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.

: Registro de pacientes

Estado de las normas de la página: Draft

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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/CapabilityStatement/cr-registro-pacientes> a fhir:CapabilityStatement ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "cr-registro-pacientes"] ; # 
  fhir:language [ fhir:v "es"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa generada: CapabilityStatement cr-registro-pacientes</b></p><a name=\"cr-registro-pacientes\"> </a><a name=\"hccr-registro-pacientes\"> </a><h2 id=\"title\">Registro de pacientes</h2><ul><li>Implementation Guide Version: 0.1.0 </li><li>FHIR Version: 5.0.0 </li><li>Supported Formats: <code>json</code>, <code>xml</code></li><li>Published on: 2026-10-05 </li><li>Published by: Iniciativa HL7 Costa Rica </li></ul><blockquote class=\"impl-note\"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h3 id=\"shallIGs\">SHALL Support the Following Implementation Guides</h3><ul><li><a href=\"index.html\">https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core</a></li></ul><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>server</code></h3></div><div class=\"panel-body\"><div><p>MPI Nacional. La consulta demográfica (IHE PDQm ITI-78) es la búsqueda de Patient; el emparejamiento (ITI-119) es la operación $match del núcleo de R5; las referencias cruzadas (PIXm ITI-83) son la búsqueda por identifier, que devuelve todos los identificadores y Patient.link; la alimentación (PIXm ITI-104, PMIR ITI-93) es create y update, con las uniones en Patient.link.</p>\n</div></div></div><h3 id=\"resourcesCap1\">Capabilities by Resource/Profile</h3><h4 id=\"resourcesSummary1\">Resumen</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class=\"bg-info\">R</span></b>ead, <b><span class=\"bg-info\">S</span></b>earch, <b><span class=\"bg-info\">U</span></b>pdate, and <b><span class=\"bg-info\">C</span></b>reate, are always shown, while <b><span class=\"bg-info\">VR</span></b>ead, <b><span class=\"bg-info\">P</span></b>atch, <b><span class=\"bg-info\">D</span></b>elete, <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">I</span></b>nstance, or <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class=\"table-responsive\"><table class=\"table table-condensed table-hover\"><thead><tr><th><b>Resource Type</b></th><th><b>Perfil</b></th><th class=\"text-center\"><b title=\"GET a resource (read interaction)\">R</b></th><th class=\"text-center\"><b title=\"GET past versions of resources (vread interaction)\">V-R</b></th><th class=\"text-center\"><b title=\"GET all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th class=\"text-center\"><b title=\"GET changes to a resource (history interaction on instance)\">H-I</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#Patient1-1\">Patient</a></td><td>Supported Profiles<br/>  <a href=\"StructureDefinition-cr-patient.html\">Paciente</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td>_id, identifier, active, family, given, mothers-family, birthdate, gender, telecom, address-state, address-city, address-district, _lastUpdated</td><td/><td/><td><code>$match</code></td></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Patient1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: unspecified </span>Patient</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/patient.html\">Patient</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li>Supports <code>read</code>, <code>vread</code>, <code>search-type</code>, <code>create</code>, <code>update</code>, <code>history-instance</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-cr-patient.html\">Paciente</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentación</span><blockquote><div><p>Pacientes del MPI Nacional. Las uniones de registros se registran con Patient.link y con una procedencia (cr-provenance).</p>\n</div></blockquote></div></div><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Tipo</th><th>Documentación</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>Id del recurso.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">identifier</a></td><td><code>token</code></td><td><div><p>Identificador: cédula, DIMEX, pasaporte, número CCSS o expediente (system|value).</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">active</a></td><td><code>token</code></td><td><div><p>Si el registro está activo.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">family</a></td><td><code>string</code></td><td><div><p>Apellidos (family lleva los dos).</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">given</a></td><td><code>string</code></td><td><div><p>Nombres.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-cr-mothers-family.html\">mothers-family</a></td><td><code>string</code></td><td><div><p>Apellido de origen materno; reemplaza el mothersMaidenName de PDQm.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">birthdate</a></td><td><code>date</code></td><td><div><p>Fecha de nacimiento.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">gender</a></td><td><code>token</code></td><td><div><p>Sexo asignado al nacer.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">telecom</a></td><td><code>token</code></td><td><div><p>Teléfono o correo.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">address-state</a></td><td><code>string</code></td><td><div><p>Provincia (código de la DTA).</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/patient.html#search\">address-city</a></td><td><code>string</code></td><td><div><p>Cantón (código de la DTA).</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-cr-address-district.html\">address-district</a></td><td><code>string</code></td><td><div><p>Distrito (código de la DTA).</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>Fecha de la última actualización.</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\"> </div></div><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentación</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td>$match</td><td><div><p>Emparejamiento de pacientes (adapta IHE PDQm ITI-119).</p>\n</div></td></tr></tbody></table></div></div></div></div></div></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:code ;
       fhir:v "draft" ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
         fhir:value [
           a fhir:canonical ;
           fhir:v "https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core"^^xsd:anyURI ;
           fhir:link <https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core>
         ]
       ] )
     ]
  ] ) ; # 
