Guía de Implementación Core de Costa Rica
0.1.0 - ci-build
Guía de Implementación Core de Costa Rica
0.1.0 - ci-build
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.
{
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🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-envio-documentos"
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"fullUrl" : "urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d",
"resource" : {
"resourceType" : "List",
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🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-list-lote-envio"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_ejemplo-envio-lote\"> </a><p class=\"res-header-id\"><b>Narrativa generada: List ejemplo-envio-lote</b></p><a name=\"ejemplo-envio-lote\"> </a><a name=\"hcejemplo-envio-lote\"> </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-list-lote-envio.html\">Lote de envío</a></p></div><table class=\"clstu\"><tr><td>Date: 2026-09-30 10:31:00-0600 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: SubmissionSet as a FHIR List </td></tr><tr><td>Subject: <a href=\"Patient-ejemplo-paciente-dimex.html\">José Mendoza</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Bundle-ejemplo-envio-informe-imagenes.html#urn-uuid-5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e\">DocumentReference: identifier = UUID:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90,https://hl7.or.cr/fhir/sid/documento/cj-3101123456#INF-IMG-2026-000871; version = 1; status = current; modality = Magnetic Resonance; type = Informe de estudio:No especificado :Punto temporal:Tipo:Documento:Diagnostic imaging; category = Report; period = 2026-09-30 08:15:00-0600 --> 2026-09-30 08:55:00-0600; date = 2026-09-30 10:30:00-0600; securityLabel = normal</a></td></tr></table></div>"
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{
"system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
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"subject" : [
{
🔗 "reference" : "Patient/ejemplo-paciente-dimex",
"display" : "José Mendoza"
}
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"date" : "2026-09-30T10:31:00-06:00",
"source" : {
🔗 "reference" : "Organization/ejemplo-establecimiento",
"display" : "Hospital Privado de Ejemplo"
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"entry" : [
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"item" : {
"reference" : "urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e"
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"url" : "List"
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"resource" : {
"resourceType" : "DocumentReference",
"id" : "ejemplo-envio-referencia",
"meta" : {
"profile" : [
🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-documentreference"
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"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "normal"
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"language" : "es",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_ejemplo-envio-referencia\"> </a><p class=\"res-header-id\"><b>Narrativa generada: DocumentReference ejemplo-envio-referencia</b></p><a name=\"ejemplo-envio-referencia\"> </a><a name=\"hcejemplo-envio-referencia\"> </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-documentreference.html\">Referencia a documento</a></p><p style=\"margin-bottom: 0px\">Security Label: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v3-Confidentiality.html\">normal (Details: Confidentiality code N = 'normal')</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90, <code>https://hl7.or.cr/fhir/sid/documento/cj-3101123456</code>/INF-IMG-2026-000871</p><p><b>version</b>: 1</p><p><b>status</b>: Current</p><p><b>modality</b>: <span title=\"Códigos:{http://dicom.nema.org/resources/ontology/DCM MR}\">Magnetic Resonance</span></p><p><b>type</b>: <span title=\"Códigos:{http://loinc.org 18748-4}\">Informe de imágenes médicas</span></p><p><b>category</b>: <span title=\"Códigos:{http://loinc.org LP173421-1}\">Informe</span></p><p><b>subject</b>: <a href=\"Patient-ejemplo-paciente-dimex.html\">José Mendoza</a></p><p><b>context</b>: <a href=\"Encounter-ejemplo-atencion-resonancia.html\">Resonancia magnética</a></p><p><b>period</b>: 2026-09-30 08:15:00-0600 --> 2026-09-30 08:55:00-0600</p><p><b>date</b>: 2026-09-30 10:30:00-0600</p><p><b>author</b>: <a href=\"PractitionerRole-ejemplo-rol-radiologia.html\">Carlos Jiménez Solano</a></p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Códigos:{http://hl7.org/fhir/composition-attestation-mode legal}\">Legal</span></td><td>2026-09-30 