Envío de documentos - Guía de Implementación Core de Costa Rica v0.1.0

Guía de Implementación Core de Costa Rica - Versión en desarrollo (v0.1.0): borrador de trabajo de la Iniciativa HL7® Costa Rica, que puede cambiar sin aviso.

Perfil de los recursos: Envío de documentos

URL oficial: https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-envio-documentos				Versión: 0.1.0	¿Resaltar los cambios en el texto?
Standards status: Draft					Nombre computable: CRBundleEnvioDocumentos

Transacción con que un sistema envía documentos clínicos al HIE de Costa Rica: el lote de envío, una referencia por documento, los documentos (el Bundle de cada documento FHIR o el Binary de cada PDF) y la firma de cada documento FHIR. Es atómica: se guarda todo o nada. Adaptada de IHE MHD ITI-65.

Usos:

Examples for this Perfil: Bundle/ejemplo-envio-informe-imagenes

También puede consultar los usos en las estadísticas de IG de FHIR

Vistas formales del contenido del perfil

Descripción de perfiles, diferenciales, instantáneas y sus representaciones.

Tabla de elementos clave
Tabla diferencial
Tabla de instantáneas
Estadísticas/Referencias
Todos

Nombre	Marcas	Card.	Tipo	Descripción y restricciones Filter: Obligaciones Restricciones Vinculaciones
Bundle	C	0..*	Bundle	Envío de documentos al HIE: el lote, las referencias, los documentos y sus firmas Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d, cr-envio-firma-documento
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
type	ΣC	1..1	code	transaction (valor fijo) Vinculación: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
Slices for entry	SΣC	2..*	BackboneElement	El lote, las referencias, los documentos y sus firmas Slice: Sin orden, Closed by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	SΣC	1..1	Resource	A resource in the bundle
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:lote	SΣC	1..1	BackboneElement	Lote de envío Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRListLoteEnvio	Lote de envío: las referencias que un sistema envía juntas al HIE
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:referencias	SΣC	1..*	BackboneElement	Una referencia por documento Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRDocumentReference	Referencia a documento: la ficha del documento en el HIE
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:documentos	SΣC	0..*	BackboneElement	Documento clínico FHIR (Bundle de tipo document), con PUT a Bundle/<id> Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRBundleDocumento	Documento clínico completo: el encabezado y los recursos que referencia
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT (valor fijo) Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PUT
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:pdf	SΣC	0..*	BackboneElement	Documento en PDF (Binary) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	SΣC	1..1	Binary	A resource in the bundle
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:firmas	SΣC	0..*	BackboneElement	Firma de un documento FHIR del envío (detached) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRProvenanceFirmaDocumento	Firma digital de un documento clínico, separada del documento
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentación de este formato

Vinculaciones terminológicas

Ruta	Estado	Uso	ValueSet	Versión	Fuente
Bundle.type	Base	required	Bundle Type	📍5.0.0	Estándar FHIR
Bundle.entry.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:lote.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
bdl-1	error	Bundle	total only when a search or history	`total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2	error	Bundle	entry.search only when a search	`(type = 'searchset') or entry.search.empty()`
bdl-5	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	must be a resource unless there's a request or response	`resource.exists() or request.exists() or response.exists()`
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	fullUrl cannot be a version specific reference	`fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9	error	Bundle	A document must have an identifier with a system and a value	`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10	error	Bundle	A document must have a date	`type = 'document' implies (timestamp.hasValue())`
bdl-11	error	Bundle	A document must have a Composition as the first resource	`type = 'document' implies entry.first().resource.is(Composition)`
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	`type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	`type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	`type = 'history' implies entry.request.method != 'PATCH'`
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	`type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	`issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	`type = 'document' implies issues.empty()`
bdl-18	error	Bundle	Self link is required for searchsets.	`type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	`type in ('document' \| 'message' \| 'searchset' \| 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	`type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	`type in ('transaction' \| 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	`type in ('transaction-response' \| 'batch-response') implies entry.all(response.exists())`
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`
ele-1	error	TODOS los elementos	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	TODAS las extensiones	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Esta estructura se deriva de Bundle .

Nombre	Marcas	Card.	Tipo	Descripción y restricciones Filter: Obligaciones Restricciones Vinculaciones
Bundle	C	0..*	Bundle	Envío de documentos al HIE: el lote, las referencias, los documentos y sus firmas Constraints: cr-envio-firma-documento
type		1..1	code	transaction (valor fijo) Required Pattern: transaction
Slices for entry	S	2..*	BackboneElement	El lote, las referencias, los documentos y sus firmas Slice: Sin orden, Closed by type:resource
entry:All Slices				Content/Rules for all slices
fullUrl	S	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	Resource	A resource in the bundle
request	S	1..1	BackboneElement	Additional execution information (transaction/batch/history)
method	S	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás
entry:lote	S	1..1	BackboneElement	Lote de envío
resource		1..1	CRListLoteEnvio	Lote de envío: las referencias que un sistema envía juntas al HIE
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:referencias	S	1..*	BackboneElement	Una referencia por documento
resource		1..1	CRDocumentReference	Referencia a documento: la ficha del documento en el HIE
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:documentos	S	0..*	BackboneElement	Documento clínico FHIR (Bundle de tipo document), con PUT a Bundle/<id>
resource		1..1	CRBundleDocumento	Documento clínico completo: el encabezado y los recursos que referencia
request
method		1..1	code	PUT (valor fijo) Required Pattern: PUT
entry:pdf	S	0..*	BackboneElement	Documento en PDF (Binary)
resource		1..1	Binary	A resource in the bundle
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:firmas	S	0..*	BackboneElement	Firma de un documento FHIR del envío (detached)
resource		1..1	CRProvenanceFirmaDocumento	Firma digital de un documento clínico, separada del documento
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
Documentación de este formato

