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.

: Envío de un informe al HIE

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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/Bundle/ejemplo-envio-informe-imagenes> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ejemplo-envio-informe-imagenes"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-envio-documentos"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-envio-documentos>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:type [ fhir:v "transaction"] ; # 
  fhir:entry ( [
     fhir:fullUrl [ fhir:v "urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d> ) ;
     fhir:request [
       fhir:method [ fhir:v "POST" ] ;
       fhir:url [ fhir:v "List"^^xsd:anyURI ]
     ]
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e> ) ;
     fhir:request [
       fhir:method [ fhir:v "POST" ] ;
       fhir:url [ fhir:v "DocumentReference"^^xsd:anyURI ]
     ]
  ] [
     fhir:fullUrl [ fhir:v "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes"^^xsd:anyURI ] ;
     fhir:resource ( <https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes> ) ;
     fhir:request [
       fhir:method [ fhir:v "PUT" ] ;
       fhir:url [ fhir:v "Bundle/ejemplo-bundle-documento-imagenes"^^xsd:anyURI ]
     ]
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f> ) ;
     fhir:request [
       fhir:method [ fhir:v "POST" ] ;
       fhir:url [ fhir:v "Provenance"^^xsd:anyURI ]
     ]
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:8d2f3e4a-5b6c-4d7e-9f8a-0b1c2d3e4f5a"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:8d2f3e4a-5b6c-4d7e-9f8a-0b1c2d3e4f5a> ) ;
     fhir:request [
       fhir:method [ fhir:v "POST" ] ;
       fhir:url [ fhir:v "Provenance"^^xsd:anyURI ]
     ]
  ] ) . # 

<urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d> a fhir:List ;
  fhir:id [ fhir:v "ejemplo-envio-lote"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-list-lote-envio"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-list-lote-envio>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<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 --&gt; 2026-09-30 08:55:00-0600; date = 2026-09-30 10:30:00-0600; securityLabel = normal</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:uuid:8a1d2c3b-4e5f-4a6b-9c7d-0e1f2a3b4c5d" ]
  ] ) ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:mode [ fhir:v "working"] ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [ fhir:v "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "submissionset" ]
     ] )
  ] ; # 
  fhir:subject ( [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-dimex> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-dimex" ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ) ; # 
  fhir:date [ fhir:v "2026-09-30T10:31:00-06:00"^^xsd:dateTime] ; # 
  fhir:source [
     fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
     fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
     fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
  ] ; # 
  fhir:entry ( [
     fhir:item [
       fhir:reference [ fhir:v "urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e" ]
     ]
  ] ) . # 

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

<http://hl7.org/fhir/Organization/ejemplo-establecimiento> a fhir:Organization .