10:25:00-0600</td><td><a href=\"PractitionerRole-ejemplo-rol-radiologia.html\">Carlos Jiménez Solano</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-ejemplo-establecimiento.html\">Hospital Privado de Ejemplo</a></p><p><b>securityLabel</b>: <span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality N}\">normal</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td>Español</td><td><a href=\"Bundle-ejemplo-envio-informe-imagenes.html#https-//hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes\">Bundle: identifier = UUID:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90; type = document; timestamp = 2026-09-30 10:26:00-0600</a></td><td>2026-09-30 10:20:00-0600</td></tr></table><h3>Profiles</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"StructureDefinition-cr-bundle-documento.html\">Documento clínico (Bundle)</a></td></tr></table></blockquote></div>"
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"value" : "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90"
},
{
"system" : "https://hl7.or.cr/fhir/sid/documento/cj-3101123456",
"value" : "INF-IMG-2026-000871"
}
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"version" : "1",
"status" : "current",
"modality" : [
{
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "MR",
"display" : "Magnetic Resonance"
}
]
}
],
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18748-4"
}
],
"text" : "Informe de imágenes médicas"
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP173421-1"
}
],
"text" : "Informe"
}
],
"subject" : {
🔗 "reference" : "Patient/ejemplo-paciente-dimex",
"display" : "José Mendoza"
},
"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"
},
"date" : "2026-09-30T10:30:00-06:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/ejemplo-rol-radiologia",
"display" : "Carlos Jiménez Solano"
}
],
"attester" : [
{
"mode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/composition-attestation-mode",
"code" : "legal",
"display" : "Legal"
}
]
},
"time" : "2026-09-30T10:25:00-06:00",
"party" : {
🔗 "reference" : "PractitionerRole/ejemplo-rol-radiologia",
"display" : "Carlos Jiménez Solano"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/ejemplo-establecimiento",
"display" : "Hospital Privado de Ejemplo"
},
"securityLabel" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "normal"
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"content" : [
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"attachment" : {
"contentType" : "application/fhir+json",
"language" : "es",
"url" : "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes",
"creation" : "2026-09-30T10:20:00-06:00"
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"profile" : [
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"valueCanonical" : "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"
}
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"url" : "DocumentReference"
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"fullUrl" : "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes",
"resource" : {
"resourceType" : "Bundle",
"id" : "ejemplo-bundle-documento-imagenes",
"meta" : {
"profile" : [
🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "normal"
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"language" : "es",
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90"
},
"type" : "document",
"timestamp" : "2026-09-30T10:26:00-06:00",
"entry" : [
{
"fullUrl" : "https://hl7.or.cr/fhir/core/Composition/ejemplo-documento-imagenes",
"resource" : {
"resourceType" : "Composition",
"id" : "ejemplo-documento-imagenes",
"meta" : {
"profile" : [
🔗 "https://hl7.or.cr/fhir/core/StructureDefinition/cr-composition"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "normal"
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]
},
"language" : "es",
"identifier" : [
{
"system" : "https://hl7.or.cr/fhir/sid/documento/cj-3101123456",
"value" : "INF-IMG-2026-000871"
}
],
"version" : "1",
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18748-4"
}
],
"text" : "Informe de imágenes médicas"
},
"subject" : [
{
🔗 "reference" : "Patient/ejemplo-paciente-dimex",
"display" : "José Mendoza"
}
],
"encounter" : {
🔗 "reference" : "Encounter/ejemplo-atencion-resonancia",
"display" : "Resonancia magnética"
},
"date" : "2026-09-30T10:20:00-06:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/ejemplo-rol-radiologia",
"display" : "Carlos Jiménez Solano"
}
],
"title" : "Informe de resonancia magnética de rodilla derecha",
"attester" : [
{
"mode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/composition-attestation-mode",
"code" : "legal",
"display" : "Legal"
