ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.1 - draft

ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: UNICAS-Alergia-ejemploBundle-00 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "UNICAS-Alergia-ejemploBundle-00",
  "meta" : {
    "profile" : [
      🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASBundleAlergias"
    ]
  },
  "identifier" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct/900000001000122104",
          "code" : "722446000",
          "display" : "registro de alergia"
        }
      ]
    },
    "system" : "urn:ietf:rfc:4122",
    "value" : "3669148d-4700-4883-8afa-d1eb33ffcff1"
  },
  "type" : "transaction",
  "timestamp" : "2025-02-18T11:28:17.239+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:9853881e-e66f-43b2-be40-4b815cf7246f",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "UNICAS-Encounter-ejemploEncounter-Alergia-00",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter"
          ]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_UNICAS-Encounter-ejemploEncounter-Alergia-00\"> </a>ejemplo descripción del episodio registrada en el sistema de información identificado</div>"
        },
        "identifier" : [
          {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-interacionClinica-ejemplo-00"
          }
        ],
        "status" : "completed",
        "class" : [
          {
            "coding" : [
              {
                "system" : "https://unicas-fhir.sanidad.gob.es/CodeSystem/CodigosActividadesUNICAS",
                "code" : "04",
                "display" : "Visitas a consulta externa"
              }
            ]
          }
        ],
        "serviceType" : [
          {
            "concept" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.724.4.21.5.9",
                  "code" : "ADM",
                  "display" : "Admisión"
                }
              ]
            }
          }
        ],
        "subject" : {
          "type" : "Patient",
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct/900000001000122104",
                  "code" : "1551000122105",
                  "display" : "código de identificación personal en el Sistema Nacional de Salud"
                }
              ]
            },
            "system" : "urn:oid:2.16.724.4.40",
            "value" : "BBBBBBBBQR648597"
          },
          "display" : "Maria Puig Grau"
        },
        "serviceProvider" : {
          "type" : "Organization",
          "identifier" : {
            "system" : "urn:oid:2.16.724.4.21.5.10",
            "value" : "0908005177"
          },
          "display" : "Hospital Sant Joan de Déu"
        },
        "participant" : [
          {
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code" : "PPRF",
                    "display" : "primary performer"
                  }
                ]
              }
            ],
            "actor" : {
              "type" : "Practitioner",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107",
                      "code" : "22851000122109",
                      "display" : "documento nacional de identidad"
                    }
                  ]
                },
                "system" : "urn:oid:1.3.6.1.4.1.19126.3",
                "value" : "0000001X"
              },
              "display" : "Eva Alabart"
            }
          }
        ],
        "appointment" : [
          {
            "type" : "Appointment",
            "identifier" : {
              "system" : "urn:regcess:0908005177",
              "value" : "id-interno-cita-ejemplo-00"
            }
          }
        ],
        "plannedStartDate" : "2025-04-10T11:28:17.239+00:00",
        "plannedEndDate" : "2025-04-14T11:28:17.239+00:00",
        "reason" : [
          {
            "value" : [
              {
                "concept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct/900000001000122104",
                      "code" : "195967001",
                      "display" : "asma"
                    }
                  ]
                }
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/Encounter?identifier=urn:regcess:0908005177|id-interno-interacionClinica-ejemplo-00"
      }
    },
    {
      "fullUrl" : "urn:uuid:d4c21e76-2723-47fc-b363-99d020a21df3",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "allergyIntolerance-00-alergia",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASAllergyIntolerance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_allergyIntolerance-00-alergia\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance allergyIntolerance-00-alergia</b></p><a name=\"allergyIntolerance-00-alergia\"> </a><a name=\"hcallergyIntolerance-00-alergia\"> </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=\"StructureDefinition-UNICASAllergyIntolerance.html\">AllergyIntolerance Alergia ÚNICAS</a></p></div><p><b>identifier</b>: <code>urn:regcess:0908005177</code>/id-interno-alergia-ejemplo-00</p><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>criticality</b>: Low Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct/900000001000122104 386965004}\">acarbosa</span></p><p><b>patient</b>: Maria Puig Grau (Identifier: código de identificación personal en el Sistema Nacional de Salud/BBBBBBBBQR648597)</p><p><b>encounter</b>: Identifier: <code>urn:regcess:0908005177</code>/id-interno-interacionClinica-ejemplo-00</p><p><b>onset</b>: 2024-08-23 11:28:17+0000</p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td>Eva Alabart (Identifier: documento nacional de identidad/0000001X)</td></tr></table><p><b>lastOccurrence</b>: 2024-08-23 11:28:17+0000</p><p><b>note</b>: </p><blockquote><div><p>ejemplo comentario</p>\n</div></blockquote><blockquote><p><b>reaction</b></p><p><b>substance</b>: <span title=\"Codes:{http://snomed.info/sct/900000001000122104 386965004}\">acarbosa</span></p><h3>Manifestations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct/900000001000122104 195967001}\">asma</span></td></tr></table><p><b>severity</b>: Mild</p></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-alergia-ejemplo-00"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "criticality" : "low",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct/900000001000122104",
              "code" : "386965004",
              "display" : "acarbosa"
            }
          ]
        },
        "patient" : {
          "type" : "Patient",
          "identifier" : {
            "type" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct/900000001000122104",
                  "code" : "1551000122105",
                  "display" : "código de identificación personal en el Sistema Nacional de Salud"
                }
              ]
            },
            "system" : "urn:oid:2.16.724.4.40",
            "value" : "BBBBBBBBQR648597"
          },
          "display" : "Maria Puig Grau"
        },
        "encounter" : {
          "type" : "Encounter",
          "identifier" : {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-interacionClinica-ejemplo-00"
          }
        },
        "onsetDateTime" : "2024-08-23T11:28:17.239+00:00",
        "participant" : [
          {
            "actor" : {
              "type" : "Practitioner",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107",
                      "code" : "22851000122109",
                      "display" : "documento nacional de identidad"
                    }
                  ]
                },
                "system" : "urn:oid:1.3.6.1.4.1.19126.3",
                "value" : "0000001X"
              },
              "display" : "Eva Alabart"
            }
          }
        ],
        "lastOccurrence" : "2024-08-23T11:28:17.239+00:00",
        "note" : [
          {
            "text" : "ejemplo comentario"
          }
        ],
        "reaction" : [
          {
            "substance" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct/900000001000122104",
                  "code" : "386965004",
                  "display" : "acarbosa"
                }
              ]
            },
            "manifestation" : [
              {
                "concept" : {
                  "coding" : [
                    {
                      "system" : "http://snomed.info/sct/900000001000122104",
                      "code" : "195967001",
                      "display" : "asma"
                    }
                  ]
                }
              }
            ],
            "severity" : "mild"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/AllergyIntolerance?identifier=urn:regcess:0908005177|id-interno-alergia-ejemplo-00"
      }
    }
  ]
}

ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.