<urn:uuid:5b6c7d8e-9f0a-4b1c-8d2e-3f4a5b6c7d8e> a fhir:DocumentReference ;
  fhir:id [ fhir:v "ejemplo-envio-referencia"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-documentreference"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-documentreference>
     ] ) ;
     fhir:security ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ] ;
       fhir:display [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<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 #xD;#xA;#xD;#xA;This 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: #xD;#xA;#xD;#xA;Note 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.#xD;#xA;#xD;#xA;This 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 --&gt; 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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90" ]
  ] [
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/documento/cj-3101123456"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "INF-IMG-2026-000871" ]
  ] ) ; # 
  fhir:version [ fhir:v "1"] ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:modality ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://dicom.nema.org/resources/ontology/DCM"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "MR" ] ;
       fhir:display [ fhir:v "Magnetic Resonance" ]
     ] )
  ] ) ; # 
  fhir:type [
     fhir:coding ( [
       a loinc:18748-4 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "18748-4" ]
     ] ) ;
     fhir:text [ fhir:v "Informe de imágenes médicas" ]
  ] ; # 
  fhir:category ( [
     fhir:coding ( [
       a loinc:LP173421-1 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "LP173421-1" ]
     ] ) ;
     fhir:text [ fhir:v "Informe" ]
  ] ) ; # 
  fhir:subject [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-dimex> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-dimex" ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ; # 
  fhir:context ( [
     fhir:link <http://hl7.org/fhir/Encounter/ejemplo-atencion-resonancia> ;
     fhir:reference [ fhir:v "Encounter/ejemplo-atencion-resonancia" ] ;
     fhir:display [ fhir:v "Resonancia magnética" ]
  ] ) ; # 
  fhir:period [
     fhir:start [ fhir:v "2026-09-30T08:15:00-06:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2026-09-30T08:55:00-06:00"^^xsd:dateTime ]
  ] ; # 
  fhir:date [ fhir:v "2026-09-30T10:30:00-06:00"^^xsd:dateTime] ; # 
  fhir:author ( [
     fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
     fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
     fhir:display [ fhir:v "Carlos Jiménez Solano" ]
  ] ) ; # 
  fhir:attester ( [
     fhir:mode [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/composition-attestation-mode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "legal" ] ;
         fhir:display [ fhir:v "Legal" ]
       ] )
     ] ;
     fhir:time [ fhir:v "2026-09-30T10:25:00-06:00"^^xsd:dateTime ] ;
     fhir:party [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
       fhir:display [ fhir:v "Carlos Jiménez Solano" ]
     ]
  ] ) ; # 
  fhir:custodian [
     fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
     fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
     fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
  ] ; # 
  fhir:securityLabel ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ] ;
       fhir:display [ fhir:v "normal" ]
     ] )
  ] ) ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "application/fhir+json" ] ;
       fhir:language [ fhir:v "es" ] ;
       fhir:url [ fhir:v "https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes"^^xsd:anyURI ] ;
       fhir:creation [ fhir:v "2026-09-30T10:20:00-06:00"^^xsd:dateTime ]
     ] ;
     fhir:profile ( [
       fhir:value [
         a fhir:canonical ;
         fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"^^xsd:anyURI ;
         fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento>
       ]
     ] )
  ] ) . # 

<http://hl7.org/fhir/Encounter/ejemplo-atencion-resonancia> a fhir:Encounter .

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

<https://hie.example.cr/fhir/Bundle/ejemplo-bundle-documento-imagenes> a fhir:Bundle ;
  fhir:id [ fhir:v "ejemplo-bundle-documento-imagenes"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-bundle-documento>
     ] ) ;
     fhir:security ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ] ;
       fhir:display [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:uuid:3f6b1c2a-9d4e-4b7a-8c1f-2e5d6a7b8c90" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2026-09-30T10:26:00-06:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/Composition/ejemplo-documento-imagenes"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/Composition/ejemplo-documento-imagenes> )
  ] [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/Patient/ejemplo-paciente-dimex"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/Patient/ejemplo-paciente-dimex> )
  ] [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/Encounter/ejemplo-atencion-resonancia"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/Encounter/ejemplo-atencion-resonancia> )
  ] [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/PractitionerRole/ejemplo-rol-radiologia"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/PractitionerRole/ejemplo-rol-radiologia> )
  ] [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/Practitioner/ejemplo-profesional-radiologia"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/Practitioner/ejemplo-profesional-radiologia> )
  ] [
     fhir:fullUrl [ fhir:v "https://hl7.or.cr/fhir/core/Organization/ejemplo-establecimiento"^^xsd:anyURI ] ;
     fhir:resource ( <https://hl7.or.cr/fhir/core/Organization/ejemplo-establecimiento> )
  ] ) . # 