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`

Descripción y restricciones Filter: Filters

Bundle

0..*

Bundle

Envío de documentos al HIE: el lote, las referencias, los documentos y sus firmas
Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d, cr-envio-firma-documento

0..1

Logical id of this artifact

Vinculaciones terminológicas

Ruta	Estado	Uso	ValueSet	Versión	Fuente
Bundle.language	Base	required	All Languages	📍5.0.0	Estándar FHIR
Bundle.type	Base	required	Bundle Type	📍5.0.0	Estándar FHIR
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	Estándar FHIR
Bundle.entry.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:lote.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:lote.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
bdl-1	error	Bundle	total only when a search or history	`total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2	error	Bundle	entry.search only when a search	`(type = 'searchset') or entry.search.empty()`
bdl-5	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	must be a resource unless there's a request or response	`resource.exists() or request.exists() or response.exists()`
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	fullUrl cannot be a version specific reference	`fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9	error	Bundle	A document must have an identifier with a system and a value	`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10	error	Bundle	A document must have a date	`type = 'document' implies (timestamp.hasValue())`
bdl-11	error	Bundle	A document must have a Composition as the first resource	`type = 'document' implies entry.first().resource.is(Composition)`
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	`type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	`type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	`type = 'history' implies entry.request.method != 'PATCH'`
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	`type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	`issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	`type = 'document' implies issues.empty()`
bdl-18	error	Bundle	Self link is required for searchsets.	`type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	`type in ('document' \| 'message' \| 'searchset' \| 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	`type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	`type in ('transaction' \| 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	`type in ('transaction-response' \| 'batch-response') implies entry.all(response.exists())`
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`
ele-1	error	TODOS los elementos	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	TODAS las extensiones	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Esta estructura se deriva de Bundle .

Resumen

Obligatorios: 3 elementos(2 nested mandatory elementos)
Must-Support: 10 elementos

Estructuras

Esta estructura hace referencia a estas otras estructuras:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Bundle.entry (Closed)

Vista de elementos clave

Nombre	Marcas	Card.	Tipo	Descripción y restricciones Filter: Obligaciones Restricciones Vinculaciones
Bundle	C	0..*	Bundle	Envío de documentos al HIE: el lote, las referencias, los documentos y sus firmas Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d, cr-envio-firma-documento
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
type	ΣC	1..1	code	transaction (valor fijo) Vinculación: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
Slices for entry	SΣC	2..*	BackboneElement	El lote, las referencias, los documentos y sus firmas Slice: Sin orden, Closed by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	SΣC	1..1	Resource	A resource in the bundle
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:lote	SΣC	1..1	BackboneElement	Lote de envío Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRListLoteEnvio	Lote de envío: las referencias que un sistema envía juntas al HIE
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:referencias	SΣC	1..*	BackboneElement	Una referencia por documento Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRDocumentReference	Referencia a documento: la ficha del documento en el HIE
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:documentos	SΣC	0..*	BackboneElement	Documento clínico FHIR (Bundle de tipo document), con PUT a Bundle/<id> Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRBundleDocumento	Documento clínico completo: el encabezado y los recursos que referencia
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT (valor fijo) Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PUT
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:pdf	SΣC	0..*	BackboneElement	Documento en PDF (Binary) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	SΣC	1..1	Binary	A resource in the bundle
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
entry:firmas	SΣC	0..*	BackboneElement	Firma de un documento FHIR del envío (detached) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	SΣC	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	CRProvenanceFirmaDocumento	Firma digital de un documento clínico, separada del documento
request	SΣC	1..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
method	SΣC	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Vinculación: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	string	Status response code (text optional)
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentación de este formato

Vinculaciones terminológicas

Ruta	Estado	Uso	ValueSet	Versión	Fuente
Bundle.type	Base	required	Bundle Type	📍5.0.0	Estándar FHIR
Bundle.entry.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:lote.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
bdl-1	error	Bundle	total only when a search or history	`total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2	error	Bundle	entry.search only when a search	`(type = 'searchset') or entry.search.empty()`
bdl-5	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	must be a resource unless there's a request or response	`resource.exists() or request.exists() or response.exists()`
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	fullUrl cannot be a version specific reference	`fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9	error	Bundle	A document must have an identifier with a system and a value	`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10	error	Bundle	A document must have a date	`type = 'document' implies (timestamp.hasValue())`
bdl-11	error	Bundle	A document must have a Composition as the first resource	`type = 'document' implies entry.first().resource.is(Composition)`
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	`type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	`type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	`type = 'history' implies entry.request.method != 'PATCH'`
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	`type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	`issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	`type = 'document' implies issues.empty()`
bdl-18	error	Bundle	Self link is required for searchsets.	`type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	`type in ('document' \| 'message' \| 'searchset' \| 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	`type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	`type in ('transaction' \| 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	`type in ('transaction-response' \| 'batch-response') implies entry.all(response.exists())`
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`
ele-1	error	TODOS los elementos	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	TODAS las extensiones	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Vista diferencial

Esta estructura se deriva de Bundle .

