Agregadas variantes de ITI-65 para MeOW e IT ademas de IPS
Se generaliza el controller para recibir el tipo de documento (LOINC) en vez de hardcodear el de IPS, y se agregan las rutas y mapeos de nginx para /fhir/MeOWTransaction, /fhir/MeOWDocument, /fhir/ITTransaction y /fhir/ITDocument, siguiendo la misma logica que las rutas IPS existentes. Co-Authored-By: Claude Sonnet 5 <noreply@anthropic.com>
This commit is contained in:
Alejandro Gomez Auad
parent
1fbc308d66
commit
df87fc5ee7
@ -14,7 +14,12 @@ El componente actúa exclusivamente como gateway: no contiene lógica de negocio
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| Transacción | Método | Ruta | Descripción |
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|---|---|---|---|
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| ITI-65 | `POST` | `/fhir/Bundle` | Provide Document Bundle: almacena el Bundle en HAPI FHIR, resuelve el ID nacional del paciente vía `$match` en el Bus y registra el DocumentReference en el Document Registry. |
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| ITI-65 | `POST` | `/fhir/IPSTransaction` | Provide Document Bundle (IPS): variante transacción — el cliente envía el Bundle transaction completo (Patient, Bundle document, DocumentReference, List). |
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| ITI-65 | `POST` | `/fhir/IPSDocument` | Provide Document Bundle (IPS): variante document — el cliente envía solo el Bundle IPS (`type: document`); el gateway arma la transacción internamente. |
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| ITI-65 | `POST` | `/fhir/MeOWTransaction` | Provide Document Bundle (MeOW - Medication Overview): variante transacción. |
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| ITI-65 | `POST` | `/fhir/MeOWDocument` | Provide Document Bundle (MeOW - Medication Overview): variante document. |
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| ITI-65 | `POST` | `/fhir/ITTransaction` | Provide Document Bundle (IT - Consultation Note / respuesta de interconsulta): variante transacción. |
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| ITI-65 | `POST` | `/fhir/ITDocument` | Provide Document Bundle (IT - Consultation Note): variante document. |
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| ITI-67 | `GET` | `/fhir/DocumentReference` | Find Document References: busca el paciente por ID local en el MPI para obtener su ID nacional y consulta los DocumentReferences en el Document Registry. |
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| ITI-78 | `GET` | `/fhir/Patient` | Patient Demographics Query: búsqueda de pacientes en el MPI. |
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| ITI-78 | `GET` | `/fhir/Patient/:id` | Patient Demographics Query: obtención de un paciente por ID en el MPI. |
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@ -136,7 +141,7 @@ docker compose logs -f
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## Headers requeridos por transacción
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### ITI-65 `POST /fhir/Bundle`
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### ITI-65 `POST /fhir/IPSTransaction`, `/fhir/IPSDocument`, `/fhir/MeOWTransaction`, `/fhir/MeOWDocument`, `/fhir/ITTransaction`, `/fhir/ITDocument`
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| Header | Descripción |
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|---|---|
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@ -20,6 +20,32 @@ const DNI_SYSTEM = 'http://www.renaper.gob.ar/dni';
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const CUSTODIAN_ID_SYSTEM = 'http://federador.msal.gob.ar/uri';
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const MASTER_ID_SYSTEM = 'urn:ietf:rfc:3986'
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/**
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* Tipos de documento soportados por ITI-65, cada uno con su código LOINC
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* para DocumentReference.type (y, en la variante "document", también para
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* el DocumentReference local generado dentro de la transacción).