<https://hl7.or.cr/fhir/core/Composition/ejemplo-documento-imagenes> a fhir:Composition ;
  fhir:id [ fhir:v "ejemplo-documento-imagenes"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-composition"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-composition>
     ] ) ;
     fhir:security ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ] ;
       fhir:display [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/documento/cj-3101123456"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "INF-IMG-2026-000871" ]
  ] ) ; # 
  fhir:version [ fhir:v "1"] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
     fhir:coding ( [
       a loinc:18748-4 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "18748-4" ]
     ] ) ;
     fhir:text [ fhir:v "Informe de imágenes médicas" ]
  ] ; # 
  fhir:subject ( [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-dimex> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-dimex" ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ) ; # 
  fhir:encounter [
     fhir:link <http://hl7.org/fhir/Encounter/ejemplo-atencion-resonancia> ;
     fhir:reference [ fhir:v "Encounter/ejemplo-atencion-resonancia" ] ;
     fhir:display [ fhir:v "Resonancia magnética" ]
  ] ; # 
  fhir:date [ fhir:v "2026-09-30T10:20:00-06:00"^^xsd:dateTime] ; # 
  fhir:author ( [
     fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
     fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
     fhir:display [ fhir:v "Carlos Jiménez Solano" ]
  ] ) ; # 
  fhir:title [ fhir:v "Informe de resonancia magnética de rodilla derecha"] ; # 
  fhir:attester ( [
     fhir:mode [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/composition-attestation-mode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "legal" ] ;
         fhir:display [ fhir:v "Legal" ]
       ] )
     ] ;
     fhir:time [ fhir:v "2026-09-30T10:25:00-06:00"^^xsd:dateTime ] ;
     fhir:party [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
       fhir:display [ fhir:v "Carlos Jiménez Solano" ]
     ]
  ] ) ; # 
  fhir:custodian [
     fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
     fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
     fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
  ] ; # 
  fhir:section ( [
     fhir:title [ fhir:v "Hallazgos" ] ;
     fhir:code [
       fhir:coding ( [
         a loinc:59776-5 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "59776-5" ]
       ] )
     ] ;
     fhir:text [
       fhir:status [ fhir:v "generated" ] ;
       fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior. Menisco medial sin alteraciones.</div>"^^rdf:XMLLiteral ]
     ]
  ] [
     fhir:title [ fhir:v "Conclusión" ] ;
     fhir:code [
       fhir:coding ( [
         a loinc:19005-8 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "19005-8" ]
       ] )
     ] ;
     fhir:text [
       fhir:status [ fhir:v "generated" ] ;
       fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ruptura parcial del ligamento cruzado anterior.</div>"^^rdf:XMLLiteral ]
     ]
  ] ) . # 

<https://hl7.or.cr/fhir/core/Patient/ejemplo-paciente-dimex> a fhir:Patient ;
  fhir:id [ fhir:v "ejemplo-paciente-dimex"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:extension ( [
     fhir:extension ( [
       fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "NIC" ]
         ] ) ;
         fhir:text [ fhir:v "Nicaragua" ]
       ]
     ] ) ;
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/patient-nationality"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "dimex" ] ;
         fhir:display [ fhir:v "DIMEX" ]
       ] [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "PRC" ] ;
         fhir:display [ fhir:v "Permanent Resident Card Number" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/dimex"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "155812345678" ]
  ] [
     fhir:use [ fhir:v "official" ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/pasaporte/NIC"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "C01234567" ] ;
     fhir:assigner [
       fhir:display [ fhir:v "Nicaragua" ]
     ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:family [
       fhir:v "Mendoza" ;
       fhir:extension ( [
         fhir:extension ( [
           fhir:url [ fhir:v "valor"^^xsd:anyURI ] ;
           fhir:value [
             a fhir:string ;
             fhir:v "Mendoza"
           ]
         ] [
           fhir:url [ fhir:v "origen"^^xsd:anyURI ] ;
           fhir:value [
             a fhir:Coding ;
             fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
             fhir:code [ fhir:v "FTH" ] ;
             fhir:display [ fhir:v "father" ]
           ]
         ] ) ;
         fhir:url [ fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-primer-apellido"^^xsd:anyURI ]
       ] )
     ] ;
     fhir:given ( [ fhir:v "José" ] )
  ] ) ; # 
  fhir:telecom ( [
     fhir:system [ fhir:v "phone" ] ;
     fhir:value [ fhir:v "+50670001122" ]
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1984-11-02"^^xsd:date] ; # 
  fhir:address ( [
     fhir:use [ fhir:v "home" ] ;
     fhir:text [ fhir:v "Calle 3, 100 metros al este de la rotonda, apartamento 4, San Pedro, Montes de Oca, San José" ] ;
     fhir:line ( [ fhir:v "Calle 3, 100 metros al este de la rotonda, apartamento 4" ] ) ;
     fhir:city [ fhir:v "115" ] ;
     fhir:district [ fhir:v "11501" ] ;
     fhir:state [ fhir:v "1" ] ;
     fhir:country [ fhir:v "CRI" ]
  ] ) . # 

