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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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/AuditEvent/ejemplo-auditoria-emergencia> a fhir:AuditEvent ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ejemplo-auditoria-emergencia"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-auditevent"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-auditevent>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/audit-event-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "rest" ] ;
       fhir:display [ fhir:v "RESTful Operation" ]
     ] )
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [ fhir:v "http://hl7.org/fhir/restful-interaction"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "read" ] ;
       fhir:display [ fhir:v "read" ]
     ] )
  ] ; # 
  fhir:action [ fhir:v "R"] ; # 
  fhir:occurred [
     a fhir:dateTime ;
     fhir:v "2026-09-30T23:41:06-06:00"^^xsd:dateTime
  ] ; # 
  fhir:recorded [ fhir:v "2026-09-30T23:41:07-06:00"^^xsd:dateTime] ; # 
  fhir:outcome [
     fhir:code [
       fhir:system [ fhir:v "http://hl7.org/fhir/issue-severity"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "success" ] ;
       fhir:display [ fhir:v "Operation Successful" ]
     ]
  ] ; # 
  fhir:authorization ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "ETREAT" ] ;
       fhir:display [ fhir:v "Emergency Treatment" ]
     ] ) ;
     fhir:text [ fhir:v "Tratamiento de emergencia" ]
  ] ) ; # 
  fhir:patient [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-nacional> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-nacional" ] ;
     fhir:display [ fhir:v "Laura Patricia Solís Araya" ]
  ] ; # 
  fhir:agent ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://dicom.nema.org/resources/ontology/DCM"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "110153" ] ;
         fhir:display [ fhir:v "Source Role ID" ]
       ] )
     ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/Device/ejemplo-sistema-repositorio> ;
       fhir:reference [ fhir:v "Device/ejemplo-sistema-repositorio" ] ;
       fhir:display [ fhir:v "Repositorio de documentos del HIE" ]
     ] ;
     fhir:requestor [ fhir:v false ] ;
     fhir:network [
       a fhir:uri ;
       fhir:v "https://hie.example.cr/fhir"^^xsd:anyURI
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://dicom.nema.org/resources/ontology/DCM"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "110152" ] ;
         fhir:display [ fhir:v "Destination Role ID" ]
       ] )
     ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/Device/ejemplo-sistema-hce-hospital> ;
       fhir:reference [ fhir:v "Device/ejemplo-sistema-hce-hospital" ] ;
       fhir:display [ fhir:v "Expediente electrónico del Hospital Privado de Ejemplo" ]
     ] ;
     fhir:requestor [ fhir:v false ] ;
     fhir:network [
       a fhir:string ;
       fhir:v "CR/COM/3101123456/hce"
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "IRCP" ] ;
         fhir:display [ fhir:v "information recipient" ]
       ] )
     ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-medicina-interna> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-medicina-interna" ] ;
       fhir:display [ fhir:v "Ricardo Castro Brenes" ]
     ] ;
     fhir:requestor [ fhir:v true ] ;
     fhir:policy ( [ fhir:v "urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f"^^xsd:anyURI ] )
  ] ) ; # 
  fhir:source [
     fhir:observer [
       fhir:link <http://hl7.org/fhir/Device/ejemplo-sistema-repositorio> ;
       fhir:reference [ fhir:v "Device/ejemplo-sistema-repositorio" ] ;
       fhir:display [ fhir:v "Repositorio de documentos del HIE" ]
     ] ;
     fhir:type ( [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/security-source-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "4" ] ;
         fhir:display [ fhir:v "Application Server" ]
       ] )
     ] )
  ] ; # 
  fhir:entity ( [
     fhir:what [
       fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-nacional> ;
       fhir:reference [ fhir:v "Patient/ejemplo-paciente-nacional" ] ;
       fhir:display [ fhir:v "Laura Patricia Solís Araya" ]
     ] ;
     fhir:role [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/object-role"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "1" ] ;
         fhir:display [ fhir:v "Patient" ]
       ] )
     ]
  ] [
     fhir:what [
       fhir:identifier [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/documento/cj-4000042147"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "EPI-2025-118230" ]
       ] ;
       fhir:display [ fhir:v "Epicrisis de una hospitalización en salud mental" ]
     ] ;
     fhir:role [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/object-role"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "4" ] ;
         fhir:display [ fhir:v "Domain Resource" ]
       ] )
     ] ;
     fhir:securityLabel ( [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "R" ] ;
         fhir:display [ fhir:v "restricted" ]
       ] )
     ] [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "PSY" ] ;
         fhir:display [ fhir:v "psychiatry disorder information sensitivity" ]
       ] )
     ] )
  ] [
     fhir:what [
       fhir:identifier [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/xroad-mensaje"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "a1b2c3d4-e5f6-4789-90ab-cdef01234567" ]
       ]
     ]
  ] ) . # 

<http://hl7.org/fhir/Patient/ejemplo-paciente-nacional> a fhir:Patient .

<http://hl7.org/fhir/Device/ejemplo-sistema-repositorio> a fhir:Device .

<http://hl7.org/fhir/Device/ejemplo-sistema-hce-hospital> a fhir:Device .

<http://hl7.org/fhir/PractitionerRole/ejemplo-rol-medicina-interna> a fhir:PractitionerRole .