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*/
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const DOCUMENT_TYPES = {
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IPS: {
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label: 'IPS',
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system: 'http://loinc.org',
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code: '60591-5',
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display: 'Patient Summary Document',
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},
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MEOW: {
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label: 'MeOW',
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system: 'http://loinc.org',
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code: '56445-0',
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display: 'Medication summary',
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},
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IT: {
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label: 'IT',
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system: 'http://loinc.org',
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code: '57133-1',
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display: 'Referral note',
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},
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};
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function extractResource(resources, resourceType) {
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return resources.filter(r => r.resourceType === resourceType)[0];
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@ -31,7 +57,7 @@ function extractLocalIdentifier(patient) {
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})[0];
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}
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function generateDocumentReferenceResource(subjectReference, bundleUrl) {
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function generateDocumentReferenceResource(subjectReference, bundleUrl, docType) {
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const documentRefernece = {
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resourceType: 'DocumentReference',
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status: 'current',
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@ -43,9 +69,9 @@ function generateDocumentReferenceResource(subjectReference, bundleUrl) {
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type: {
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coding: [
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{
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system: 'http://loinc.org',
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code: '60591-5',
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display: 'Patient Summary Document',
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system: docType.system,
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code: docType.code,
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display: docType.display,
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},
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],
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},
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@ -77,19 +103,20 @@ async function getResourcesFromTransactionResponse(transactionResponse) {
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}
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/**
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* Construye un Bundle de tipo transaction a partir de un Bundle de tipo document (IPS).
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* Genera Patient, Bundle (IPS), DocumentReference y List (SubmissionSet MHD).
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* Construye un Bundle de tipo transaction a partir de un Bundle de tipo document
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* (IPS, MeOW, IT, ...). Genera Patient, Bundle (documento), DocumentReference y
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* List (SubmissionSet MHD).
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* Usa urn:uuid: como fullUrl para que HAPI FHIR resuelva las referencias internas.
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*/
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function buildTransactionFromIPSDocument(ipsBundle) {
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if (ipsBundle.type !== 'document') {
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function buildTransactionFromDocumentBundle(documentBundle, docType) {
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if (documentBundle.type !== 'document') {
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throw createError(400, 'Bundle must be of type document');
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}
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const patientEntry = (ipsBundle.entry || []).find(
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const patientEntry = (documentBundle.entry || []).find(
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e => e.resource && e.resource.resourceType === 'Patient'
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);
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if (!patientEntry) {
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throw createError(400, 'IPS Bundle must contain a Patient resource');
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throw createError(400, `${docType.label} Bundle must contain a Patient resource`);
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}
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const patientFullUrl = `urn:uuid:${uuidv4()}`;
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@ -108,9 +135,9 @@ function buildTransactionFromIPSDocument(ipsBundle) {
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},
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type: {
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coding: [{
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system: 'http://loinc.org',
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code: '60591-5',
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display: 'Patient Summary Document',
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system: docType.system,
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code: docType.code,
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display: docType.display,
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}]
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},
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date: now,
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@ -158,7 +185,7 @@ function buildTransactionFromIPSDocument(ipsBundle) {
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},
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{
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fullUrl: bundleFullUrl,
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resource: ipsBundle,
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resource: documentBundle,
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request: { method: 'POST', url: 'Bundle' }
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},
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{
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@ -178,7 +205,7 @@ function buildTransactionFromIPSDocument(ipsBundle) {
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* Lógica central de ITI-65: persiste la transacción en HAPI FHIR, resuelve el
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* paciente en el Bus y registra un DocumentReference apuntando al Bundle guardado.
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*/
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async function executeITI65(transaction, token) {
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async function executeITI65(transaction, token, docType) {
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const transactionResponse = await processDocumentBundleTransaction(transaction);
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const resources = await getResourcesFromTransactionResponse(transactionResponse);
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@ -193,59 +220,73 @@ async function executeITI65(transaction, token) {
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const nationalPatientId = patientSearchset.entry[0].fullUrl;
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const bundleReference = `${config.baseURL}/fhir/Bundle/${localIPSDocument.id}`;
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const documentReference = generateDocumentReferenceResource(nationalPatientId, bundleReference);
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const documentReference = generateDocumentReferenceResource(nationalPatientId, bundleReference, docType);
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return createDocumentReference(token, documentReference);
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}
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async function acquireToken() {
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return getBusToken(
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config.bus.url,
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config.bus.jwtSecret,
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config.bus.issuer,
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[config.bus.mpiScope, config.bus.documentRegistryScope].join(',')
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);
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}
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/**
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* ITI-65: Provide Document Bundle (MHD) — variante transacción
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*
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* POST /fhir/iti65
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*
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* Espera un Bundle de tipo transaction construido por el cliente.