  fhir:url [ fhir:v "https://hl7.or.cr/fhir/core/CapabilityStatement/cr-registro-pacientes"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "CRRegistroPacientes"] ; # 
  fhir:title [ fhir:v "Registro de pacientes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-10-05"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "Iniciativa HL7 Costa Rica"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "Iniciativa HL7 Costa Rica" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "https://hl7.or.cr" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Servidor del registro de pacientes del HIE (MPI Nacional): consulta demográfica, emparejamiento, referencias cruzadas y alimentación de identidades, basados en IHE PDQm, PIXm y PMIR adaptados a FHIR R5."] ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "CR" ] ;
       fhir:display [ fhir:v "Costa Rica" ]
     ] )
  ] ) ; # 
  fhir:kind [ fhir:v "requirements"] ; # 
  fhir:fhirVersion [ fhir:v "5.0.0"] ; # 
  fhir:format ( [ fhir:v "json"] [ fhir:v "xml"] ) ; # 
  fhir:implementationGuide ( [
     fhir:v "https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core"^^xsd:anyURI ;
     fhir:link <https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core>
  ] ) ; # 
  fhir:rest ( [
     fhir:mode [ fhir:v "server" ] ;
     fhir:documentation [ fhir:v "MPI Nacional. La consulta demográfica (IHE PDQm ITI-78) es la búsqueda de Patient; el emparejamiento (ITI-119) es la operación $match del núcleo de R5; las referencias cruzadas (PIXm ITI-83) son la búsqueda por identifier, que devuelve todos los identificadores y Patient.link; la alimentación (PIXm ITI-104, PMIR ITI-93) es create y update, con las uniones en Patient.link." ] ;
     fhir:resource ( [
       fhir:type [ fhir:v "Patient" ] ;
       fhir:supportedProfile ( [
         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:documentation [ fhir:v "Pacientes del MPI Nacional. Las uniones de registros se registran con Patient.link y con una procedencia (cr-provenance)." ] ;
       fhir:interaction ( [
         fhir:code [ fhir:v "read" ]
       ] [
         fhir:code [ fhir:v "vread" ]
       ] [
         fhir:code [ fhir:v "search-type" ]
       ] [
         fhir:code [ fhir:v "create" ]
       ] [
         fhir:code [ fhir:v "update" ]
       ] [
         fhir:code [ fhir:v "history-instance" ]
       ] ) ;
       fhir:searchParam ( [
         fhir:name [ fhir:v "_id" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/Resource-id"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/Resource-id>
         ] ;
         fhir:type [ fhir:v "token" ] ;
         fhir:documentation [ fhir:v "Id del recurso." ]
       ] [
         fhir:name [ fhir:v "identifier" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/Patient-identifier"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/Patient-identifier>
         ] ;
         fhir:type [ fhir:v "token" ] ;
         fhir:documentation [ fhir:v "Identificador: cédula, DIMEX, pasaporte, número CCSS o expediente (system|value)." ]
       ] [
         fhir:name [ fhir:v "active" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/Patient-active"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/Patient-active>
         ] ;
         fhir:type [ fhir:v "token" ] ;
         fhir:documentation [ fhir:v "Si el registro está activo." ]
       ] [
         fhir:name [ fhir:v "family" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-family"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-family>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Apellidos (family lleva los dos)." ]
       ] [
         fhir:name [ fhir:v "given" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-given"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-given>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Nombres." ]
       ] [
         fhir:name [ fhir:v "mothers-family" ] ;
         fhir:definition [
           fhir:v "https://hl7.or.cr/fhir/core/SearchParameter/cr-mothers-family"^^xsd:anyURI ;
           fhir:link <https://hl7.or.cr/fhir/core/SearchParameter/cr-mothers-family>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Apellido de origen materno; reemplaza el mothersMaidenName de PDQm." ]
       ] [
         fhir:name [ fhir:v "birthdate" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-birthdate"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-birthdate>
         ] ;
         fhir:type [ fhir:v "date" ] ;
         fhir:documentation [ fhir:v "Fecha de nacimiento." ]
       ] [
         fhir:name [ fhir:v "gender" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-gender"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-gender>
         ] ;
         fhir:type [ fhir:v "token" ] ;
         fhir:documentation [ fhir:v "Sexo asignado al nacer." ]
       ] [
         fhir:name [ fhir:v "telecom" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-telecom"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-telecom>
         ] ;
         fhir:type [ fhir:v "token" ] ;
         fhir:documentation [ fhir:v "Teléfono o correo." ]
       ] [
         fhir:name [ fhir:v "address-state" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-address-state"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-address-state>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Provincia (código de la DTA)." ]
       ] [
         fhir:name [ fhir:v "address-city" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/individual-address-city"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/individual-address-city>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Cantón (código de la DTA)." ]
       ] [
         fhir:name [ fhir:v "address-district" ] ;
         fhir:definition [
           fhir:v "https://hl7.or.cr/fhir/core/SearchParameter/cr-address-district"^^xsd:anyURI ;
           fhir:link <https://hl7.or.cr/fhir/core/SearchParameter/cr-address-district>
         ] ;
         fhir:type [ fhir:v "string" ] ;
         fhir:documentation [ fhir:v "Distrito (código de la DTA)." ]
       ] [
         fhir:name [ fhir:v "_lastUpdated" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/SearchParameter/Resource-lastUpdated>
         ] ;
         fhir:type [ fhir:v "date" ] ;
         fhir:documentation [ fhir:v "Fecha de la última actualización." ]
       ] ) ;
       fhir:operation ( [
         fhir:name [ fhir:v "match" ] ;
         fhir:definition [
           fhir:v "http://hl7.org/fhir/OperationDefinition/Patient-match"^^xsd:anyURI ;
           fhir:link <http://hl7.org/fhir/OperationDefinition/Patient-match>
         ] ;
         fhir:documentation [ fhir:v "Emparejamiento de pacientes (adapta IHE PDQm ITI-119)." ]
       ] )
     ] )
  ] ) . #