Nombre	Marcas	Card.	Tipo	Descripción y restricciones Filter: Obligaciones Restricciones Vinculaciones
Bundle	C	0..*	Bundle	Envío de documentos al HIE: el lote, las referencias, los documentos y sus firmas Constraints: cr-envio-firma-documento
type		1..1	code	transaction (valor fijo) Required Pattern: transaction
Slices for entry	S	2..*	BackboneElement	El lote, las referencias, los documentos y sus firmas Slice: Sin orden, Closed by type:resource
entry:All Slices				Content/Rules for all slices
fullUrl	S	1..1	uri	urn:uuid: de la entrada, o la URL del documento FHIR, a la que apuntan las demás
resource	S	1..1	Resource	A resource in the bundle
request	S	1..1	BackboneElement	Additional execution information (transaction/batch/history)
method	S	1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás
entry:lote	S	1..1	BackboneElement	Lote de envío
resource		1..1	CRListLoteEnvio	Lote de envío: las referencias que un sistema envía juntas al HIE
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:referencias	S	1..*	BackboneElement	Una referencia por documento
resource		1..1	CRDocumentReference	Referencia a documento: la ficha del documento en el HIE
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:documentos	S	0..*	BackboneElement	Documento clínico FHIR (Bundle de tipo document), con PUT a Bundle/<id>
resource		1..1	CRBundleDocumento	Documento clínico completo: el encabezado y los recursos que referencia
request
method		1..1	code	PUT (valor fijo) Required Pattern: PUT
entry:pdf	S	0..*	BackboneElement	Documento en PDF (Binary)
resource		1..1	Binary	A resource in the bundle
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
entry:firmas	S	0..*	BackboneElement	Firma de un documento FHIR del envío (detached)
resource		1..1	CRProvenanceFirmaDocumento	Firma digital de un documento clínico, separada del documento
request
method		1..1	code	PUT para el documento FHIR (Bundle/<id>); POST para lo demás Required Pattern: POST
Documentación de este formato

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`

Vista instantáneaView

Descripción y restricciones Filter: Filters

Bundle

0..*

Bundle

0..1

Logical id of this artifact

Vinculaciones terminológicas

Ruta	Estado	Uso	ValueSet	Versión	Fuente
Bundle.language	Base	required	All Languages	📍5.0.0	Estándar FHIR
Bundle.type	Base	required	Bundle Type	📍5.0.0	Estándar FHIR
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	Estándar FHIR
Bundle.entry.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:lote.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:lote.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:referencias.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:documentos.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:pdf.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.search.mode	Base	required	Search Entry Mode	📍5.0.0	Estándar FHIR
Bundle.entry:firmas.request.method	Base	required	H T T P Verb	📍5.0.0	Estándar FHIR

Restricciones

Id	Nivel	Ruta(s)	Descripción	Expression
bdl-1	error	Bundle	total only when a search or history	`total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2	error	Bundle	entry.search only when a search	`(type = 'searchset') or entry.search.empty()`
bdl-5	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	must be a resource unless there's a request or response	`resource.exists() or request.exists() or response.exists()`
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8	error	Bundle.entry, Bundle.entry:lote, Bundle.entry:referencias, Bundle.entry:documentos, Bundle.entry:pdf, Bundle.entry:firmas	fullUrl cannot be a version specific reference	`fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9	error	Bundle	A document must have an identifier with a system and a value	`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10	error	Bundle	A document must have a date	`type = 'document' implies (timestamp.hasValue())`
bdl-11	error	Bundle	A document must have a Composition as the first resource	`type = 'document' implies entry.first().resource.is(Composition)`
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	`type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	`type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	`type = 'history' implies entry.request.method != 'PATCH'`
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	`type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	`issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	`type = 'document' implies issues.empty()`
bdl-18	error	Bundle	Self link is required for searchsets.	`type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	`type in ('document' \| 'message' \| 'searchset' \| 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	`type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	`type in ('transaction' \| 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' \| 'PATCH' \| 'PUT')) = resource.exists()))`
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	`type in ('transaction-response' \| 'batch-response') implies entry.all(response.exists())`
cr-envio-firma-documento	error	Bundle	Cada documento FHIR final, corregido, con adenda o registrado por error lleva al menos una firma (cr-provenance-firma-documento) que apunta a Bundle/<id>/_history/1.	`entry.resource.ofType(Bundle).where(entry.first().resource.status in ('final' \| 'corrected' \| 'appended' \| 'entered-in-error')).all(('Bundle/' & id & '/_history/1') in %resource.entry.resource.ofType(Provenance).target.reference)`
ele-1	error	TODOS los elementos	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	TODAS las extensiones	Must have either extensions or value[x], not both	`extension.exists() != value.exists()`

Esta estructura se deriva de Bundle .

Resumen

Obligatorios: 3 elementos(2 nested mandatory elementos)
Must-Support: 10 elementos

Estructuras

Esta estructura hace referencia a estas otras estructuras:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Bundle.entry (Closed)

Otras representaciones de perfil: CSV, Excel, Schematron

Notas:

Uso en el HIE

Es el cuerpo de la transacción de envío al repositorio de documentos (IHE MHD ITI-65): un POST a la base del servidor con el lote de envío, las referencias a documento y los documentos. El servidor la procesa entera o la rechaza entera.

