df87fc5ee7
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>
189 lines
6.0 KiB
JSON
189 lines
6.0 KiB
JSON
{
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"resourceType": "Bundle",
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"type": "transaction",
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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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{
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"use": "official",
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"family": "Pérez",
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"given": [
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"Juan"
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]
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}
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]
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},
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"request": {
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"method": "POST",
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"url": "Patient"
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}
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},
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{
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"fullUrl": "urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c",
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"resource": {
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"resourceType": "DocumentReference",
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"status": "current",
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"docStatus": "final",
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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": "57133-1",
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"display": "Referral note"
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}
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],
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"text": "Informe de Contra-referencia Dermatológica"
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},
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"subject": {
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"reference": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
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},
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"date": "2026-04-23T07:50:00-03:00",
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"author": [
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{
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"display": "Dra. Especialista - Nodo Panamá"
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}
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],
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"description": "Respuesta a interconsulta - Caso Dermatología",
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"content": [
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{
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"attachment": {
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"contentType": "application/fhir+json",
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"url": "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08"
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}
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}
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],
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"context": {
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"related": [
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{
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"identifier": {
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"system": "https://salud.gub.uy/interconsultas",
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"value": "UY-PA-2026-998877"
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}
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}
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]
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}
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},
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"request": {
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"method": "POST",
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"url": "DocumentReference"
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}
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},
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{
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"fullUrl": "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08",
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"resource": {
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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:4d58cb4f-1f8b-4f94-9877-bb5a0de47955",
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"resource": {
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"resourceType": "Composition",
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"status": "final",
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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": "11488-4",
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"display": "Consultation note"
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}
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]
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},
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"subject": {
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"reference": "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
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},
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"date": "2026-04-23T07:50:00-03:00",
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"author": [
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{
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"display": "Dra. Especialista - Nodo Panamá"
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}
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],
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"title": "Informe de Contra-referencia Dermatológica",
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"section": [
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{
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"title": "Motivo de Interconsulta",
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "42349-1",
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"display": "Reason for referral"
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}
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]
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},
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"text": {
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"status": "generated",
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"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>"
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}
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},
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{
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"title": "Revisión de Evidencia",
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "30954-2",
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"display": "Relevant diagnostic tests"
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}
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]
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},
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"text": {
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"status": "generated",
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"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>"
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}
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},
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{
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"title": "Juicio Clínico",
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "51848-0",
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"display": "Assessment note"
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}
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]
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},
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"text": {
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"status": "generated",
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"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>"
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}
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},
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{
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"title": "Recomendaciones",
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "18776-5",
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"display": "Plan of care"
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}
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]
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},
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"text": {
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"status": "generated",
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"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>"
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}
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}
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]
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}
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}
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]
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},
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"request": {
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"method": "POST",
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"url": "Bundle"
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}
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}
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]
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}
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