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*/
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async function provideIPSTransaction(req, res, next) {
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function provideTransaction(docType) {
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return async function (req, res, next) {
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try {
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const transaction = req.body;
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const token = await getBusToken(
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config.bus.url,
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config.bus.jwtSecret,
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config.bus.issuer,
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[config.bus.mpiScope, config.bus.documentRegistryScope].join(',')
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);
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const result = await executeITI65(transaction, token);
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const token = await acquireToken();
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const result = await executeITI65(transaction, token, docType);
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return res.status(200).json(result);
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} catch (err) {
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next(err);
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}
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};
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}
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/**
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* ITI-65: Provide Document Bundle (MHD) — variante IPS document
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* ITI-65: Provide Document Bundle (MHD) — variante document
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*
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* POST /fhir/Bundle
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*
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* Espera un Bundle de tipo document (IPS). Genera internamente el Bundle
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* transaction y ejecuta el mismo flujo que provideDocumentBundle.
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* Espera un Bundle de tipo document. Genera internamente el Bundle transaction
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* (Patient, Bundle, DocumentReference, List) y ejecuta el mismo flujo que
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* provideTransaction.
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*/
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async function provideIPSDocumentBundle(req, res, next) {
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function provideDocumentBundle(docType) {
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return async function (req, res, next) {
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try {
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const ipsBundle = req.body;
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if (!ipsBundle || ipsBundle.resourceType !== 'Bundle') {
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const documentBundle = req.body;
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if (!documentBundle || documentBundle.resourceType !== 'Bundle') {
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throw createError(400, 'Request body must be a FHIR Bundle resource');
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}
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const transaction = buildTransactionFromIPSDocument(ipsBundle);
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const token = await getBusToken(
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config.bus.url,
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config.bus.jwtSecret,
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config.bus.issuer,
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[config.bus.mpiScope, config.bus.documentRegistryScope].join(',')
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);
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const result = await executeITI65(transaction, token);
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const transaction = buildTransactionFromDocumentBundle(documentBundle, docType);
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const token = await acquireToken();
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const result = await executeITI65(transaction, token, docType);
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return res.status(200).json(result);
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} catch (err) {
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next(err);
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}
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};
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}
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module.exports = { provideIPSTransaction, provideIPSDocumentBundle };
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const provideIPSTransaction = provideTransaction(DOCUMENT_TYPES.IPS);
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const provideIPSDocumentBundle = provideDocumentBundle(DOCUMENT_TYPES.IPS);
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const provideMeOWTransaction = provideTransaction(DOCUMENT_TYPES.MEOW);
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const provideMeOWDocumentBundle = provideDocumentBundle(DOCUMENT_TYPES.MEOW);
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const provideITTransaction = provideTransaction(DOCUMENT_TYPES.IT);
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const provideITDocumentBundle = provideDocumentBundle(DOCUMENT_TYPES.IT);
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module.exports = {
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provideIPSTransaction,
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provideIPSDocumentBundle,
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provideMeOWTransaction,
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provideMeOWDocumentBundle,
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provideITTransaction,
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provideITDocumentBundle,
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};
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@ -7,14 +7,15 @@ sequenceDiagram
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participant FederadorNacion as Federador
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participant IndiceNacion as Indice Documentos
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end
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Note over HIS_A,IndiceNacion: 1. Recepcion Local del Documento Bundle (POST /Bundle)
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HIS_A->>NodoDominio: ITI65: Provee un nuevo documento IPS (bundle)
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Note over HIS_A,IndiceNacion: Variantes: /IPSTransaction, /IPSDocument, /MeOWTransaction, /MeOWDocument, /ITTransaction, /ITDocument
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Note over HIS_A,IndiceNacion: 1. Recepcion Local del Documento Bundle
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HIS_A->>NodoDominio: ITI65: Provee un nuevo documento (bundle)
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Note right of NodoDominio: El Nodo almacena físicamente el documento y extrae la metadata.