Ver también Servicios del HIE.

Consultas

Lo que el servidor debe responder para este perfil. En la forma, [base] es la URL base del servidor del servicio y lo que va entre llaves se reemplaza por un valor. Cada solicitud usa valores reales de los ejemplos de esta guía, y la respuesta trae los que coinciden; los cuerpos JSON se expanden al hacer clic. Todas las solicitudes llevan el token de acceso al HIE (Authorization: Bearer [token]). Las búsquedas de texto encuentran los valores que empiezan con el texto, sin distinguir mayúsculas ni tildes; las de fecha admiten los prefijos ge, gt, le y lt. En la URL los valores van codificados (| como %7C, + como %2B, un espacio como %20); aquí se muestran sin codificar para que se lean mejor.

Ir a: Enviar documentos

Enviar documentos

Enviar documentos (IHE MHD ITI-65)
Forma: POST [base]
cuerpo: Bundle de tipo transaction

Envía al repositorio uno o varios documentos en una sola transacción: el lote de envío, la referencia de cada documento, el documento y sus firmas (IHE MHD ITI-65). El servidor guarda todo o nada: si una entrada no cumple su perfil, no se guarda ninguna. En el ejemplo se envía «Envío de un informe al HIE»: un informe de imágenes con su referencia, su lote, la firma del radiólogo y el sello del hospital; la segunda respuesta es el rechazo de toda la transacción porque una entrada no cumple su perfil.

Solicitud

POST [base] HTTP/1.1
Accept: application/fhir+json
Authorization: Bearer [token]
Content-Type: application/fhir+json

Cuerpo de la solicitud (JSON)

