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-Prescripcion-ejemploBundle-00 - JSON Representation

Raw json | Download

{
  "resourceType" : "Bundle",
  "id" : "UNICAS-Prescripcion-ejemploBundle-00",
  "meta" : {
    "profile" : [
      🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPrescripcionesHospitalarias"
    ]
  },
  "identifier" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct/900000001000122104",
          "code" : "440545006",
          "display" : "registro de prescripción"
        }
      ]
    },
    "system" : "urn:ietf:rfc:4122",
    "value" : "39a1213e-b8e3-4647-b486-ebf557ee8c3a"
  },
  "type" : "transaction",
  "timestamp" : "2025-02-19T11:28:17.239+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:7b7f93f6-33aa-4fcd-91a8-ee647f093fd7",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "UNICAS-Encounter-ejemploEncounter-Prescripcion-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-Prescripcion-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" : "05",
                "display" : "Farmacia y terapias avanzadas"
              }
            ]
          }
        ],
        "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" : "2025-03-10T13:28:17.239+02:00",
        "plannedEndDate" : "2025-03-14T13:28:17.239+02:00",
        "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:3a6f6ac9-219e2-4b13-aa54-665b8e1814d5",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "medication-00-prescripcion",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_medication-00-prescripcion\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication medication-00-prescripcion</b></p><a name=\"medication-00-prescripcion\"> </a><a name=\"hcmedication-00-prescripcion\"> </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-UNICASMedication.html\">Medication Medicación ÚNICAS</a></p></div><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct/900000001000122104 246981000140101}\">ejemplo nombre comercial del producto</span></p><p><b>status</b>: Active</p><p><b>doseForm</b>: <span title=\"Codes:{urn:oid:2.16.724.4.21.5.14.1 42}\">COMPRIMIDO RECUBIERTO CON PELÍCULA</span></p><blockquote><p><b>ingredient</b></p><h3>Items</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 761851004}\">abemaciclib</span></td></tr></table></blockquote></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct/900000001000122104",
              "code" : "246981000140101",
              "display" : "abemaciclib"
            }
          ],
          "text" : "ejemplo nombre comercial del producto"
        },
        "status" : "active",
        "doseForm" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.724.4.21.5.14.1",
              "code" : "42",
              "display" : "COMPRIMIDO RECUBIERTO CON PELÍCULA"
            }
          ]
        },
        "ingredient" : [
          {
            "item" : {
              "concept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct/900000001000122104",
                    "code" : "761851004",
                    "display" : "abemaciclib"
                  }
                ]
              }
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/Medication?code=http://snomed.info/sct/900000001000122104|246981000140101"
      }
    },
    {
      "fullUrl" : "urn:uuid:29396c48-fae8-4ac9-a40d-600d4ef0778e",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "medicationAdministration-00-prescripcion",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedicationAdministration"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_medicationAdministration-00-prescripcion\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationAdministration medicationAdministration-00-prescripcion</b></p><a name=\"medicationAdministration-00-prescripcion\"> </a><a name=\"hcmedicationAdministration-00-prescripcion\"> </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-UNICASMedicationAdministration.html\">MedicationAdministration Prescripción ÚNICAS</a></p></div><p><b>identifier</b>: <code>urn:regcess:0908005177</code>/id-interno-prescripcion-ejemplo-00</p><p><b>status</b>: Completed</p><h3>Medications</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 246981000140101}\">ejemplo nombre comercial del producto</span></td></tr></table><p><b>subject</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>occurence</b>: 2024-07-23 11:28:17+0000 --&gt; 2024-08-23 11:28:17+0000</p><p><b>recorded</b>: 2024-08-23 11:28:17+0000</p><blockquote><p><b>performer</b></p><h3>Actors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td>Eva Alabart (Identifier: documento nacional de identidad/0000001X)</td></tr></table></blockquote><h3>Dosages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Route</b></td><td><b>Dose</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>ejemplo comentarios para el farmacéutico</td><td><span title=\"Codes:{urn:oid:2.16.724.4.21.5.14.2 54}\">VÍA ORAL</span></td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td><td>8 hour per day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh/d = 'h/d')</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-prescripcion-ejemplo-00"
          }
        ],
        "status" : "completed",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct/900000001000122104",
                "code" : "246981000140101",
                "display" : "abemaciclib"
              }
            ],
            "text" : "ejemplo nombre comercial del producto"
          }
        },
        "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"
        },
        "encounter" : {
          "type" : "Encounter",
          "identifier" : {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-interacionClinica-ejemplo-00"
          }
        },
        "occurencePeriod" : {
          "start" : "2024-07-23T11:28:17.239+00:00",
          "end" : "2024-08-23T11:28:17.239+00:00"
        },
        "recorded" : "2024-08-23T11:28:17.239+00:00",
        "performer" : [
          {
            "actor" : {
              "reference" : {
                "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"
              }
            }
          }
        ],
        "dosage" : {
          "text" : "ejemplo comentarios para el farmacéutico",
