-2"
                }
              ]
            },
            "entry": [
              {
                "reference": "http://hapi.fhir.org/baseR4/AllergyIntolerance/IPS-examples-AllergyIntolerance-01"
              }
            ],
            "title": "Alergias",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Alergia a penicilina (trastorno), criticidad alta, activo</div>"
            }
          },
          {
            "title": "Vacunas",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">producto que contiene solamente antígeno de virus de la influenza (producto medicinal)</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "display": "Immunization record",
                  "code": "60484-3"
                }
              ]
            },
            "entry": [
              {
                "reference": "http://hapi.fhir.org/baseR4/Immunization/IPS-examples-Immunization-01"
              }
            ]
          }
        ],
        "resourceType": "Composition",
        "author": [
          {
            "reference": "http://hapi.fhir.org/baseR4/Device/IPS-examples-Device-01"
          }
        ],
        "confidentiality": "N",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "display": "Patient Summary",
              "code": "60591-5"
            }
          ]
        },
        "title": "Resumen del paciente al 26 de Enero de 2018, 14:30hs",
        "identifier": {
          "system": "http://hospitalPintos.org.ar/Composition",
          "value": "10501"
        },
        "date": "2018-01-26T17:30:00+00:00",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/composition-uv-ips"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-Composition-01</p><p><b>meta</b>: </p><p><b>text</b>: </p><p><b>identifier</b>: 10501</p><p><b>status</b>: FINAL</p><p><b>type</b>: Patient Summary <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '60591-5' = 'Patient summary Document', given as 'Patient Summary'})</span></p><p><b>date</b>: 26/01/2018 14:30:00 PM</p><p><b>author</b>: <a href=\"#device_IPS-examples-Device-01\">Generated Summary: id: IPS-examples-Device-01; Sistema HCE del Hospital Municipal Dr Angel Pintos </a></p><p><b>title</b>: Patient Summary as of January 26, 2018 14:30</p><p><b>confidentiality</b>: N</p><blockquote><p><b>attester</b></p><p><b>mode</b>: LEGAL</p><p><b>time</b>: 26/01/2018 2:30:00 PM</p><p><b>party</b>: <a href=\"#organization_IPS-examples-Organization-01\">Generated Summary: id: IPS-examples-Organization-01; 14999912399913; active; Hospital Municipal Hospital Doctor Ángel Pintos </a></p></blockquote><p><b>custodian</b>: <a href=\"#organization_IPS-examples-Organization-01\">Generated Summary: id: IPS-examples-Organization-01; http://hospitalPintos.org.ar; active; name: Hospital Municipal Hospital Doctor Ángel Pintos / Dominio; ph: +54 02281 43-5200(WORK)</a></p></div>"
        },
        "custodian": {
          "reference": "http://hapi.fhir.org/baseR4/Organization/IPS-examples-Organization-01"
        },
        "attester": [
          {
            "mode": "legal",
            "time": "2018-01-26T17:30:00+00:00",
            "party": {
              "reference": "http://hapi.fhir.org/baseR4/Organization/IPS-examples-Organization-01"
            }
          }
        ],
        "status": "final"
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01",
      "resource": {
        "id": "IPS-examples-Patient-01",
        "gender": "female",
        "telecom": [
          {
            "system": "phone",
            "value": "44318113"
          }
        ],
        "birthDate": "1969-11-01",
        "identifier": [
          {
            "system": "http://hospitalPintos.org.ar/Patient",
            "value": "9000022"
          },
          {
            "system": "http://www.renaper.gob.ar/dni",
            "value": "99999999"
          }
        ],
        "resourceType": "Patient",
        "active": "true",
        "name": [
          {
            "family": "Villareal",
            "given": [
              "Maria",
              "Victoria"
            ],
            "_family": {
              "extension": [
                {
                  "url": "https://federador.msal.gob.ar/primer_apellido",
                  "valueString": "Villareal"
                }
              ]
            },
            "text": "Villareal Maria Victoria"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Device/IPS-examples-Device-01",
      "resource": {
        "resourceType": "Device",
        "id": "IPS-examples-Device-01",
        "identifier": [
          {
            "system": "http://hospitalPintos.org.ar/Device",
            "value": "HCE_HtalPintos_v1.0"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "462894001",
              "display": "software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)"
            }
          ]
        },
        "owner": {
          "reference": "http://argentina.gob.ar/salud/refes/Organization/14999912399913"
        },
        "deviceName": [
          {
            "name": "Sistema HCE del Hospital Municipal Dr Angel Pintos",
            "type": "manufacturer-name"
          }
        ]
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Organization/IPS-examples-Organization-01",
      "resource": {
        "active": true,
        "address": [
          {
            "use": "work",
            "line": [
              "Amado Diab 270,"
            ],
            "country": "Argentina",
            "city": "Azul",
            "postalCode": "B7300"
          }
        ],
        "id": "IPS-examples-Organization-01",