{
  "resourceType": "Bundle",
  "id": "ejemplo-envio-informe-imagenes",
  "meta": {
    "profile": [
      "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-envio-documentos"
    ]
  },
  "entry": [
    {
      "request": {
        "method": "POST",
        "url": "List"
      },
      "fullUrl": "urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d",
      "resource": {
        "resourceType": "List",
        "id": "ejemplo-envio-lote",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/core/StructureDefinition/cr-list-lote-envio"
          ]
        },
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d"
          }
        ],
        "subject": [
          {
            "reference": "Patient/ejemplo-paciente-dimex",
            "display": "José Mendoza"
          }
        ],
        "entry": [
          {
            "item": {
              "reference": "urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e"
            }
          }
        ],
        "status": "current",
        "mode": "working",
        "code": {
          "coding": [
            {
              "code": "submissionset",
              "system": "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"
            }
          ]
        },
        "date": "2026-09-30T10:31:00-06:00",
        "source": {
          "reference": "Organization/ejemplo-establecimiento",
          "display": "Hospital Privado de Ejemplo"
        }
      }
    },
    {
      "request": {
        "method": "POST",
        "url": "DocumentReference"
      },
      "fullUrl": "urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e",
      "resource": {
        "resourceType": "DocumentReference",
        "id": "ejemplo-envio-referencia",
        "meta": {
          "security": [
            {
              "code": "N",
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "display": "normal"
            }
          ],
          "profile": [
            "https://hl7.or.cr/fhir/core/StructureDefinition/cr-documentreference"
          ]
        },
        "identifier": [
          {
            "system": "urn:ietf:rfc:3986",
            "value": "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90"
          },
          {
            "system": "https://hl7.or.cr/fhir/sid/documento/cj-3101123456",
            "value": "INF-IMG-2026-000871"
          }
        ],
        "type": {
          "coding": [
            {
              "code": "18748-4",
              "system": "http://loinc.org"
            }
          ],
          "text": "Informe de imágenes médicas"
        },
        "category": [
          {
            "coding": [
              {
                "code": "LP173421-1",
                "system": "http://loinc.org"
              }
            ],
            "text": "Informe"
          }
        ],
        "context": [
          {
            "reference": "Encounter/ejemplo-atencion-resonancia",
            "display": "Resonancia magnética"
          }
        ],
        "period": {
          "start": "2026-09-30T08:15:00-06:00",
          "end": "2026-09-30T08:55:00-06:00"
        },
        "author": [
          {
            "reference": "PractitionerRole/ejemplo-rol-radiologia",
            "display": "Carlos Jiménez Solano"
          }
        ],
        "attester": [
          {
            "mode": {
              "coding": [
                {
                  "code": "legal",
                  "system": "http://hl7.org/fhir/composition-attestation-mode",
                  "display": "Legal"
                }
              ]
            },
            "time": "2026-09-30T10:25:00-06:00",
            "party": {
              "reference": "PractitionerRole/ejemplo-rol-radiologia",
              "display": "Carlos Jiménez Solano"
            }
          }
        ],
        "modality": [
          {
            "coding": [
              {
                "code": "MR",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Magnetic Resonance"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "coding": [
              {
                "code": "N",
                "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "display": "normal"
              }
            ]
          }
        ],
        "content": [
          {
            "attachment": {
              "language": "es",
              "creation": "2026-09-30T10:20:00-06:00",
              "contentType": "application/fhir+json",
              "url": "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes"
            },
            "profile": [
              {
                "valueCanonical": "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"
              }
            ]
          }
        ],
        "version": "1",
        "status": "current",
        "subject": {
          "reference": "Patient/ejemplo-paciente-dimex",
          "display": "José Mendoza"
        },
        "date": "2026-09-30T10:30:00-06:00",
        "custodian": {
          "reference": "Organization/ejemplo-establecimiento",
          "display": "Hospital Privado de Ejemplo"
        }
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "Bundle/ejemplo-bundle-documento-imagenes"
      },
      "fullUrl": "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes",
      "resource": {
        "resourceType": "Bundle",
        "id": "ejemplo-bundle-documento-imagenes",
        "meta": {
          "security": [
            {
              "code": "N",
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "display": "normal"
            }
          ],
          "profile": [
            "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"
          ]
        },
        "identifier": {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90"
        },
        "entry": [
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/Composition/ejemplo-documento-imagenes",
            "resource": {
              "resourceType": "Composition",
              "id": "ejemplo-documento-imagenes",
              "meta": {
                "security": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                    "code": "N",
                    "display": "normal"
                  }
                ],
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-composition"
                ]
              },
              "identifier": [
                {
                  "system": "https://hl7.or.cr/fhir/sid/documento/cj-3101123456",
                  "value": "INF-IMG-2026-000871"
                }
              ],
              "type": {
                "coding": [
                  {
                    "code": "18748-4",
                    "system": "http://loinc.org"
                  }
                ],
                "text": "Informe de imágenes médicas"
              },
              "subject": [
                {
                  "reference": "Patient/ejemplo-paciente-dimex",
                  "display": "José Mendoza"
                }
              ],
              "author": [
                {
                  "reference": "PractitionerRole/ejemplo-rol-radiologia",
                  "display": "Carlos Jiménez Solano"
                }
              ],
              "attester": [
                {
                  "mode": {
                    "coding": [
                      {
                        "code": "legal",
                        "system": "http://hl7.org/fhir/composition-attestation-mode",
                        "display": "Legal"
                      }
                    ]
                  },
                  "time": "2026-09-30T10:25:00-06:00",
                  "party": {
                    "reference": "PractitionerRole/ejemplo-rol-radiologia",
                    "display": "Carlos Jiménez Solano"
                  }
                }
              ],
              "section": [
                {
                  "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior. Menisco medial sin alteraciones.</div>"
                  },
                  "title": "Hallazgos",
                  "code": {
                    "coding": [
                      {
                        "code": "59776-5",
                        "system": "http://loinc.org"
                      }
                    ]
                  }
                },
                {
                  "text": {
                    "status": "generated",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior.</div>"
                  },
                  "title": "Conclusión",
                  "code": {
                    "coding": [
                      {
                        "code": "19005-8",
                        "system": "http://loinc.org"
                      }
                    ]
                  }
                }
              ],
              "encounter": {
                "reference": "Encounter/ejemplo-atencion-resonancia",
                "display": "Resonancia magnética"
              },
              "title": "Informe de resonancia magnética de rodilla derecha",
              "custodian": {
                "reference": "Organization/ejemplo-establecimiento",
                "display": "Hospital Privado de Ejemplo"
              },
              "version": "1",
              "status": "final",
              "date": "2026-09-30T10:20:00-06:00"
            }
          },
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/Patient/ejemplo-paciente-dimex",
            "resource": {
              "resourceType": "Patient",
              "id": "ejemplo-paciente-dimex",
              "meta": {
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "code": "dimex",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion",
                        "display": "DIMEX"
                      },
                      {
                        "code": "PRC",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "display": "Permanent Resident Card Number"
                      }
                    ]
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/dimex",
                  "value": "155812345678"
                },
                {
                  "assigner": {
                    "display": "Nicaragua"
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/pasaporte/NIC",
                  "value": "C01234567"
                }
              ],
              "name": [
                {
                  "given": [
                    "José"
                  ],
                  "use": "official",
                  "family": "Mendoza",
                  "_family": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "valor",
                            "valueString": "Mendoza"
                          },
                          {
                            "url": "origen",
                            "valueCoding": {
                              "code": "FTH",
                              "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                              "display": "father"