          "route" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.724.4.21.5.14.2",
                "code" : "54",
                "display" : "VÍA ORAL"
              }
            ]
          },
          "dose" : {
            "value" : 0.5,
            "unit" : "milligram",
            "system" : "http://unitsofmeasure.org",
            "code" : "mg"
          },
          "rateQuantity" : {
            "value" : 8,
            "unit" : "hour per day",
            "system" : "http://unitsofmeasure.org",
            "code" : "h/d"
          }
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/MedicationAdministration?identifier=urn:regcess:0908005177|id-interno-prescripcion-ejemplo-00"
      }
    },
    {
      "fullUrl" : "urn:uuid:f3fc61f1-d31c-4ca1-b01d-a5d8ec36f749",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "medication-00-activa",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_medication-00-activa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication medication-00-activa</b></p><a name=\"medication-00-activa\"> </a><a name=\"hcmedication-00-activa\"> </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-UNICASMedication.html\">Medication Medicación ÚNICAS</a></p></div><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct/900000001000122104 156301000140108}\">ejemplo nombre comercial del producto</span></p><p><b>status</b>: Active</p><p><b>doseForm</b>: <span title=\"Codes:{urn:oid:2.16.724.4.21.5.14.1 42}\">COMPRIMIDO RECUBIERTO CON PELÍCULA</span></p><blockquote><p><b>ingredient</b></p><h3>Items</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 714086004}\">bedaquilina</span></td></tr></table></blockquote></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct/900000001000122104",
              "code" : "156301000140108",
              "display" : "bedaquilina"
            }
          ],
          "text" : "ejemplo nombre comercial del producto"
        },
        "status" : "active",
        "doseForm" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.724.4.21.5.14.1",
              "code" : "42",
              "display" : "COMPRIMIDO RECUBIERTO CON PELÍCULA"
            }
          ]
        },
        "ingredient" : [
          {
            "item" : {
              "concept" : {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct/900000001000122104",
                    "code" : "714086004",
                    "display" : "bedaquilina"
                  }
                ]
              }
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/Medication?code=http://snomed.info/sct/900000001000122104|156301000140108"
      }
    },
    {
      "fullUrl" : "urn:uuid:f9a9bcac-16ed-44a3-a7ba-68e39f45b606",
      "resource" : {
        "resourceType" : "MedicationStatement",
        "id" : "medicationStatement-00-medicacionActiva",
        "meta" : {
          "profile" : [
            🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASMedicationStatement"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_medicationStatement-00-medicacionActiva\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement medicationStatement-00-medicacionActiva</b></p><a name=\"medicationStatement-00-medicacionActiva\"> </a><a name=\"hcmedicationStatement-00-medicacionActiva\"> </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-UNICASMedicationStatement.html\">MedicationStatement Prescripción ÚNICAS</a></p></div><p><b>identifier</b>: <code>urn:regcess:0908005177</code>/id-interno-prescripcionactiva-ejemplo-00</p><p><b>status</b>: Recorded</p><h3>Medications</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 156301000140108}\">ejemplo nombre comercial del producto</span></td></tr></table><p><b>subject</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>effective</b>: 2024-07-23 11:28:17+0000 --&gt; 2024-08-23 11:28:17+0000</p><p><b>informationSource</b>: Eva Alabart (Identifier: documento nacional de identidad/0000001X)</p><blockquote><p><b>dosage</b></p><p><b>text</b>: ejemplo comentarios para el farmacéutico</p><p><b>route</b>: <span title=\"Codes:{urn:oid:2.16.724.4.21.5.14.2 54}\">VÍA ORAL</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td><td><b>Rate[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>0.5 milligram<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></td><td>8 hour per day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh/d = 'h/d')</span></td></tr></table></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-prescripcionactiva-ejemplo-00"
          }
        ],
        "status" : "recorded",
        "medication" : {
          "concept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct/900000001000122104",
                "code" : "156301000140108",
                "display" : "bedaquilina"
              }
            ],
            "text" : "ejemplo nombre comercial del producto"
          }
        },
        "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"
        },
        "encounter" : {
          "type" : "Encounter",
          "identifier" : {
            "system" : "urn:regcess:0908005177",
            "value" : "id-interno-interacionClinica-ejemplo-00"
          }
        },
        "effectivePeriod" : {
          "start" : "2024-07-23T11:28:17.239+00:00",
          "end" : "2024-08-23T11:28:17.239+00:00"
        },
        "informationSource" : [
          {
            "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"
          }
        ],
        "dosage" : [
          {
            "text" : "ejemplo comentarios para el farmacéutico",
            "route" : {
              "coding" : [
                {
                  "system" : "urn:oid:2.16.724.4.21.5.14.2",
                  "code" : "54",
                  "display" : "VÍA ORAL"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 0.5,
                  "unit" : "milligram",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "mg"
                },
                "rateQuantity" : {
                  "value" : 8,
                  "unit" : "hour per day",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "h/d"
                }
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "[base]/MedicationStatement?identifier=urn:regcess:0908005177|id-interno-prescripcionactiva-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.