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Note over NodoDominio,FederadorNacion: 2. Resolución de Identidad
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NodoDominio->>FederadorNacion: Busca al paciente por el su identificador local [GET /Patient?identifier=<ID_Local>]
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FederadorNacion-->>NodoDominio: 200 OK (Patient Searchset)
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Note over NodoDominio,IndiceNacion: 3. Enrutamiento de la Petición
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Note right of NodoDominio: El Nodo genera la referencia al IPS y la asocia al identificador nacional del paciente.
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NodoDominio->>IndiceNacion: Guarda la referencia al IPS en el índice de documentos [POST /DocumentReference]
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Note right of NodoDominio: El Nodo genera la referencia al documento y la asocia al identificador nacional del paciente.
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NodoDominio->>IndiceNacion: Guarda la referencia al documento en el índice de documentos [POST /DocumentReference]
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IndiceNacion-->>NodoDominio: 201 (Created)
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NodoDominio-->>HIS_A: 200 OK (DocumentReference)
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@ -1,11 +1,24 @@
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const express = require('express');
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const router = express.Router();
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const { provideIPSTransaction, provideIPSDocumentBundle } = require('../controllers/iti65');
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const {
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provideIPSTransaction,
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provideIPSDocumentBundle,
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provideMeOWTransaction,
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provideMeOWDocumentBundle,
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provideITTransaction,
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provideITDocumentBundle,
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} = require('../controllers/iti65');
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// ITI-65: Provide Document Bundle — variante transaction Bundle
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// ITI-65: Provide Document Bundle — IPS
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router.post('/IPSTransaction', provideIPSTransaction);
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// ITI-65: Provide Document Bundle — variante IPS document Bundle (type: document)
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router.post('/IPSDocument', provideIPSDocumentBundle);
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// ITI-65: Provide Document Bundle — MeOW (Medication Overview)
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router.post('/MeOWTransaction', provideMeOWTransaction);
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router.post('/MeOWDocument', provideMeOWDocumentBundle);
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// ITI-65: Provide Document Bundle — IT (Consultation Note / respuesta de interconsulta)
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router.post('/ITTransaction', provideITTransaction);
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router.post('/ITDocument', provideITDocumentBundle);
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module.exports = router;
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@ -35,6 +35,46 @@ http {
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — MeOW (Medication Overview) transaction Bundle
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location /fhir/MeOWTransaction {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — MeOW (Medication Overview) document Bundle
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location /fhir/MeOWDocument {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — IT (Consultation Note) transaction Bundle
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location /fhir/ITTransaction {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — IT (Consultation Note) document Bundle
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location /fhir/ITDocument {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-67: Find Document References
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location /fhir/DocumentReference {
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proxy_pass http://bus_gateway;
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@ -51,6 +51,46 @@ http {