                            }
                          }
                        ],
                        "url": "https://hl7.or.cr/fhir/core/StructureDefinition/cr-primer-apellido"
                      }
                    ]
                  }
                }
              ],
              "telecom": [
                {
                  "system": "phone",
                  "value": "+50670001122"
                }
              ],
              "extension": [
                {
                  "extension": [
                    {
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "code": "NIC",
                            "system": "urn:iso:std:iso:3166"
                          }
                        ],
                        "text": "Nicaragua"
                      },
                      "url": "code"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
                }
              ],
              "address": [
                {
                  "line": [
                    "Calle 3, 100 metros al este de la rotonda, apartamento 4"
                  ],
                  "use": "home",
                  "country": "CRI",
                  "state": "1",
                  "city": "115",
                  "district": "11501",
                  "text": "Calle 3, 100 metros al este de la rotonda, apartamento 4, San Pedro, Montes de Oca, San José"
                }
              ],
              "active": true,
              "gender": "male",
              "birthDate": "1984-11-02"
            }
          },
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/Encounter/ejemplo-atencion-resonancia",
            "resource": {
              "resourceType": "Encounter",
              "id": "ejemplo-atencion-resonancia",
              "meta": {
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-encounter"
                ]
              },
              "identifier": [
                {
                  "system": "https://hl7.or.cr/fhir/sid/atencion/cj-3101123456",
                  "value": "IMG-2026-000871"
                }
              ],
              "class": [
                {
                  "coding": [
                    {
                      "code": "AMB",
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                      "display": "ambulatory"
                    }
                  ],
                  "text": "Ambulatoria"
                }
              ],
              "subject": {
                "identifier": {
                  "system": "https://hl7.or.cr/fhir/sid/dimex",
                  "value": "155812345678"
                },
                "display": "José Mendoza"
              },
              "serviceType": [
                {
                  "concept": {
                    "coding": [
                      {
                        "code": "imagenes-medicas",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud",
                        "display": "Imágenes médicas"
                      }
                    ]
                  },
                  "reference": {
                    "reference": "HealthcareService/ejemplo-servicio-resonancia",
                    "display": "Resonancia magnética"
                  }
                }
              ],
              "actualPeriod": {
                "start": "2026-09-30T08:15:00-06:00",
                "end": "2026-09-30T08:55:00-06:00"
              },
              "participant": [
                {
                  "type": [
                    {
                      "coding": [
                        {
                          "code": "ATND",
                          "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                          "display": "attender"
                        }
                      ],
                      "text": "Responsable de la atención"
                    }
                  ],
                  "actor": {
                    "reference": "PractitionerRole/ejemplo-rol-radiologia",
                    "display": "Carlos Jiménez Solano"
                  }
                }
              ],
              "location": [
                {
                  "location": {
                    "reference": "Location/ejemplo-ubicacion-radiologia",
                    "display": "Servicio de Radiología"
                  }
                }
              ],
              "status": "completed",
              "serviceProvider": {
                "reference": "Organization/ejemplo-establecimiento",
                "display": "Hospital Privado de Ejemplo"
              }
            }
          },
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/PractitionerRole/ejemplo-rol-radiologia",
            "resource": {
              "resourceType": "PractitionerRole",
              "id": "ejemplo-rol-radiologia",
              "meta": {
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner-role"
                ]
              },
              "identifier": [
                {
                  "system": "https://hl7.or.cr/fhir/sid/rol/cj-3101123456",
                  "value": "MED-0345"
                }
              ],
              "period": {
                "start": "2024-02-01"
              },
              "location": [
                {
                  "reference": "Location/ejemplo-ubicacion-radiologia",
                  "display": "Servicio de Radiología"
                }
              ],
              "code": [
                {
                  "coding": [
                    {
                      "code": "medicina",
                      "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-profesion-salud",
                      "display": "Medicina"
                    }
                  ]
                }
              ],
              "specialty": [
                {
                  "coding": [
                    {
                      "code": "06.05.01",
                      "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-especialidad-salud",
                      "display": "Medicina con especialidad en Radiología e Imágenes Médicas"
                    }
                  ]
                }
              ],
              "contact": [
                {
                  "telecom": [
                    {
                      "system": "phone",
                      "value": "+50622220000;ext=2110"
                    },
                    {
                      "system": "email",
                      "value": "radiologia@hospital-ejemplo.cr"
                    }
                  ]
                }
              ],
              "active": true,
              "practitioner": {
                "reference": "Practitioner/ejemplo-profesional-radiologia",
                "display": "Carlos Jiménez Solano"
              },
              "organization": {
                "reference": "Organization/ejemplo-establecimiento",
                "display": "Hospital Privado de Ejemplo"
              }
            }
          },
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/Practitioner/ejemplo-profesional-radiologia",
            "resource": {
              "resourceType": "Practitioner",
              "id": "ejemplo-profesional-radiologia",
              "meta": {
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "code": "cedula-nacional",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion",
                        "display": "Cédula Nacional"
                      },
                      {
                        "code": "NI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "display": "National unique individual identifier"
                      }
                    ]
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/cedula-nacional",
                  "value": "204560789"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "code": "codigo-colegiado",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion",
                        "display": "Código de colegiado"
                      },
                      {
                        "code": "LN",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "display": "License number"
                      }
                    ]
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/colegiado/cmc",
                  "value": "23456"
                }
              ],
              "name": [
                {
                  "given": [
                    "Carlos"
                  ],
                  "use": "official",
                  "family": "Jiménez Solano",
                  "_family": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "valor",
                            "valueString": "Jiménez"
                          }
                        ],
                        "url": "https://hl7.or.cr/fhir/core/StructureDefinition/cr-primer-apellido"
                      },
                      {
                        "extension": [
                          {
                            "url": "valor",
                            "valueString": "Solano"
                          }
                        ],
                        "url": "https://hl7.or.cr/fhir/core/StructureDefinition/cr-segundo-apellido"
                      }
                    ]
                  }
                }
              ],
              "qualification": [
                {
                  "identifier": [
                    {
                      "system": "https://hl7.or.cr/fhir/sid/colegiado/cmc",
                      "value": "23456"
                    }
                  ],
                  "period": {
                    "start": "2008-02-20"
                  },
                  "code": {
                    "coding": [
                      {
                        "code": "medicina",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-profesion-salud",
                        "display": "Medicina"
                      }
                    ]
                  },
                  "issuer": {
                    "reference": "Organization/ejemplo-organizacion-cmc",
                    "display": "Colegio de Médicos y Cirujanos de Costa Rica"
                  }
                },
                {
                  "identifier": [
                    {
                      "system": "https://hl7.or.cr/fhir/sid/especialidad/cmc",
                      "value": "ESP-0345"
                    }
                  ],
                  "period": {
                    "start": "2014-07-01"
                  },
                  "code": {
                    "coding": [
                      {
                        "code": "06.05.01",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-especialidad-salud",
                        "display": "Medicina con especialidad en Radiología e Imágenes Médicas"
                      }
