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Packagehl7.fhir.cl.minsal.quirurgico
Resource TypeObservation
IdObservation-913614cd-2069-49be-a1d8-0bc0cdacd5f2.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Observación 913614cd-2069-49be-a1d8-0bc0cdacd5f2

status: Registered

code: Notas Clinicas

subject: Juan Pérez (official) Male, DoB: 1980-01-01 ( RUN: 4444444-4)

encounter: Encounter: identifier = ENC-20241130-001; status = finished; class = Presencial (Modalidad Atencion Codigo#1); type = Nueva; period = 2024-11-30 10:00:00-0400 --> (ongoing)

effective: 2024-11-30 10:00:00-0400

performer: Practitioner Maria Fernandez (official)

value: El paciente presenta dolor abdominal leve en la región epigástrica. Hernia ventral diagnosticada previamente. Se recomienda cirugía electiva con malla. Se descartan signos de obstrucción intestinal.


Source1

{
  "resourceType": "Observation",
  "id": "913614cd-2069-49be-a1d8-0bc0cdacd5f2",
  "meta": {
    "profile": [
      "https://interoperabilidad.minsal.cl/fhir/ig/quirurgico/StructureDefinition/ObservationNotasClinicasLE"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "registered",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "371524004"
      }
    ],
    "text": "Notas Clinicas"
  },
  "subject": {
    "reference": "Patient/22e862c5-6d96-44ec-869c-dba001058cb3"
  },
  "encounter": {
    "reference": "Encounter/23b7f034-a998-44d7-9be4-0281be8222c0"
  },
  "effectiveDateTime": "2024-11-30T10:00:00-04:00",
  "performer": [
    {
      "reference": "Practitioner/fbb0e12c-95ec-43f7-bff1-73009b307cb5"
    }
  ],
  "valueString": "El paciente presenta dolor abdominal leve en la región epigástrica. Hernia ventral diagnosticada previamente. Se recomienda cirugía electiva con malla. Se descartan signos de obstrucción intestinal."
}