<https://hl7.or.cr/fhir/core/Encounter/ejemplo-atencion-resonancia> a fhir:Encounter ;
  fhir:id [ fhir:v "ejemplo-atencion-resonancia"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-encounter"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-encounter>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/atencion/cj-3101123456"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "IMG-2026-000871" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:class ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "AMB" ] ;
       fhir:display [ fhir:v "ambulatory" ]
     ] ) ;
     fhir:text [ fhir:v "Ambulatoria" ]
  ] ) ; # 
  fhir:serviceType ( [
     fhir:concept [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "imagenes-medicas" ] ;
         fhir:display [ fhir:v "Imágenes médicas" ]
       ] )
     ] ;
     fhir:reference [
       fhir:link <http://hl7.org/fhir/HealthcareService/ejemplo-servicio-resonancia> ;
       fhir:reference [ fhir:v "HealthcareService/ejemplo-servicio-resonancia" ] ;
       fhir:display [ fhir:v "Resonancia magnética" ]
     ]
  ] ) ; # 
  fhir:subject [
     fhir:identifier [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/dimex"^^xsd:anyURI ] ;
       fhir:value [ fhir:v "155812345678" ]
     ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ; # 
  fhir:serviceProvider [
     fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
     fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
     fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
  ] ; # 
  fhir:participant ( [
     fhir:type ( [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "ATND" ] ;
         fhir:display [ fhir:v "attender" ]
       ] ) ;
       fhir:text [ fhir:v "Responsable de la atención" ]
     ] ) ;
     fhir:actor [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
       fhir:display [ fhir:v "Carlos Jiménez Solano" ]
     ]
  ] ) ; # 
  fhir:actualPeriod [
     fhir:start [ fhir:v "2026-09-30T08:15:00-06:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2026-09-30T08:55:00-06:00"^^xsd:dateTime ]
  ] ; # 
  fhir:location ( [
     fhir:location [
       fhir:link <http://hl7.org/fhir/Location/ejemplo-ubicacion-radiologia> ;
       fhir:reference [ fhir:v "Location/ejemplo-ubicacion-radiologia" ] ;
       fhir:display [ fhir:v "Servicio de Radiología" ]
     ]
  ] ) . # 

<http://hl7.org/fhir/HealthcareService/ejemplo-servicio-resonancia> a fhir:HealthcareService .

<http://hl7.org/fhir/Location/ejemplo-ubicacion-radiologia> a fhir:Location .