                    ]
                  },
                  "issuer": {
                    "reference": "Organization/ejemplo-organizacion-cmc",
                    "display": "Colegio de Médicos y Cirujanos de Costa Rica"
                  }
                }
              ],
              "communication": [
                {
                  "language": {
                    "coding": [
                      {
                        "code": "es",
                        "system": "urn:ietf:bcp:47",
                        "display": "español"
                      }
                    ]
                  },
                  "preferred": true
                },
                {
                  "language": {
                    "coding": [
                      {
                        "code": "en",
                        "system": "urn:ietf:bcp:47",
                        "display": "inglés"
                      }
                    ]
                  }
                }
              ],
              "active": true,
              "gender": "male"
            }
          },
          {
            "fullUrl": "https://hl7.or.cr/fhir/core/Organization/ejemplo-establecimiento",
            "resource": {
              "resourceType": "Organization",
              "id": "ejemplo-establecimiento",
              "meta": {
                "profile": [
                  "https://hl7.or.cr/fhir/core/StructureDefinition/cr-organization"
                ]
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "code": "cedula-juridica",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion-organizacion",
                        "display": "Cédula Jurídica"
                      },
                      {
                        "code": "XX",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "display": "Organization identifier"
                      }
                    ]
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/cedula-juridica",
                  "value": "3101123456"
                },
                {
                  "type": {
                    "coding": [
                      {
                        "code": "codigo-establecimiento",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion-organizacion",
                        "display": "Código de establecimiento"
                      },
                      {
                        "code": "FI",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "display": "Facility ID"
                      }
                    ]
                  },
                  "use": "official",
                  "system": "https://hl7.or.cr/fhir/sid/establecimiento",
                  "value": "cj-3101123456"
                }
              ],
              "type": [
                {
                  "coding": [
                    {
                      "code": "prov",
                      "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                      "display": "Healthcare Provider"
                    }
                  ],
                  "text": "Prestador de servicios de salud"
                },
                {
                  "coding": [
                    {
                      "code": "hospital-nacional-privado",
                      "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-establecimiento-salud"
                    }
                  ]
                },
                {
                  "coding": [
                    {
                      "code": "facility",
                      "system": "https://profiles.ihe.net/ITI/mCSD/CodeSystem/IHE.mCSD.Organization.Location.Types",
                      "display": "Facility"
                    }
                  ]
                }
              ],
              "alias": [
                "Hospital Privado de Ejemplo"
              ],
              "contact": [
                {
                  "telecom": [
                    {
                      "system": "phone",
                      "value": "+50622220000"
                    },
                    {
                      "system": "email",
                      "value": "info@hospital-ejemplo.cr"
                    },
                    {
                      "system": "url",
                      "value": "https://www.hospital-ejemplo.cr"
                    }
                  ],
                  "address": {
                    "line": [
                      "Avenida 2, entre calles 5 y 7"
                    ],
                    "country": "CRI",
                    "state": "1",
                    "city": "101",
                    "district": "10101",
                    "text": "Avenida 2, entre calles 5 y 7, Carmen, San José, San José"
                  }
                }
              ],
              "qualification": [
                {
                  "identifier": [
                    {
                      "value": "PF-2026-000123"
                    }
                  ],
                  "period": {
                    "start": "2026-01-15",
                    "end": "2031-01-14"
                  },
                  "code": {
                    "coding": [
                      {
                        "code": "permiso-funcionamiento-salud",
                        "system": "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-autorizacion-salud",
                        "display": "Permiso de Funcionamiento de Salud"
                      }
                    ]
                  },
                  "issuer": {
                    "reference": "Organization/ejemplo-organizacion-ministerio-salud",
                    "display": "Ministerio de Salud"
                  }
                }
              ],
              "active": true,
              "name": "Hospital Privado de Ejemplo Sociedad Anónima"
            }
          }
        ],
        "type": "document",
        "timestamp": "2026-09-30T10:26:00-06:00"
      }
    },
    {
      "request": {
        "method": "POST",
        "url": "Provenance"
      },
      "fullUrl": "urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f",
      "resource": {
        "resourceType": "Provenance",
        "id": "ejemplo-firma-documento-imagenes",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento"
          ]
        },
        "target": [
          {
            "reference": "Bundle/ejemplo-bundle-documento-imagenes/_history/1",
            "display": "Documento completo del informe de imágenes médicas (D1), versión 1"
          }
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "assembler",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Assembler"
                }
              ]
            },
            "who": {
              "reference": "Device/ejemplo-sistema-hce-hospital",
              "display": "Expediente electrónico del hospital"
            }
          },
          {
            "type": {
              "coding": [
                {
                  "code": "attester",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Attester"
                }
              ]
            },
            "who": {
              "reference": "PractitionerRole/ejemplo-rol-radiologia",
              "display": "Carlos Jiménez Solano"
            }
          }
        ],
        "signature": [
          {
            "type": [
              {
                "code": "1.2.840.10065.1.12.1.1",
                "system": "urn:iso-astm:E1762-95:2013",
                "display": "Author's Signature"
              }
            ],
            "targetFormat": "application/fhir+json",
            "sigFormat": "application/jose+json",
            "when": "2026-09-30T10:26:30-06:00",
            "who": {
              "reference": "PractitionerRole/ejemplo-rol-radiologia",
              "display": "Carlos Jiménez Solano"
            },
            "data": "eyJzaWduYXR1cmVzIjpbeyJwcm90ZWN0ZWQiOiJleUpoYkdjaU9pSlNVekkxTmlJc0ltTjBlU0k2SW1wemIyNGlMQ0owZVhBaU9pSnFiM05sSzJwemIyNGlmUSIsInNpZ25hdHVyZSI6IlpXcGxiWEJzYncifV19"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "attest",
              "system": "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"
            }
          ]
        },
        "patient": {
          "reference": "Patient/ejemplo-paciente-dimex",
          "display": "José Mendoza"
        },
        "recorded": "2026-09-30T10:27:05-06:00"
      }
    },
    {
      "request": {
        "method": "POST",
        "url": "Provenance"
      },
      "fullUrl": "urn:uuid:8d2f3e4a-5b6c-4d7e-9f8a-0b1c2d3e4f5a",
      "resource": {
        "resourceType": "Provenance",
        "id": "ejemplo-sello-documento-imagenes",
        "meta": {
          "profile": [
            "https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento"
          ]
        },
        "target": [
          {
            "reference": "Bundle/ejemplo-bundle-documento-imagenes/_history/1",
            "display": "Documento completo del informe de imágenes médicas (D1), versión 1"
          }
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "assembler",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Assembler"
                }
              ]
            },
            "who": {
              "reference": "Device/ejemplo-sistema-hce-hospital",
              "display": "Expediente electrónico del hospital"
            }
          },
          {
            "type": {
              "coding": [
                {
                  "code": "attester",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Attester"
                }
              ]
            },
            "who": {
              "reference": "Organization/ejemplo-establecimiento",
              "display": "Hospital Privado de Ejemplo"
            }
          }
        ],
        "signature": [
          {
            "type": [
              {
                "code": "1.2.840.10065.1.12.1.14",
                "system": "urn:iso-astm:E1762-95:2013",
                "display": "Source Signature"
              }
            ],
            "targetFormat": "application/fhir+json",
            "sigFormat": "application/jose+json",
            "when": "2026-09-30T10:27:00-06:00",
            "who": {
              "reference": "Organization/ejemplo-establecimiento",
              "display": "Hospital Privado de Ejemplo"
            },
            "data": "eyJzaWduYXR1cmVzIjpbeyJwcm90ZWN0ZWQiOiJleUpoYkdjaU9pSlNVekkxTmlJc0ltTjBlU0k2SW1wemIyNGlMQ0owZVhBaU9pSnFiM05sSzJwemIyNGlmUSIsInNpZ25hdHVyZSI6ImMyVnNiRzgifV19"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "attest",
              "system": "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"
            }
          ]
        },
        "patient": {
          "reference": "Patient/ejemplo-paciente-dimex",
          "display": "José Mendoza"
        },
        "recorded": "2026-09-30T10:27:10-06:00"
      }
    }
  ],
  "type": "transaction"
}