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — MeOW (Medication Overview) transaction Bundle
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location /fhir/MeOWTransaction {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — MeOW (Medication Overview) document Bundle
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location /fhir/MeOWDocument {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — IT (Consultation Note) transaction Bundle
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location /fhir/ITTransaction {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-65: Provide Document Bundle — IT (Consultation Note) document Bundle
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location /fhir/ITDocument {
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proxy_pass http://bus_gateway;
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proxy_set_header Host $host;
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proxy_set_header X-Real-IP $remote_addr;
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proxy_set_header X-Forwarded-For $proxy_add_x_forwarded_for;
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proxy_set_header X-Forwarded-Proto $scheme;
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proxy_read_timeout 90s;
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}
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# ITI-67: Find Document References
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location /fhir/DocumentReference {
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proxy_pass http://bus_gateway;
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121
tests/fixtures/iti65/bundle-document-it.json
vendored
Normal file
121
tests/fixtures/iti65/bundle-document-it.json
vendored
Normal file
@ -0,0 +1,121 @@
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{
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"resourceType": "Bundle",
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"type": "document",
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"timestamp": "2026-04-23T07:50:00-03:00",
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"entry": [
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{
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"fullUrl": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f",
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"resource": {
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"resourceType": "Patient",
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"identifier": [
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{
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"system": "urn:oid:2.16.858.1.858.1.1.1",
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"value": "123456789"
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}
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],
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"active": true,
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"name": [
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{
|
||||
"use": "official",
|
||||
"family": "Pérez",
|
||||
"given": [
|
||||
"Juan"
|
||||
]
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:4d58cb4f-1f8b-4f94-9877-bb5a0de47955",
|
||||
"resource": {
|
||||
"resourceType": "Composition",
|
||||
"status": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "11488-4",
|
||||
"display": "Consultation note"
|
||||
}
|
||||
]
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
|
||||
},
|
||||
"date": "2026-04-23T07:50:00-03:00",
|
||||
"author": [
|
||||
{
|
||||
"display": "Dra. Especialista - Nodo Panamá"
|
||||
}
|
||||
],
|
||||
"title": "Informe de Contra-referencia Dermatológica",
|
||||
"section": [
|
||||
{
|
||||
"title": "Motivo de Interconsulta",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "42349-1",
|
||||
"display": "Reason for referral"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Se solicita segunda opinión para evaluación de lesión pigmentada en región escapular, con el fin de descartar malignidad tras hallazgos clínicos iniciales en Uruguay.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Revisión de Evidencia",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "30954-2",
|
||||
"display": "Relevant diagnostic tests"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Se re-evaluaron los resultados del IPS (Bundle/2313), específicamente el DiagnosticReport/biopsia-001 y las imágenes dermatoscópicas adjuntas.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Juicio Clínico",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "51848-0",
|
||||