}
]
},
"time" : "2026-09-30T10:25:00-06:00",
"party" : {
🔗 "reference" : "PractitionerRole/ejemplo-rol-radiologia",
"display" : "Carlos Jiménez Solano"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/ejemplo-establecimiento",
"display" : "Hospital Privado de Ejemplo"
},
"section" : [
{
"title" : "Hallazgos",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59776-5"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior. Menisco medial sin alteraciones.</div>"
}
},
{
"title" : "Conclusión",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "19005-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior.</div>"
}
}
]
}
},
{
"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"
]
},
"language" : "es",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "NIC"
}
],
"text" : "Nicaragua"
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-nationality"
}
],
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion",
"code" : "dimex",
"display" : "DIMEX"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRC",
"display" : "Permanent Resident Card Number"
}
]
},
"system" : "https://hl7.or.cr/fhir/sid/dimex",
"value" : "155812345678"
},
{
"use" : "official",
"system" : "https://hl7.or.cr/fhir/sid/pasaporte/NIC",
"value" : "C01234567",
"assigner" : {
"display" : "Nicaragua"
}
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Mendoza",
"_family" : {
"extension" : [
{
"extension" : [
{
"url" : "valor",
"valueString" : "Mendoza"
},
{
"url" : "origen",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FTH",
"display" : "father"
}
}
],
"url" : "https://hl7.or.cr/fhir/core/StructureDefinition/cr-primer-apellido"
}
]
},
"given" : [
"José"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+50670001122"
}
],
"gender" : "male",
"birthDate" : "1984-11-02",
"address" : [
{
"use" : "home",
"text" : "Calle 3, 100 metros al este de la rotonda, apartamento 4, San Pedro, Montes de Oca, San José",
"line" : [
"Calle 3, 100 metros al este de la rotonda, apartamento 4"
],
"city" : "115",
"district" : "11501",
"state" : "1",
"country" : "CRI"
}
]
}
},
{
"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"
]
},
"language" : "es",
"identifier" : [
{
"system" : "https://hl7.or.cr/fhir/sid/atencion/cj-3101123456",
"value" : "IMG-2026-000871"
}
],
"status" : "completed",
"class" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
}
],
"text" : "Ambulatoria"
}
],
"serviceType" : [
{
"concept" : {
"coding" : [
{
"system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud",
"code" : "imagenes-medicas",
"display" : "Imágenes médicas"
}
]
},
"reference" : {
🔗 "reference" : "HealthcareService/ejemplo-servicio-resonancia",
"display" : "Resonancia magnética"
}
}
],
"subject" : {
"identifier" : {
"system" : "https://hl7.or.cr/fhir/sid/dimex",
"value" : "155812345678"
},
"display" : "José Mendoza"
},
"serviceProvider" : {
🔗 "reference" : "Organization/ejemplo-establecimiento",
"display" : "Hospital Privado de Ejemplo"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "ATND",
"display" : "attender"
}
],
"text" : "Responsable de la atención"
}
],
"actor" : {
🔗 "reference" : "PractitionerRole/ejemplo-rol-radiologia",
"display" : "Carlos Jiménez Solano"
}
}
],
"actualPeriod" : {
"start" : "2026-09-30T08:15:00-06:00",
"end" : "2026-09-30T08:55:00-06:00"
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/ejemplo-ubicacion-radiologia",
"display" : "Servicio de Radiología"
}
}
]
}
},
{
"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"
]
},
"language" : "es",
"identifier" : [
{
"system" : "https://hl7.or.cr/fhir/sid/rol/cj-3101123456",
"value" : "MED-0345"
}
],
"active" : true,
"period" : {
"start" : "2024-02-01"
},
"practitioner" : {
🔗 "reference" : "Practitioner/ejemplo-profesional-radiologia",
"display" : "Carlos Jiménez Solano"
},
"organization" : {
🔗 "reference" : "Organization/ejemplo-establecimiento",
"display" : "Hospital Privado de Ejemplo"
},
"code" : [
{
"coding" : [
{
"system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-profesion-salud",
"code" : "medicina",
"display" : "Medicina"
}
]
}
],
"specialty" : [
{
"coding" : [
{
"system" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-especialidad-salud",
"code" : "06.05.01",
"display" : "Medicina con especialidad en Radiología e Imágenes Médicas"
}
]
}
],
"location" : [
{
🔗 "reference" : "Location/ejemplo-ubicacion-radiologia",
"display" : "Servicio de Radiología"
}
],
"contact" : [
{
"telecom" : [
{
"system" : "phone",
"value" : "+50622220000;ext=2110"
},
{
"system" : "email",
"value" : "radiologia@hospital-ejemplo.cr"
}
]
}
]
}
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