        "telecom": [
          {
            "system": "phone",
            "value": "+54 02281 43-5200",
            "use": "work"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-Organization-01</p><p><b>text</b>: </p><p><b>identifier</b>: 14999912399913</p><p><b>active</b>: true</p><p><b>name</b>: Hospital Municipal Hospital Doctor Ángel Pintos</p><p><b>telecom</b>: ph: +54 02281 43-5200</p><p><b>address</b>: Amado Diab 270, B7300 Azul, Buenos Aires, Argentina</p></div>"
        },
        "identifier": [
          {
            "system": "http://argentina.gob.ar/salud/refes",
            "value": "14999912399913"
          },
          {
            "system": "http://argentina.gob.ar/salud/bus-interoperabilidad/dominio",
            "value": "http://hospitalPintos.org.ar"
          }
        ],
        "resourceType": "Organization",
        "name": "Hospital Municipal Hospital Doctor Ángel Pintos"
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Condition/IPS-examples-Condition-01",
      "resource": {
        "id": "IPS-examples-Condition-01",
        "category": [
          {
            "coding": [
              {
                "system": "http://loinc.org",
                "display": "Problem",
                "code": "75326-9"
              }
            ]
          }
        ],
        "subject": {
          "reference": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01"
        },
        "onsetDateTime": "2016",
        "resourceType": "Condition",
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "code": "195967001",
              "system": "http://snomed.info/sct",
              "display": "asma (trastorno)"
            }
          ]
        },
        "recordedDate": "2016-10",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/condition-uv-ips"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-Condition-01</p><p><b>meta</b>: </p><p><b>text</b>: </p><p><b>identifier</b>: c87bf51c-e53c-4bfe-b8b7-aa62bdd93002</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-clinical code 'active' = 'Active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/condition-ver-status code 'confirmed' = 'Confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '75326-9' = 'Problem', given as 'Problem'})</span></p><p><b>severity</b>: Moderate <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code 'LA6751-7' = 'LA6751-7', given as 'Moderate'})</span></p><p><b>code</b>: Menopausal flushing (finding) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '198436008' = 'Hot flush', given as 'Menopausal flushing (finding)'})</span></p><p><b>subject</b>: <a href=\"#patient_IPS-examples-Patient-01\">Generated Summary: id: IPS-examples-Patient-01; 574687583; active; Martha DeLarosa ; ph: +31788700800(HOME); FEMALE; birthDate: 01/05/1972</a></p><p><b>recordedDate</b>: 01/10/2016</p></div>"
        },
        "severity": {
          "coding": [
            {
              "system": "http://loinc.org",
              "display": "Moderate",
              "code": "LA6751-7"
            }
          ]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active"
            }
          ]
        }
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/MedicationStatement/IPS-examples-MedicationStatement-01",
      "resource": {
        "status": "active",
        "medicationReference": {
          "reference": "http://hapi.fhir.org/baseR4/Medication/IPS-examples-Medication-01"
        },
        "dosage": [
          {
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "display": "vía de administración en el tracto respiratorio (calificador)",
                  "code": "447694001"
                }
              ]
            },
            "timing": {
              "repeat": {
                "count": 1,
                "periodUnit": "d"
              }
            },
            "doseAndRate": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "display": "Ordered",
                      "code": "ordered"
                    }
                  ]
                },
                "doseQuantity": {
                  "code": "732981002",
                  "value": 1,
                  "system": "http://snomed.info/sct",
                  "unit": "disparo (unidad de presentación)"
                }
              }
            ]
          }
        ],
        "id": "IPS-examples-MedicationStatement-01",
        "effectivePeriod": {
          "start": "2015-03"
        },
        "subject": {
          "reference": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01"
        },
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/medicationstatement-uv-ips"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-MedicationStatement-01</p><p><b>meta</b>: </p><p><b>text</b>: </p><p><b>identifier</b>: b75f92cb-61d4-469a-9387-df5ef70d25f0</p><p><b>status</b>: ACTIVE</p><p><b>medication</b>: <a href=\"#medication_IPS-examples-Medication-01\">Generated Summary: id: IPS-examples-Medication-01; <span title=\"Codes: {http://snomed.info/sct 108774000}, {urn:oid:2.16.840.1.113883.2.4.4.1 99872}, {urn:oid:2.16.840.1.113883.2.4.4.7 2076667}\">Anastrozole (product)</span></a></p><p><b>subject</b>: <a href=\"#patient_IPS-examples-Patient-01\">Generated Summary: id: IPS-examples-Patient-01; 574687583; active; Martha DeLarosa ; ph: +31788700800(HOME); FEMALE; birthDate: 01/05/1972</a></p><p><b>effective</b>: 01/03/2015 --&gt; (ongoing)</p><p><b>dosage</b>: </p></div>"
        },
        "resourceType": "MedicationStatement"
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Medication/IPS-examples-Medication-01",
