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Packagehl7.fhir.cr.meddyg.laboratory-results
Resource TypeBundle
IdBundle-BundleHbA1cHospitalControlExample.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "id": "BundleHbA1cHospitalControlExample",
  "meta": {
    "profile": [
      "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-bundle-laboratory-result"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:75534dfc-7519-4201-b7f9-78bb5532c51d"
  },
  "type": "document",
  "timestamp": "2026-04-08T10:40:00-06:00",
  "entry": [
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Composition/CompositionHbA1cHospitalControlExample",
      "resource": {
        "resourceType": "Composition",
        "id": "CompositionHbA1cHospitalControlExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-composition-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Composition_CompositionHbA1cHospitalControlExample\"> </a><p>Documento clínico de resultado HbA1c emitido por laboratorio hospitalario.</p></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11502-2"
            }
          ]
        },
        "subject": [
          {
            "reference": "Patient/PatientHbA1cHospitalControlExample"
          }
        ],
        "date": "2026-04-08T10:40:00-06:00",
        "author": [
          {
            "reference": "Organization/OrganizationHospitalMexicoLabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleHospitalMexicoLabExample"
          }
        ],
        "title": "Reporte de laboratorio HbA1c - Control hospitalario",
        "section": [
          {
            "title": "Resultados de laboratorio hospitalario",
            "entry": [
              {
                "reference": "DiagnosticReport/DiagnosticReportHbA1cHospitalControlExample"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/DiagnosticReport/DiagnosticReportHbA1cHospitalControlExample",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "DiagnosticReportHbA1cHospitalControlExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-diagnostic-report-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"DiagnosticReport_DiagnosticReportHbA1cHospitalControlExample\"> </a><p>Reporte de HbA1c en contexto hospitalario con control glucémico no adecuado.</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "LAB"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "4548-4"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientHbA1cHospitalControlExample"
        },
        "effectiveDateTime": "2026-04-08T10:00:00-06:00",
        "issued": "2026-04-08T10:35:00-06:00",
        "performer": [
          {
            "reference": "Organization/OrganizationHospitalMexicoLabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleHospitalMexicoLabExample"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/SpecimenHbA1cHospitalControlExample"
          }
        ],
        "result": [
          {
            "reference": "Observation/ObservationHbA1cHospitalControlExample"
          }
        ],
        "note": [
          {
            "text": "Ejemplo orientado a coordinación entre laboratorio hospitalario y seguimiento clínico especializado."
          }
        ],
        "conclusion": "Resultado HbA1c persistentemente elevado, compatible con control glucémico no adecuado en contexto hospitalario."
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Observation/ObservationHbA1cHospitalControlExample",
      "resource": {
        "resourceType": "Observation",
        "id": "ObservationHbA1cHospitalControlExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-observation-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Observation_ObservationHbA1cHospitalControlExample\"> </a><p>Resultado de HbA1c en control hospitalario: 9.2%.</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "4548-4"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientHbA1cHospitalControlExample"
        },
        "effectiveDateTime": "2026-04-08T10:00:00-06:00",
        "performer": [
          {
            "reference": "Organization/OrganizationHospitalMexicoLabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleHospitalMexicoLabExample"
          }
        ],
        "valueQuantity": {
          "value": 9.2,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H"
              }
            ]
          }
        ],
        "note": [
          {
            "text": "Escenario hospitalario de seguimiento de paciente con diabetes y control glucémico no satisfactorio."
          }
        ],
        "method": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "726449005"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/SpecimenHbA1cHospitalControlExample"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "high": {
              "value": 5.6,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "text": "Resultado marcadamente elevado respecto al rango de referencia general."