<https://hl7.or.cr/fhir/core/PractitionerRole/ejemplo-rol-radiologia> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "ejemplo-rol-radiologia"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner-role"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner-role>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/rol/cj-3101123456"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "MED-0345" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:period [
     fhir:start [ fhir:v "2024-02-01"^^xsd:date ]
  ] ; # 
  fhir:practitioner [
     fhir:link <http://hl7.org/fhir/Practitioner/ejemplo-profesional-radiologia> ;
     fhir:reference [ fhir:v "Practitioner/ejemplo-profesional-radiologia" ] ;
     fhir:display [ fhir:v "Carlos Jiménez Solano" ]
  ] ; # 
  fhir:organization [
     fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
     fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
     fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
  ] ; # 
  fhir:code ( [
     fhir:coding ( [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-profesion-salud"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "medicina" ] ;
       fhir:display [ fhir:v "Medicina" ]
     ] )
  ] ) ; # 
  fhir:specialty ( [
     fhir:coding ( [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-especialidad-salud"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "06.05.01" ] ;
       fhir:display [ fhir:v "Medicina con especialidad en Radiología e Imágenes Médicas" ]
     ] )
  ] ) ; # 
  fhir:location ( [
     fhir:link <http://hl7.org/fhir/Location/ejemplo-ubicacion-radiologia> ;
     fhir:reference [ fhir:v "Location/ejemplo-ubicacion-radiologia" ] ;
     fhir:display [ fhir:v "Servicio de Radiología" ]
  ] ) ; # 
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "phone" ] ;
       fhir:value [ fhir:v "+50622220000;ext=2110" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "radiologia@hospital-ejemplo.cr" ]
     ] )
  ] ) . # 

<http://hl7.org/fhir/Practitioner/ejemplo-profesional-radiologia> a fhir:Practitioner .

<https://hl7.or.cr/fhir/core/Practitioner/ejemplo-profesional-radiologia> a fhir:Practitioner ;
  fhir:id [ fhir:v "ejemplo-profesional-radiologia"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-practitioner>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "cedula-nacional" ] ;
         fhir:display [ fhir:v "Cédula Nacional" ]
       ] [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "NI" ] ;
         fhir:display [ fhir:v "National unique individual identifier" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/cedula-nacional"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "204560789" ]
  ] [
     fhir:use [ fhir:v "official" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "codigo-colegiado" ] ;
         fhir:display [ fhir:v "Código de colegiado" ]
       ] [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "LN" ] ;
         fhir:display [ fhir:v "License number" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/colegiado/cmc"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "23456" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:name ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:family [
       fhir:v "Jiménez Solano" ;
       fhir:extension ( [
         fhir:extension ( [
           fhir:url [ fhir:v "valor"^^xsd:anyURI ] ;
           fhir:value [
             a fhir:string ;
             fhir:v "Jiménez"
           ]
         ] ) ;
         fhir:url [ fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-primer-apellido"^^xsd:anyURI ]
       ] [
         fhir:extension ( [
           fhir:url [ fhir:v "valor"^^xsd:anyURI ] ;
           fhir:value [
             a fhir:string ;
             fhir:v "Solano"
           ]
         ] ) ;
         fhir:url [ fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-segundo-apellido"^^xsd:anyURI ]
       ] )
     ] ;
     fhir:given ( [ fhir:v "Carlos" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:qualification ( [
     fhir:identifier ( [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/colegiado/cmc"^^xsd:anyURI ] ;
       fhir:value [ fhir:v "23456" ]
     ] ) ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-profesion-salud"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "medicina" ] ;
         fhir:display [ fhir:v "Medicina" ]
       ] )
     ] ;
     fhir:period [
       fhir:start [ fhir:v "2008-02-20"^^xsd:date ]
     ] ;
     fhir:issuer [
       fhir:link <http://hl7.org/fhir/Organization/ejemplo-organizacion-cmc> ;
       fhir:reference [ fhir:v "Organization/ejemplo-organizacion-cmc" ] ;
       fhir:display [ fhir:v "Colegio de Médicos y Cirujanos de Costa Rica" ]
     ]
  ] [
     fhir:identifier ( [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/especialidad/cmc"^^xsd:anyURI ] ;
       fhir:value [ fhir:v "ESP-0345" ]
     ] ) ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-especialidad-salud"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "06.05.01" ] ;
         fhir:display [ fhir:v "Medicina con especialidad en Radiología e Imágenes Médicas" ]
       ] )
     ] ;
     fhir:period [
       fhir:start [ fhir:v "2014-07-01"^^xsd:date ]
     ] ;
     fhir:issuer [
       fhir:link <http://hl7.org/fhir/Organization/ejemplo-organizacion-cmc> ;
       fhir:reference [ fhir:v "Organization/ejemplo-organizacion-cmc" ] ;
       fhir:display [ fhir:v "Colegio de Médicos y Cirujanos de Costa Rica" ]
     ]
  ] ) ; # 
  fhir:communication ( [
     fhir:language [
       fhir:coding ( [
         fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "es" ] ;
         fhir:display [ fhir:v "español" ]
       ] )
     ] ;
     fhir:preferred [ fhir:v true ]
  ] [
     fhir:language [
       fhir:coding ( [
         fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "en" ] ;
         fhir:display [ fhir:v "inglés" ]
       ] )
     ]
  ] ) . # 