"display": "Assessment note"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Tras el análisis de la evidencia, se concluye que la morfología de la lesión es compatible con un Nevus Displásico. No se identifican criterios histológicos de melanoma.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Recomendaciones",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "18776-5",
|
||||
"display": "Plan of care"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Control dermatoscópico cada 6 meses.</li><li>Uso de fotoprotección (FPS 50+).</li><li>No se requiere intervención quirúrgica inmediata.</li></ul></div>"
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
177
tests/fixtures/iti65/bundle-document-meow.json
vendored
Normal file
177
tests/fixtures/iti65/bundle-document-meow.json
vendored
Normal file
@ -0,0 +1,177 @@
|
||||
{
|
||||
"resourceType": "Bundle",
|
||||
"id": "medication-overview-example",
|
||||
"meta": {
|
||||
"profile": [
|
||||
"http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationOverview"
|
||||
]
|
||||
},
|
||||
"identifier": {
|
||||
"system": "urn:ietf:rfc:3986",
|
||||
"value": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71"
|
||||
},
|
||||
"type": "document",
|
||||
"timestamp": "2025-06-17T18:36:18+00:00",
|
||||
"entry": [
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a72",
|
||||
"resource": {
|
||||
"resourceType": "Composition",
|
||||
"id": "composition-example",
|
||||
"meta": {
|
||||
"profile": [
|
||||
"http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationOverviewComposition"
|
||||
]
|
||||
},
|
||||
"status": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "56445-0",
|
||||
"display": "Medication summary"
|
||||
}
|
||||
]
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"date": "2025-06-17T18:36:18+00:00",
|
||||
"author": [
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
}
|
||||
],
|
||||
"title": "Medication Overview",
|
||||
"section": [
|
||||
{
|
||||
"title": "Medicamentos",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "55112-7",
|
||||
"display": "Document summary"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Resumen de medicamentos</p></div>"
|
||||
},
|
||||
"entry": [
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74"
|
||||
},
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75"
|
||||
}
|
||||
]
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73",
|
||||
"resource": {
|
||||
"resourceType": "Patient",
|
||||
"id": "patient-example",
|
||||
"identifier": [
|
||||
{
|
||||
"system": "http://hospital.example.org",
|
||||
"value": "12345"
|
||||
}
|
||||
],
|
||||
"name": [
|
||||
{
|
||||
"family": "Doe",
|
||||
"given": [
|
||||
"John"
|
||||
]
|
||||
}
|
||||
],
|
||||
"gender": "male",
|
||||
"birthDate": "1970-01-01"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74",
|
||||
"resource": {
|
||||
"resourceType": "MedicationStatement",
|
||||
"id": "medication-statement-1",
|
||||
"status": "active",
|
||||
"medicationCodeableConcept": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://snomed.info/sct",
|
||||
"code": "1222004",
|
||||
"display": "Metronidazole-containing product"
|
||||
}
|
||||
],
|
||||
"text": "Metronidazole-containing product"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"effectiveDateTime": "2025-01-01",
|
||||
"effectivePeriod": {
|
||||
"start": "2025-01-01",
|
||||
"end": "2025-12-31"
|
||||
},
|
||||
"dateAsserted": "2025-06-17T18:36:18+00:00",
|
||||
"dosage": [
|
||||
{
|
||||
"text": "500 mg daily",
|
||||
"route": {
|
||||
"text": "Oral"
|
||||
}
|
||||
}
|
||||
],
|
||||
"reasonCode": [
|
||||
{
|
||||
"text": "Infection"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75",
|
||||
"resource": {
|
||||
"resourceType": "MedicationStatement",
|
||||
"id": "medication-statement-2",
|
||||
"status": "active",
|
||||
"medicationCodeableConcept": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://snomed.info/sct",
|
||||
"code": "796001",
|
||||
"display": "Digoxin-containing product"
|
||||
}
|
||||
],
|
||||
"text": "Digoxin-containing product"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"effectiveDateTime": "2025-01-01",
|
||||
"effectivePeriod": {
|
||||
"start": "2025-01-01"
|
||||
},
|
||||
"dateAsserted": "2025-06-17T18:36:18+00:00",
|
||||
"dosage": [
|
||||
{
|
||||
"text": "0.125 mg daily",
|
||||
"route": {
|
||||
"text": "Oral"
|
||||
}
|
||||
}
|
||||
],
|
||||
"reasonCode": [
|
||||
{
|
||||
"text": "Heart failure"
|
||||
}
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
188
tests/fixtures/iti65/bundle-transaction-it.json
vendored
Normal file
188
tests/fixtures/iti65/bundle-transaction-it.json
vendored
Normal file
@ -0,0 +1,188 @@
|
||||
{
|
||||
"resourceType": "Bundle",
|
||||
"type": "transaction",
|
||||
"entry": [
|
||||
{
|
||||
"fullUrl": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f",
|
||||
"resource": {
|
||||
"resourceType": "Patient",
|
||||
"identifier": [
|