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Specimen/SpecimenHbA1cHospitalControlExample",
      "resource": {
        "resourceType": "Specimen",
        "id": "SpecimenHbA1cHospitalControlExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-specimen-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Specimen_SpecimenHbA1cHospitalControlExample\"> </a><p>Muestra de sangre venosa procesada en laboratorio hospitalario para HbA1c.</p></div>"
        },
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "122555007"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientHbA1cHospitalControlExample"
        },
        "receivedTime": "2026-04-08T09:30:00-06:00",
        "collection": {
          "collectedDateTime": "2026-04-08T09:05:00-06:00"
        }
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Patient/PatientHbA1cHospitalControlExample",
      "resource": {
        "resourceType": "Patient",
        "id": "PatientHbA1cHospitalControlExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-patient-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Patient_PatientHbA1cHospitalControlExample\"> </a><p>Paciente en control hospitalario por diabetes con HbA1c alterada.</p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://hl7.meddyg.com/fhir/laboratory-results/CodeSystem/cr-identifier-type",
                  "code": "cedula-nacional",
                  "display": "Cédula Nacional"
                }
              ]
            },
            "system": "https://hl7.meddyg.com/fhir/laboratory-results/sid/cedula-nacional",
            "value": "304560789"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Castro",
            "_family": {
              "extension": [
                {
                  "url": "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/ext-second-surname",
                  "valueString": "Mora"
                }
              ]
            },
            "given": [
              "José",
              "Miguel"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1968-07-14"
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Organization/OrganizationHospitalMexicoLabExample",
      "resource": {
        "resourceType": "Organization",
        "id": "OrganizationHospitalMexicoLabExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-organization-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Organization_OrganizationHospitalMexicoLabExample\"> </a><p>Laboratorio clínico del Hospital México para procesamiento de HbA1c.</p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://hl7.meddyg.com/fhir/laboratory-results/CodeSystem/cr-identifier-type",
                  "code": "cedula-juridica",
                  "display": "Cédula Jurídica"
                }
              ]
            },
            "system": "https://hl7.meddyg.com/fhir/laboratory-results/sid/ccss-organization-id",
            "value": "3-101-000100-LAB01"
          }
        ],
        "active": true,
        "name": "Laboratorio Clínico Hospital México",
        "partOf": {
          "reference": "Organization/OrganizationHospitalMexicoExample"
        }
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Organization/OrganizationHospitalMexicoExample",
      "resource": {
        "resourceType": "Organization",
        "id": "OrganizationHospitalMexicoExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-organization-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Organization_OrganizationHospitalMexicoExample\"> </a><p>Hospital público de la CCSS que participa en reportes de laboratorio.</p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://hl7.meddyg.com/fhir/laboratory-results/CodeSystem/cr-identifier-type",
                  "code": "cedula-juridica",
                  "display": "Cédula Jurídica"
                }
              ]
            },
            "system": "https://hl7.meddyg.com/fhir/laboratory-results/sid/ccss-organization-id",
            "value": "3-101-000100"
          }
        ],
        "active": true,
        "name": "Hospital México",
        "partOf": {
          "reference": "Organization/OrganizationCCSSExample"
        }
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Organization/OrganizationCCSSExample",
      "resource": {
        "resourceType": "Organization",
        "id": "OrganizationCCSSExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-organization-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Organization_OrganizationCCSSExample\"> </a><p>Organización principal de la CCSS para escenarios de laboratorio.</p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://hl7.meddyg.com/fhir/laboratory-results/CodeSystem/cr-identifier-type",
                  "code": "cedula-juridica",
                  "display": "Cédula Jurídica"
                }
              ]
            },
            "system": "https://hl7.meddyg.com/fhir/laboratory-results/sid/ccss-organization-id",
            "value": "4-000-042147"
          }
        ],
        "active": true,
        "name": "Caja Costarricense de Seguro Social (CCSS)"
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Practitioner/PractitionerLaboratoryResultExample",
      "resource": {
        "resourceType": "Practitioner",
        "id": "PractitionerLaboratoryResultExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-practitioner-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"Practitioner_PractitionerLaboratoryResultExample\"> </a><p>Profesional de salud responsable de la validación y reporte de laboratorio.</p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://hl7.meddyg.com/fhir/laboratory-results/CodeSystem/cr-identifier-type",
                  "code": "cedula-nacional",
                  "display": "Cédula Nacional"
                }
              ]
            },
            "system": "https://hl7.meddyg.com/fhir/laboratory-results/sid/cedula-nacional",
            "value": "1234567890"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Ramírez",
            "_family": {
              "extension": [
                {
                  "url": "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/ext-second-surname",
                  "valueString": "López"
                }
              ]
            },
            "given": [
              "María",
              "José"
            ]
          }
        ],
        "gender": "female"
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/PractitionerRole/PractitionerRoleHospitalMexicoLabExample",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRoleHospitalMexicoLabExample",
        "meta": {
          "profile": [
            "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-practitioner-role-laboratory-result"
          ]
        },
        "language": "es",
        "text": {
          "status": "generated",
          "div": "<div xml:lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"es\"><a name=\"PractitionerRole_PractitionerRoleHospitalMexicoLabExample\"> </a><p>Rol profesional del laboratorio del Hospital México para reporte de HbA1c.</p></div>"
        },
        "active": true,
        "practitioner": {
          "reference": "Practitioner/PractitionerLaboratoryResultExample"
        },
        "organization": {
          "reference": "Organization/OrganizationHospitalMexicoLabExample"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
                "code": "doctor"
              }
            ]
          }
        ]
      }
    }
  ]
}