<http://hl7.org/fhir/Organization/ejemplo-organizacion-cmc> a fhir:Organization .

<https://hl7.or.cr/fhir/core/Organization/ejemplo-establecimiento> a fhir:Organization ;
  fhir:id [ fhir:v "ejemplo-establecimiento"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-organization"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-organization>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:identifier ( [
     fhir:use [ fhir:v "official" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion-organizacion"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "cedula-juridica" ] ;
         fhir:display [ fhir:v "Cédula Jurídica" ]
       ] [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "XX" ] ;
         fhir:display [ fhir:v "Organization identifier" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/cedula-juridica"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "3101123456" ]
  ] [
     fhir:use [ fhir:v "official" ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-identificacion-organizacion"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "codigo-establecimiento" ] ;
         fhir:display [ fhir:v "Código de establecimiento" ]
       ] [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "FI" ] ;
         fhir:display [ fhir:v "Facility ID" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://hl7.or.cr/fhir/sid/establecimiento"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "cj-3101123456" ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:type ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "prov" ] ;
       fhir:display [ fhir:v "Healthcare Provider" ]
     ] ) ;
     fhir:text [ fhir:v "Prestador de servicios de salud" ]
  ] [
     fhir:coding ( [
       fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-establecimiento-salud"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "hospital-nacional-privado" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [ fhir:v "https://profiles.ihe.net/ITI/mCSD/CodeSystem/IHE.mCSD.Organization.Location.Types"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "facility" ] ;
       fhir:display [ fhir:v "Facility" ]
     ] )
  ] ) ; # 
  fhir:name [ fhir:v "Hospital Privado de Ejemplo Sociedad Anónima"] ; # 
  fhir:alias ( [ fhir:v "Hospital Privado de Ejemplo"] ) ; # 
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "phone" ] ;
       fhir:value [ fhir:v "+50622220000" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "info@hospital-ejemplo.cr" ]
     ] [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://www.hospital-ejemplo.cr" ]
     ] ) ;
     fhir:address [
       fhir:text [ fhir:v "Avenida 2, entre calles 5 y 7, Carmen, San José, San José" ] ;
       fhir:line ( [ fhir:v "Avenida 2, entre calles 5 y 7" ] ) ;
       fhir:city [ fhir:v "101" ] ;
       fhir:district [ fhir:v "10101" ] ;
       fhir:state [ fhir:v "1" ] ;
       fhir:country [ fhir:v "CRI" ]
     ]
  ] ) ; # 
  fhir:qualification ( [
     fhir:identifier ( [
       fhir:value [ fhir:v "PF-2026-000123" ]
     ] ) ;
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-autorizacion-salud"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "permiso-funcionamiento-salud" ] ;
         fhir:display [ fhir:v "Permiso de Funcionamiento de Salud" ]
       ] )
     ] ;
     fhir:period [
       fhir:start [ fhir:v "2026-01-15"^^xsd:date ] ;
       fhir:end [ fhir:v "2031-01-14"^^xsd:date ]
     ] ;
     fhir:issuer [
       fhir:link <http://hl7.org/fhir/Organization/ejemplo-organizacion-ministerio-salud> ;
       fhir:reference [ fhir:v "Organization/ejemplo-organizacion-ministerio-salud" ] ;
       fhir:display [ fhir:v "Ministerio de Salud" ]
     ]
  ] ) . # 

<http://hl7.org/fhir/Organization/ejemplo-organizacion-ministerio-salud> a fhir:Organization .