Respuesta si se guarda todo

HTTP/1.1 200 OK
Content-Type: application/fhir+json

Cuerpo de la respuesta (JSON)

{
  "resourceType": "Bundle",
  "type": "transaction-response",
  "entry": [
    {
      "response": {
        "status": "201 Created",
        "location": "List/ejemplo-envio-lote/_history/1",
        "etag": "W/\"1\"",
        "lastModified": "2026-10-01T10:00:00-06:00"
      }
    },
    {
      "response": {
        "status": "201 Created",
        "location": "DocumentReference/ejemplo-envio-referencia/_history/1",
        "etag": "W/\"1\"",
        "lastModified": "2026-10-01T10:00:00-06:00"
      }
    },
    {
      "response": {
        "status": "201 Created",
        "location": "Bundle/ejemplo-bundle-documento-imagenes/_history/1",
        "etag": "W/\"1\"",
        "lastModified": "2026-10-01T10:00:00-06:00"
      }
    },
    {
      "response": {
        "status": "201 Created",
        "location": "Provenance/ejemplo-firma-documento-imagenes/_history/1",
        "etag": "W/\"1\"",
        "lastModified": "2026-10-01T10:00:00-06:00"
      }
    },
    {
      "response": {
        "status": "201 Created",
        "location": "Provenance/ejemplo-sello-documento-imagenes/_history/1",
        "etag": "W/\"1\"",
        "lastModified": "2026-10-01T10:00:00-06:00"
      }
    }
  ]
}

Respuesta si una entrada no cumple su perfil: no se guarda nada

HTTP/1.1 422 Unprocessable Entity
Content-Type: application/fhir+json

Cuerpo de la respuesta (JSON)

{
  "resourceType": "OperationOutcome",
  "issue": [
    {
      "severity": "error",
      "code": "invariant",
      "diagnostics": "La transacción se rechazó entera: ninguna entrada se guardó. Entrada 2 (DocumentReference): no cumple el perfil cr-documentreference.",
      "expression": [
        "Bundle.entry[1].resource"
      ]
    }
  ]
}