Guía de Implementación Core de Costa Rica
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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

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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="cr-registro-pacientes"/>
  <language value="es"/>
  <text>
    <status value="extensions"/>
    <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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</div></td></tr></tbody></table></div></div></div></div></div></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="draft">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="https://hl7.or.cr/fhir/core/CapabilityStatement/cr-registro-pacientes"/>
  <version value="0.1.0"/>
  <name value="CRRegistroPacientes"/>
  <title value="Registro de pacientes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-10-05"/>
  <publisher value="Iniciativa HL7 Costa Rica"/>
  <contact>
    <name value="Iniciativa HL7 Costa Rica"/>
    <telecom>
      <system value="url"/>
      <value value="https://hl7.or.cr"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CR"/>
      <display value="Costa Rica"/>
    </coding>
  </jurisdiction>
  <kind value="requirements"/>
  <fhirVersion value="5.0.0"/>
  <format value="json"/>
  <format value="xml"/>
  <implementationGuide
                       value="https://hl7.or.cr/fhir/core/ImplementationGuide/hl7.fhir.cr.core"/>
  <rest>
    <mode value="server"/>
    <documentation
                   value="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."/>
    <resource>
      <type value="Patient"/>
      <supportedProfile
                        value="https://hl7.or.cr/fhir/core/StructureDefinition/cr-patient"/>
      <documentation
                     value="Pacientes del MPI Nacional. Las uniones de registros se registran con Patient.link y con una procedencia (cr-provenance)."/>
      <interaction>
        <code value="read"/>
      </interaction>
      <interaction>
        <code value="vread"/>
      </interaction>
      <interaction>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <code value="create"/>
      </interaction>
      <interaction>
        <code value="update"/>
      </interaction>
      <interaction>
        <code value="history-instance"/>
      </interaction>
      <searchParam>
        <name value="_id"/>
        <definition value="http://hl7.org/fhir/SearchParameter/Resource-id"/>
        <type value="token"/>
        <documentation value="Id del recurso."/>
      </searchParam>
      <searchParam>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Patient-identifier"/>
        <type value="token"/>
        <documentation
                       value="Identificador: cédula, DIMEX, pasaporte, número CCSS o expediente (system|value)."/>
      </searchParam>
      <searchParam>
        <name value="active"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Patient-active"/>
        <type value="token"/>
        <documentation value="Si el registro está activo."/>
      </searchParam>
      <searchParam>
        <name value="family"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-family"/>
        <type value="string"/>
        <documentation value="Apellidos (family lleva los dos)."/>
      </searchParam>
      <searchParam>
        <name value="given"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-given"/>
        <type value="string"/>
        <documentation value="Nombres."/>
      </searchParam>
      <searchParam>
        <name value="mothers-family"/>
        <definition
                    value="https://hl7.or.cr/fhir/core/SearchParameter/cr-mothers-family"/>
        <type value="string"/>
        <documentation
                       value="Apellido de origen materno; reemplaza el mothersMaidenName de PDQm."/>
      </searchParam>
      <searchParam>
        <name value="birthdate"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-birthdate"/>
        <type value="date"/>
        <documentation value="Fecha de nacimiento."/>
      </searchParam>
      <searchParam>
        <name value="gender"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-gender"/>
        <type value="token"/>
        <documentation value="Sexo asignado al nacer."/>
      </searchParam>
      <searchParam>
        <name value="telecom"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-telecom"/>
        <type value="token"/>
        <documentation value="Teléfono o correo."/>
      </searchParam>
      <searchParam>
        <name value="address-state"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-address-state"/>
        <type value="string"/>
        <documentation value="Provincia (código de la DTA)."/>
      </searchParam>
      <searchParam>
        <name value="address-city"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/individual-address-city"/>
        <type value="string"/>
        <documentation value="Cantón (código de la DTA)."/>
      </searchParam>
      <searchParam>
        <name value="address-district"/>
        <definition
                    value="https://hl7.or.cr/fhir/core/SearchParameter/cr-address-district"/>
        <type value="string"/>
        <documentation value="Distrito (código de la DTA)."/>
      </searchParam>
      <searchParam>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Resource-lastUpdated"/>
        <type value="date"/>
        <documentation value="Fecha de la última actualización."/>
      </searchParam>
      <operation>
        <name value="match"/>
        <definition
                    value="http://hl7.org/fhir/OperationDefinition/Patient-match"/>
        <documentation
                       value="Emparejamiento de pacientes (adapta IHE PDQm ITI-119)."/>
      </operation>
    </resource>
  </rest>
</CapabilityStatement>