<urn:uuid:7c1e2d3f-4a5b-4c6d-8e7f-9a0b1c2d3e4f> a fhir:Provenance ;
  fhir:id [ fhir:v "ejemplo-firma-documento-imagenes"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_ejemplo-firma-documento-imagenes\"> </a><p class=\"res-header-id\"><b>Narrativa generada: Provenance ejemplo-firma-documento-imagenes</b></p><a name=\"ejemplo-firma-documento-imagenes\"> </a><a name=\"hcejemplo-firma-documento-imagenes\"> </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-provenance-firma-documento.html\">Firma del documento clínico</a></p></div><p>Provenance for <a href=\"Bundle-ejemplo-bundle-documento-imagenes.html\">Documento completo del informe de imágenes médicas (D1), versión 1</a></p><p>Resumen</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-09-30 10:27:05-0600</td></tr><tr><td>Activity</td><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle attest}\">Attest Record Lifecycle Event</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Tipo</b></td><td><b>who</b></td></tr><tr><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/provenance-participant-type assembler}\">Assembler</span></td><td><a href=\"Device-ejemplo-sistema-hce-hospital.html\">Expediente electrónico del hospital</a></td></tr><tr><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/provenance-participant-type attester}\">Attester</span></td><td><a href=\"PractitionerRole-ejemplo-rol-radiologia.html\">Carlos Jiménez Solano</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:target ( [
     fhir:link <http://hl7.org/fhir/Bundle/ejemplo-bundle-documento-imagenes/_history/1> ;
     fhir:reference [ fhir:v "Bundle/ejemplo-bundle-documento-imagenes/_history/1" ] ;
     fhir:display [ fhir:v "Documento completo del informe de imágenes médicas (D1), versión 1" ]
  ] ) ; # 
  fhir:recorded [ fhir:v "2026-09-30T10:27:05-06:00"^^xsd:dateTime] ; # 
  fhir:activity [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "attest" ]
     ] )
  ] ; # 
  fhir:patient [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-dimex> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-dimex" ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ; # 
  fhir:agent ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "assembler" ] ;
         fhir:display [ fhir:v "Assembler" ]
       ] )
     ] ;
     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" ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "attester" ] ;
         fhir:display [ fhir:v "Attester" ]
       ] )
     ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
       fhir:display [ fhir:v "Carlos Jiménez Solano" ]
     ]
  ] ) ; # 
  fhir:signature ( [
     fhir:type ( [
       fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "1.2.840.10065.1.12.1.1" ] ;
       fhir:display [ fhir:v "Author's Signature" ]
     ] ) ;
     fhir:when [ fhir:v "2026-09-30T10:26:30-06:00"^^xsd:dateTime ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/PractitionerRole/ejemplo-rol-radiologia> ;
       fhir:reference [ fhir:v "PractitionerRole/ejemplo-rol-radiologia" ] ;
       fhir:display [ fhir:v "Carlos Jiménez Solano" ]
     ] ;
     fhir:targetFormat [ fhir:v "application/fhir+json" ] ;
     fhir:sigFormat [ fhir:v "application/jose+json" ] ;
     fhir:data [ fhir:v "eyJzaWduYXR1cmVzIjpbeyJwcm90ZWN0ZWQiOiJleUpoYkdjaU9pSlNVekkxTmlJc0ltTjBlU0k2SW1wemIyNGlMQ0owZVhBaU9pSnFiM05sSzJwemIyNGlmUSIsInNpZ25hdHVyZSI6IlpXcGxiWEJzYncifV19"^^xsd:base64Binary ]
  ] ) . # 

<http://hl7.org/fhir/Bundle/ejemplo-bundle-documento-imagenes/_history/1> a fhir:Bundle .

