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Packagehl7.fhir.cr.meddyg.laboratory-results
Resource TypeBundle
IdBundle-BundleHbA1cTamizajeEBAISExample.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "id": "BundleHbA1cTamizajeEBAISExample",
  "meta": {
    "profile": [
      "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/cr-bundle-laboratory-result"
    ]
  },
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:3bc0ecdb-a8ed-4ad7-9d25-e96c308cf8c4"
  },
  "type": "document",
  "timestamp": "2026-04-08T08:30:00-06:00",
  "entry": [
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Composition/CompositionHbA1cTamizajeEBAISExample",
      "resource": {
        "resourceType": "Composition",
        "id": "CompositionHbA1cTamizajeEBAISExample",
        "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_CompositionHbA1cTamizajeEBAISExample\"> </a><p>Documento clínico de tamizaje HbA1c emitido por EBAIS.</p></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11502-2"
            }
          ]
        },
        "subject": [
          {
            "reference": "Patient/PatientHbA1cTamizajeEBAISExample"
          }
        ],
        "date": "2026-04-08T08:30:00-06:00",
        "author": [
          {
            "reference": "Organization/OrganizationEBAISGoicoechea2LabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleEBAISGoicoechea2LabExample"
          }
        ],
        "title": "Reporte de laboratorio HbA1c - Tamizaje en EBAIS",
        "section": [
          {
            "title": "Resultados de tamizaje metabólico",
            "entry": [
              {
                "reference": "DiagnosticReport/DiagnosticReportHbA1cTamizajeEBAISExample"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/DiagnosticReport/DiagnosticReportHbA1cTamizajeEBAISExample",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "DiagnosticReportHbA1cTamizajeEBAISExample",
        "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_DiagnosticReportHbA1cTamizajeEBAISExample\"> </a><p>Reporte de HbA1c para tamizaje en EBAIS con resultado dentro de rango.</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/PatientHbA1cTamizajeEBAISExample"
        },
        "effectiveDateTime": "2026-04-08T08:00:00-06:00",
        "issued": "2026-04-08T08:25:00-06:00",
        "performer": [
          {
            "reference": "Organization/OrganizationEBAISGoicoechea2LabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleEBAISGoicoechea2LabExample"
          }
        ],
        "specimen": [
          {
            "reference": "Specimen/SpecimenHbA1cTamizajeEBAISExample"
          }
        ],
        "result": [
          {
            "reference": "Observation/ObservationHbA1cTamizajeEBAISExample"
          }
        ],
        "note": [
          {
            "text": "El reporte corresponde a toma y procesamiento realizados en el primer nivel de atención."
          }
        ],
        "conclusion": "Resultado HbA1c dentro del rango general de referencia para tamizaje."
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Observation/ObservationHbA1cTamizajeEBAISExample",
      "resource": {
        "resourceType": "Observation",
        "id": "ObservationHbA1cTamizajeEBAISExample",
        "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_ObservationHbA1cTamizajeEBAISExample\"> </a><p>Resultado de HbA1c para tamizaje en EBAIS: 5.4%.</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/PatientHbA1cTamizajeEBAISExample"
        },
        "effectiveDateTime": "2026-04-08T08:00:00-06:00",
        "performer": [
          {
            "reference": "Organization/OrganizationEBAISGoicoechea2LabExample"
          },
          {
            "reference": "PractitionerRole/PractitionerRoleEBAISGoicoechea2LabExample"
          }
        ],
        "valueQuantity": {
          "value": 5.4,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N"
              }
            ]
          }
        ],
        "note": [
          {
            "text": "Escenario de tamizaje preventivo en EBAIS para persona sin antecedente documentado de diabetes."
          }
        ],
        "method": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "726449005"
            }
          ]
        },
        "specimen": {
          "reference": "Specimen/SpecimenHbA1cTamizajeEBAISExample"
        },
        "referenceRange": [
          {
            "low": {
              "value": 4,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "high": {
              "value": 5.6,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "text": "Tamizaje ambulatorio: rango de referencia general 4.0% - 5.6%."
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Specimen/SpecimenHbA1cTamizajeEBAISExample",
      "resource": {
        "resourceType": "Specimen",
        "id": "SpecimenHbA1cTamizajeEBAISExample",
        "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_SpecimenHbA1cTamizajeEBAISExample\"> </a><p>Muestra de sangre venosa para tamizaje de HbA1c en EBAIS.</p></div>"
        },
        "status": "available",
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "122555007"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientHbA1cTamizajeEBAISExample"
        },
        "receivedTime": "2026-04-08T07:35:00-06:00",
        "collection": {
          "collectedDateTime": "2026-04-08T07:10:00-06:00"
        }
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Patient/PatientHbA1cTamizajeEBAISExample",
      "resource": {
        "resourceType": "Patient",
        "id": "PatientHbA1cTamizajeEBAISExample",
        "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_PatientHbA1cTamizajeEBAISExample\"> </a><p>Paciente en escenario de tamizaje metabólico en EBAIS.</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": "201230456"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Vargas",
            "_family": {
              "extension": [
                {
                  "url": "https://hl7.meddyg.com/fhir/laboratory-results/StructureDefinition/ext-second-surname",
                  "valueString": "Rojas"
                }
              ]
            },
            "given": [
              "Laura",
              "María"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1987-03-22"
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Organization/OrganizationEBAISGoicoechea2LabExample",
      "resource": {
        "resourceType": "Organization",
        "id": "OrganizationEBAISGoicoechea2LabExample",
        "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_OrganizationEBAISGoicoechea2LabExample\"> </a><p>Laboratorio de primer nivel del EBAIS Goicoechea 2.</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": "3-101-000200-LAB01"
          }
        ],
        "active": true,
        "name": "Laboratorio EBAIS Goicoechea 2",
        "partOf": {
          "reference": "Organization/OrganizationEBAISGoicoechea2Example"
        }
      }
    },
    {
      "fullUrl": "https://hl7.meddyg.com/fhir/laboratory-results/Organization/OrganizationEBAISGoicoechea2Example",
      "resource": {
        "resourceType": "Organization",
        "id": "OrganizationEBAISGoicoechea2Example",
        "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_OrganizationEBAISGoicoechea2Example\"> </a><p>EBAIS de la CCSS para atención primaria y seguimiento clínico.</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": "3-101-000200"
          }
        ],
        "active": true,
        "name": "EBAIS Goicoechea 2",
        "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/PractitionerRoleEBAISGoicoechea2LabExample",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "PractitionerRoleEBAISGoicoechea2LabExample",
        "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_PractitionerRoleEBAISGoicoechea2LabExample\"> </a><p>Rol del profesional responsable del reporte de HbA1c en laboratorio EBAIS.</p></div>"
        },
        "active": true,
        "practitioner": {
          "reference": "Practitioner/PractitionerLaboratoryResultExample"
        },
        "organization": {
          "reference": "Organization/OrganizationEBAISGoicoechea2LabExample"
        },
        "code": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/practitioner-role",
                "code": "doctor"
              }
            ]
          }
        ]
      }
    }
  ]
}