||||
{
|
||||
"system": "urn:oid:2.16.858.1.858.1.1.1",
|
||||
"value": "123456789"
|
||||
}
|
||||
],
|
||||
"active": true,
|
||||
"name": [
|
||||
{
|
||||
"use": "official",
|
||||
"family": "Pérez",
|
||||
"given": [
|
||||
"Juan"
|
||||
]
|
||||
}
|
||||
]
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "Patient"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c",
|
||||
"resource": {
|
||||
"resourceType": "DocumentReference",
|
||||
"status": "current",
|
||||
"docStatus": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "57133-1",
|
||||
"display": "Referral note"
|
||||
}
|
||||
],
|
||||
"text": "Informe de Contra-referencia Dermatológica"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
|
||||
},
|
||||
"date": "2026-04-23T07:50:00-03:00",
|
||||
"author": [
|
||||
{
|
||||
"display": "Dra. Especialista - Nodo Panamá"
|
||||
}
|
||||
],
|
||||
"description": "Respuesta a interconsulta - Caso Dermatología",
|
||||
"content": [
|
||||
{
|
||||
"attachment": {
|
||||
"contentType": "application/fhir+json",
|
||||
"url": "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08"
|
||||
}
|
||||
}
|
||||
],
|
||||
"context": {
|
||||
"related": [
|
||||
{
|
||||
"identifier": {
|
||||
"system": "https://salud.gub.uy/interconsultas",
|
||||
"value": "UY-PA-2026-998877"
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "DocumentReference"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08",
|
||||
"resource": {
|
||||
"resourceType": "Bundle",
|
||||
"type": "document",
|
||||
"timestamp": "2026-04-23T07:50:00-03:00",
|
||||
"entry": [
|
||||
{
|
||||
"fullUrl": "urn:uuid:4d58cb4f-1f8b-4f94-9877-bb5a0de47955",
|
||||
"resource": {
|
||||
"resourceType": "Composition",
|
||||
"status": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "11488-4",
|
||||
"display": "Consultation note"
|
||||
}
|
||||
]
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
|
||||
},
|
||||
"date": "2026-04-23T07:50:00-03:00",
|
||||
"author": [
|
||||
{
|
||||
"display": "Dra. Especialista - Nodo Panamá"
|
||||
}
|
||||
],
|
||||
"title": "Informe de Contra-referencia Dermatológica",
|
||||
"section": [
|
||||
{
|
||||
"title": "Motivo de Interconsulta",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "42349-1",
|
||||
"display": "Reason for referral"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Se solicita segunda opinión para evaluación de lesión pigmentada en región escapular, con el fin de descartar malignidad tras hallazgos clínicos iniciales en Uruguay.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Revisión de Evidencia",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "30954-2",
|
||||
"display": "Relevant diagnostic tests"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Se re-evaluaron los resultados del IPS (Bundle/2313), específicamente el DiagnosticReport/biopsia-001 y las imágenes dermatoscópicas adjuntas.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Juicio Clínico",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "51848-0",
|
||||
"display": "Assessment note"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Tras el análisis de la evidencia, se concluye que la morfología de la lesión es compatible con un Nevus Displásico. No se identifican criterios histológicos de melanoma.</p></div>"
|
||||
}
|
||||
},
|
||||
{
|
||||
"title": "Recomendaciones",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "18776-5",
|
||||
"display": "Plan of care"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Control dermatoscópico cada 6 meses.</li><li>Uso de fotoprotección (FPS 50+).</li><li>No se requiere intervención quirúrgica inmediata.</li></ul></div>"
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "Bundle"
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
258
tests/fixtures/iti65/bundle-transaction-meow.json
vendored
Normal file
258
tests/fixtures/iti65/bundle-transaction-meow.json
vendored
Normal file
@ -0,0 +1,258 @@
|
||||
{
|
||||
"resourceType": "Bundle",
|
||||
"id": "iti65-transaction-medication",
|
||||
"type": "transaction",
|
||||
"entry": [
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73",
|
||||
"resource": {
|
||||
"resourceType": "Patient",
|
||||
"id": "patient-example",
|
||||
"identifier": [
|
||||
{
|
||||
"system": "http://hospital.example.org",
|
||||
"value": "12345"
|
||||
}
|
||||
],
|
||||
"name": [
|
||||
{
|
||||
"family": "Doe",
|
||||
"given": [
|
||||
"John"
|
||||
]
|
||||
}
|
||||
],
|
||||
"gender": "male",
|
||||
"birthDate": "1970-01-01"
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "Patient"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a80",
|
||||
"resource": {
|
||||
"resourceType": "DocumentReference",
|
||||
"status": "current",
|
||||
"docStatus": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "56445-0",
|
||||