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

<urn:uuid:8d2f3e4a-5b6c-4d7e-9f8a-0b1c2d3e4f5a> a fhir:Provenance ;
  fhir:id [ fhir:v "ejemplo-sello-documento-imagenes"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento"^^xsd:anyURI ;
       fhir:link <https://hl7.or.cr/fhir/core/StructureDefinition/cr-provenance-firma-documento>
     ] )
  ] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_ejemplo-sello-documento-imagenes\"> </a><p class=\"res-header-id\"><b>Narrativa generada: Provenance ejemplo-sello-documento-imagenes</b></p><a name=\"ejemplo-sello-documento-imagenes\"> </a><a name=\"hcejemplo-sello-documento-imagenes\"> </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-provenance-firma-documento.html\">Firma del documento clínico</a></p></div><p>Provenance for <a href=\"Bundle-ejemplo-bundle-documento-imagenes.html\">Documento completo del informe de imágenes médicas (D1), versión 1</a></p><p>Resumen</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-09-30 10:27:10-0600</td></tr><tr><td>Activity</td><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle attest}\">Attest Record Lifecycle Event</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Tipo</b></td><td><b>who</b></td></tr><tr><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/provenance-participant-type assembler}\">Assembler</span></td><td><a href=\"Device-ejemplo-sistema-hce-hospital.html\">Expediente electrónico del hospital</a></td></tr><tr><td><span title=\"Códigos:{http://terminology.hl7.org/CodeSystem/provenance-participant-type attester}\">Attester</span></td><td><a href=\"Organization-ejemplo-establecimiento.html\">Hospital Privado de Ejemplo</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:target ( [
     fhir:link <http://hl7.org/fhir/Bundle/ejemplo-bundle-documento-imagenes/_history/1> ;
     fhir:reference [ fhir:v "Bundle/ejemplo-bundle-documento-imagenes/_history/1" ] ;
     fhir:display [ fhir:v "Documento completo del informe de imágenes médicas (D1), versión 1" ]
  ] ) ; # 
  fhir:recorded [ fhir:v "2026-09-30T10:27:10-06:00"^^xsd:dateTime] ; # 
  fhir:activity [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "attest" ]
     ] )
  ] ; # 
  fhir:patient [
     fhir:link <http://hl7.org/fhir/Patient/ejemplo-paciente-dimex> ;
     fhir:reference [ fhir:v "Patient/ejemplo-paciente-dimex" ] ;
     fhir:display [ fhir:v "José Mendoza" ]
  ] ; # 
  fhir:agent ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "assembler" ] ;
         fhir:display [ fhir:v "Assembler" ]
       ] )
     ] ;
     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" ]
     ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "attester" ] ;
         fhir:display [ fhir:v "Attester" ]
       ] )
     ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
       fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
       fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
     ]
  ] ) ; # 
  fhir:signature ( [
     fhir:type ( [
       fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "1.2.840.10065.1.12.1.14" ] ;
       fhir:display [ fhir:v "Source Signature" ]
     ] ) ;
     fhir:when [ fhir:v "2026-09-30T10:27:00-06:00"^^xsd:dateTime ] ;
     fhir:who [
       fhir:link <http://hl7.org/fhir/Organization/ejemplo-establecimiento> ;
       fhir:reference [ fhir:v "Organization/ejemplo-establecimiento" ] ;
       fhir:display [ fhir:v "Hospital Privado de Ejemplo" ]
     ] ;
     fhir:targetFormat [ fhir:v "application/fhir+json" ] ;
     fhir:sigFormat [ fhir:v "application/jose+json" ] ;
     fhir:data [ fhir:v "eyJzaWduYXR1cmVzIjpbeyJwcm90ZWN0ZWQiOiJleUpoYkdjaU9pSlNVekkxTmlJc0ltTjBlU0k2SW1wemIyNGlMQ0owZVhBaU9pSnFiM05sSzJwemIyNGlmUSIsInNpZ25hdHVyZSI6ImMyVnNiRzgifV19"^^xsd:base64Binary ]
  ] ) . #