Guía de Implementación Core de Costa Rica
0.1.0 - ci-build Costa Rica bandera

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.

: Acceso de emergencia a un documento restringido (E2)

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{
  "resourceType" : "AuditEvent",
  "id" : "ejemplo-auditoria-emergencia",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-auditevent"
    ]
  },
  "language" : "es",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa generada: AuditEvent ejemplo-auditoria-emergencia</b></p><a name=\"ejemplo-auditoria-emergencia\"> </a><a name=\"hcejemplo-auditoria-emergencia\"> </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\">Perfil: <a href=\"StructureDefinition-cr-auditevent.html\">Evento de auditoría</a></p></div><p><b>category</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/audit-event-type rest}\">RESTful Operation</span></p><p><b>code</b>: <span title=\"Códigos:{http://hl7.org/fhir/restful-interaction read}\">read</span></p><p><b>action</b>: Read</p><p><b>occurred</b>: 2026-09-30 23:41:06-0600</p><p><b>recorded</b>: 2026-09-30 23:41:07-0600</p><h3>Outcomes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-issue-severity.html#issue-severity-success\">Issue Severity: success</a> (Operation Successful)</td></tr></table><p><b>authorization</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/v3-ActReason ETREAT}\">Tratamiento de emergencia</span></p><p><b>patient</b>: <a href=\"Patient-ejemplo-paciente-nacional.html\">Laura Patricia Solís Araya</a></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Códigos:{http://dicom.nema.org/resources/ontology/DCM 110153}\">Source Role ID</span></p><p><b>who</b>: <a href=\"Device-ejemplo-sistema-repositorio.html\">Repositorio de documentos del HIE</a></p><p><b>requestor</b>: false</p><p><b>network</b>: <a href=\"https://hie.example.cr/fhir\">https://hie.example.cr/fhir</a></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Códigos:{http://dicom.nema.org/resources/ontology/DCM 110152}\">Destination Role ID</span></p><p><b>who</b>: <a href=\"Device-ejemplo-sistema-hce-hospital.html\">Expediente electrónico del Hospital Privado de Ejemplo</a></p><p><b>requestor</b>: false</p><p><b>network</b>: CR/COM/3101123456/hce</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType IRCP}\">information recipient</span></p><p><b>who</b>: <a href=\"PractitionerRole-ejemplo-rol-medicina-interna.html\">Ricardo Castro Brenes</a></p><p><b>requestor</b>: true</p><p><b>policy</b>: <a href=\"Bundle-ejemplo-envio-informe-imagenes.html#urn-uuid-7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f\">Provenance for -&gt;Documento completo del informe de imágenes médicas (D1), versión 1 </a></p></blockquote><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Observer</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Device-ejemplo-sistema-repositorio.html\">Repositorio de documentos del HIE</a></td><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/security-source-type 4}\">Application Server</span></td></tr></table><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Patient-ejemplo-paciente-nacional.html\">Laura Patricia Solís Araya</a></p><p><b>role</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/object-role 1}\">Patient</span></p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: Epicrisis de una hospitalización en salud mental (Identifier: <code>https://hl7.or.cr/fhir/sid/documento/cj-4000042147</code>/EPI-2025-118230)</p><p><b>role</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/object-role 4}\">Domain Resource</span></p><p><b>securityLabel</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality R}\">restricted</span>, <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/v3-ActCode PSY}\">psychiatry disorder information sensitivity</span></p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: Identifier: <code>https://hl7.or.cr/fhir/sid/xroad-mensaje</code>/a1b2c3d4-e5f6-4789-90ab-cdef01234567</p></blockquote></div>"
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/audit-event-type",
          "code" : "rest",
          "display" : "RESTful Operation"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/restful-interaction",
        "code" : "read",
        "display" : "read"
      }
    ]
  },
  "action" : "R",
  "occurredDateTime" : "2026-09-30T23:41:06-06:00",
  "recorded" : "2026-09-30T23:41:07-06:00",
  "outcome" : {
    "code" : {
      "system" : "http://hl7.org/fhir/issue-severity",
      "code" : "success",
      "display" : "Operation Successful"
    }
  },
  "authorization" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "ETREAT",
          "display" : "Emergency Treatment"
        }
      ],
      "text" : "Tratamiento de emergencia"
    }
  ],
  "patient" : {
    🔗 "reference" : "Patient/ejemplo-paciente-nacional",
    "display" : "Laura Patricia Solís Araya"
  },
  "agent" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "110153",
            "display" : "Source Role ID"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "Device/ejemplo-sistema-repositorio",
        "display" : "Repositorio de documentos del HIE"
      },
      "requestor" : false,
      "networkUri" : "https://hie.example.cr/fhir"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://dicom.nema.org/resources/ontology/DCM",
            "code" : "110152",
            "display" : "Destination Role ID"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "Device/ejemplo-sistema-hce-hospital",
        "display" : "Expediente electrónico del Hospital Privado de Ejemplo"
      },
      "requestor" : false,
      "networkString" : "CR/COM/3101123456/hce"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "IRCP",
            "display" : "information recipient"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "PractitionerRole/ejemplo-rol-medicina-interna",
        "display" : "Ricardo Castro Brenes"
      },
      "requestor" : true,
      "policy" : [
        "urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f"
      ]
    }
  ],
  "source" : {
    "observer" : {
      🔗 "reference" : "Device/ejemplo-sistema-repositorio",
      "display" : "Repositorio de documentos del HIE"
    },
    "type" : [
      {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/security-source-type",
            "code" : "4",
            "display" : "Application Server"
          }
        ]
      }
    ]
  },
  "entity" : [
    {
      "what" : {
        🔗 "reference" : "Patient/ejemplo-paciente-nacional",
        "display" : "Laura Patricia Solís Araya"
      },
      "role" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/object-role",
            "code" : "1",
            "display" : "Patient"
          }
        ]
      }
    },
    {
      "what" : {
        "identifier" : {
          "system" : "https://hl7.or.cr/fhir/sid/documento/cj-4000042147",
          "value" : "EPI-2025-118230"
        },
        "display" : "Epicrisis de una hospitalización en salud mental"
      },
      "role" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/object-role",
            "code" : "4",
            "display" : "Domain Resource"
          }
        ]
      },
      "securityLabel" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code" : "R",
              "display" : "restricted"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "PSY",
              "display" : "psychiatry disorder information sensitivity"
            }
          ]
        }
      ]
    },
    {
      "what" : {
        "identifier" : {
          "system" : "https://hl7.or.cr/fhir/sid/xroad-mensaje",
          "value" : "a1b2c3d4-e5f6-4789-90ab-cdef01234567"
        }
      }
    }
  ]
}