"display": "Medication summary"
|
||||
}
|
||||
],
|
||||
"text": "Medication Overview"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"date": "2025-06-17T18:36:18+00:00",
|
||||
"author": [
|
||||
{
|
||||
"display": "Dra. Especialista"
|
||||
}
|
||||
],
|
||||
"description": "Medication Overview - Patient Medication Summary",
|
||||
"content": [
|
||||
{
|
||||
"attachment": {
|
||||
"contentType": "application/fhir+json",
|
||||
"url": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71"
|
||||
}
|
||||
}
|
||||
]
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "DocumentReference"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71",
|
||||
"resource": {
|
||||
"resourceType": "Bundle",
|
||||
"id": "medication-overview-example",
|
||||
"meta": {
|
||||
"profile": [
|
||||
"http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationOverview"
|
||||
]
|
||||
},
|
||||
"identifier": {
|
||||
"system": "urn:ietf:rfc:3986",
|
||||
"value": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a71"
|
||||
},
|
||||
"type": "document",
|
||||
"timestamp": "2025-06-17T18:36:18+00:00",
|
||||
"entry": [
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a72",
|
||||
"resource": {
|
||||
"resourceType": "Composition",
|
||||
"id": "composition-example",
|
||||
"meta": {
|
||||
"profile": [
|
||||
"http://profiles.ihe.net/PHARM/MEOW/StructureDefinition/MedicationOverviewComposition"
|
||||
]
|
||||
},
|
||||
"status": "final",
|
||||
"type": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "56445-0",
|
||||
"display": "Medication summary"
|
||||
}
|
||||
]
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"date": "2025-06-17T18:36:18+00:00",
|
||||
"author": [
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
}
|
||||
],
|
||||
"title": "Medication Overview",
|
||||
"section": [
|
||||
{
|
||||
"title": "Medicamentos",
|
||||
"code": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://loinc.org",
|
||||
"code": "55112-7",
|
||||
"display": "Document summary"
|
||||
}
|
||||
]
|
||||
},
|
||||
"text": {
|
||||
"status": "generated",
|
||||
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Resumen de medicamentos</p></div>"
|
||||
},
|
||||
"entry": [
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74"
|
||||
},
|
||||
{
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75"
|
||||
}
|
||||
]
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73",
|
||||
"resource": {
|
||||
"resourceType": "Patient",
|
||||
"id": "patient-example",
|
||||
"identifier": [
|
||||
{
|
||||
"system": "http://hospital.example.org",
|
||||
"value": "12345"
|
||||
}
|
||||
],
|
||||
"name": [
|
||||
{
|
||||
"family": "Doe",
|
||||
"given": [
|
||||
"John"
|
||||
]
|
||||
}
|
||||
],
|
||||
"gender": "male",
|
||||
"birthDate": "1970-01-01"
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a74",
|
||||
"resource": {
|
||||
"resourceType": "MedicationStatement",
|
||||
"id": "medication-statement-1",
|
||||
"status": "active",
|
||||
"medicationCodeableConcept": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://snomed.info/sct",
|
||||
"code": "1222004",
|
||||
"display": "Metronidazole-containing product"
|
||||
}
|
||||
],
|
||||
"text": "Metronidazole-containing product"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"effectiveDateTime": "2025-01-01",
|
||||
"effectivePeriod": {
|
||||
"start": "2025-01-01",
|
||||
"end": "2025-12-31"
|
||||
},
|
||||
"dateAsserted": "2025-06-17T18:36:18+00:00",
|
||||
"dosage": [
|
||||
{
|
||||
"text": "500 mg daily",
|
||||
"route": {
|
||||
"text": "Oral"
|
||||
}
|
||||
}
|
||||
],
|
||||
"reasonCode": [
|
||||
{
|
||||
"text": "Infection"
|
||||
}
|
||||
]
|
||||
}
|
||||
},
|
||||
{
|
||||
"fullUrl": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a75",
|
||||
"resource": {
|
||||
"resourceType": "MedicationStatement",
|
||||
"id": "medication-statement-2",
|
||||
"status": "active",
|
||||
"medicationCodeableConcept": {
|
||||
"coding": [
|
||||
{
|
||||
"system": "http://snomed.info/sct",
|
||||
"code": "796001",
|
||||
"display": "Digoxin-containing product"
|
||||
}
|
||||
],
|
||||
"text": "Digoxin-containing product"
|
||||
},
|
||||
"subject": {
|
||||
"reference": "urn:uuid:68c15694-52f1-4171-bc01-e63d666d2a73"
|
||||
},
|
||||
"effectiveDateTime": "2025-01-01",
|
||||
"effectivePeriod": {
|
||||
"start": "2025-01-01"
|
||||
},
|
||||
"dateAsserted": "2025-06-17T18:36:18+00:00",
|
||||
"dosage": [
|
||||
{
|
||||
"text": "0.125 mg daily",
|
||||
"route": {
|
||||
"text": "Oral"
|
||||
}
|
||||
}
|
||||
],
|
||||
"reasonCode": [
|
||||
{
|
||||
"text": "Heart failure"
|
||||
}
|
||||
]
|
||||
}
|
||||
}
|
||||
]
|
||||
},
|
||||
"request": {
|
||||
"method": "POST",
|
||||
"url": "Bundle"
|
||||
}
|
||||
}
|
||||
]
|
||||
}
|
||||
Loading…
x
Reference in New Issue
Block a user