      "resource": {
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "display": "producto que contiene exactamente salbutamol 200 microgramos/disparo en polvo de liberación convencional para administración por inhalación (fármaco de uso clínico)",
              "code": "770301006"
            }
          ]
        },
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "display": "disparo (unidad de presentación)",
              "code": "732981002"
            }
          ]
        },
        "ingredient": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "display": "salbutamol (sustancia)",
                  "code": "372897005"
                }
              ]
            },
            "isActive": true,
            "strength": {
              "numerator": {
                "value": 200,
                "unit": "mcg"
              },
              "denominator": {
                "value": 1,
                "unit": "disparo"
              }
            }
          }
        ],
        "id": "IPS-examples-Medication-01",
        "resourceType": "Medication",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/medication-uv-ips"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-Medication-01</p><p><b>meta</b>: </p><p><b>text</b>: </p><p><b>code</b>: producto que contiene exactamente salbutamol 200 microgramos/disparo en polvo de liberación convencional para administración por inhalación (fármaco de uso clínico) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '770301006' = 'producto que contiene exactamente salbutamol 200 microgramos/disparo en polvo de liberación convencional para administración por inhalación (fármaco de uso clínico)', given as 'Anastrozole (product)'};</span></p></div>"
        }
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/AllergyIntolerance/IPS-examples-AllergyIntolerance-01",
      "resource": {
        "category": [
          "medication"
        ],
        "criticality": "high",
        "patient": {
          "reference": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01"
        },
        "id": "IPS-examples-AllergyIntolerance-01",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "display": "alergia a la penicilina (trastorno)",
              "code": "91936005"
            }
          ]
        },
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/ips/StructureDefinition/allergyintolerance-uv-ips"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: IPS-examples-AllergyIntolerance-01</p><p><b>meta</b>: </p><p><b>text</b>: </p><p><b>identifier</b>: 3a462598-009c-484a-965c-d6b24a821424</p><p><b>type</b>: ALLERGY</p><p><b>category</b>: MEDICATION</p><p><b>criticality</b>: HIGH</p><p><b>code</b>: Penicillin -class of antibiotic- (substance) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '373270004' = 'Penicillin -class of antibiotic- (substance)', given as 'Penicillin -class of antibiotic- (substance)'})</span></p><p><b>patient</b>: <a href=\"#patient_IPS-examples-Patient-01\">Generated Summary: id: IPS-examples-Patient-01; 574687583; active; Martha DeLarosa ; ph: +31788700800(HOME); FEMALE; birthDate: 01/05/1972</a></p></div>"
        },
        "resourceType": "AllergyIntolerance",
        "type": "allergy",
        "onsetDateTime": "2010"
      }
    },
    {
      "fullUrl": "http://hapi.fhir.org/baseR4/Immunization/IPS-examples-Immunization-01",
      "resource": {
        "resourceType": "Immunization",
        "id": "IPS-examples-Immunization-01",
        "status": "completed",
        "notGiven": false,
        "vaccineCode": {
          "coding": [
            {
              "system": "https://snomed.info/sct/11000221109/id/228100022110",
              "code": "1181000221105",
              "display": "producto que contiene solamente antígeno de virus de la influenza (producto medicinal)"
            }
          ]
        },
        "patient": {
          "reference": "http://hapi.fhir.org/baseR4/Patient/IPS-examples-Patient-01"
        },
        "occurrenceDateTime": "2017-05-22",
        "primarySource": true,
        "location": {
          "reference": "http://argentina.gob.ar/salud/refes/Location/14999912399913"
        },
        "lotNumber": "649718",
        "expirationDate": "2017-12-22",
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "429060002",
                "display": "procedimiento para cumplir con el requerimiento ocupacional (procedimiento)"
              },
              {
                "system": "http://saluddigital.ar/valueSet/NOMIVAC-condicion-code",
                "code": "17",
                "display": "Personal de Salud"
              }
            ]
          }
        ],
        "isSubpotent": false,
        "protocolApplied": [
          {
            "series": "Antigripal Esquema Personal de Salud",
            "extension": [
              {
                "url": "http://saluddigital.ar/fhir/esquema",
                "valueCoding": {
                  "system": "http://saluddigital.ar/valueSet/NOMIVAC-esquema-code",
                  "code": "81",
                  "display": "Antigripal Esquema Personal de Salud"
                }
              }
            ],
            "targetDisease": [
              {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "6142004",
                    "display": "gripe (trastorno)"
                  }
                ]
              }
            ],
            "doseNumberPositiveInt": 1
          }
        ]
      }
    }
  ],
  "type": "document",
  "identifier": {
    "system": "http://hospitalPintos.org.ar/Bundle",
    "value": "12000345"
  }
}