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
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🔗 "https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPrescripcionesHospitalarias"
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"coding" : [
{
"system" : "http://snomed.info/sct/900000001000122104",
"code" : "440545006",
"display" : "registro de prescripción"
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"system" : "urn:ietf:rfc:4122",
"value" : "39a1213e-b8e3-4647-b486-ebf557ee8c3a"
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"type" : "transaction",
"timestamp" : "2025-02-19T11:28:17.239+00:00",
"entry" : [
{
"fullUrl" : "urn:uuid:7b7f93f6-33aa-4fcd-91a8-ee647f093fd7",
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"id" : "UNICAS-Encounter-ejemploEncounter-Prescripcion-00",
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"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" : [
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"system" : "urn:regcess:0908005177",
"value" : "id-interno-interacionClinica-ejemplo-00"
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],
"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"
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]
},
"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"
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"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"
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"display" : "Eva Alabart"
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"appointment" : [
{
"type" : "Appointment",
"identifier" : {
"system" : "urn:regcess:0908005177",
"value" : "id-interno-cita-ejemplo-00"
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"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"
}
]
}
}
]
}
]
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"request" : {
"method" : "PUT",
"url" : "[base]/Encounter?identifier=urn:regcess:0908005177|id-interno-interacionClinica-ejemplo-00"
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},
{
"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"
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"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"
}
]
}
}
}
]
},
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"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"
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"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 --> 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>"
},
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{
"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"
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},
"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 --> 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"
}
}
]
}