0.9.0 - ci-build

VigiCanPY - Local Development build (v0.9.0). See the Directory of published versions

: ejHistoria2RegistroCaso - JSON Representation

Raw json | Download


{
  "resourceType" : "Bundle",
  "id" : "ejHistoria2RegistroCaso",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "Ejemplo de Registro de Caso PY"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "Este es un ejemplo de Registro de Caso PY"
      }
    ],
    "profile" : [
      "http://vigicanpy.mspbs.gov.py/StructureDefinition/RegistroCasoTumorPY"
    ]
  },
  "language" : "es",
  "identifier" : {
    "system" : "http://vigicanpy.gob.py/registro",
    "value" : "2020011549"
  },
  "type" : "document",
  "timestamp" : "2023-12-01T10:30:00Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:095c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "EjHistoria2Ficha",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Ficha PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para Datos de Ficha PY"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosFichaPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"EjHistoria2Ficha\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition &quot;EjHistoria2Ficha&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosFichaPY.html\">Ficha Registro Evento</a></p></div><p><b>identifier</b>: id: 20200115</p><p><b>status</b>: final</p><p><b>type</b>: Cancer Event Report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#72134-0)</span></p><p><b>date</b>: 2022-09-05 10:00:00+0000</p><p><b>author</b>: <a href=\"#Practitioner_EjHistoria2Informante\">See above (urn:uuid:045c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>title</b>: Registro de Caso - ARZAMENDIA ESCOBAR ZUNILDA</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>official</td><td><a href=\"#Organization_EjHistoria2Servicio\">See above (urn:uuid:035c6f50-28de-4224-b950-a764396d4a25)</a></td></tr></table><p><b>custodian</b>: <a href=\"#Organization_EjHistoria2Establecimiento\">See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)</a></p></div>"
        },
        "identifier" : {
          "value" : "20200115"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "72134-0",
              "display" : "Cancer Event Report"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "date" : "2022-09-05T10:00:00Z",
        "author" : [
          {
            "reference" : "urn:uuid:045c6f50-28de-4224-b950-a764396d4a25"
          }
        ],
        "title" : "Registro de Caso - ARZAMENDIA ESCOBAR ZUNILDA",
        "attester" : [
          {
            "mode" : "official",
            "party" : {
              "reference" : "urn:uuid:035c6f50-28de-4224-b950-a764396d4a25"
            }
          }
        ],
        "custodian" : {
          "reference" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25"
        },
        "section" : [
          {
            "title" : "Registro de Caso - ARZAMENDIA ESCOBAR ZUNILDA",
            "text" : {
              "status" : "empty",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ver Registro</div>"
            },
            "entry" : [
              {
                "reference" : "urn:uuid:055c6f50-28de-4224-b950-a764396d4a25"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "EjHistoria2Establecimiento",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Establecimiento PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosEstablecimientoPy"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstablecimientoPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"EjHistoria2Establecimiento\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;EjHistoria2Establecimiento&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosEstablecimientoPY.html\">Establecimiento</a></p></div><p><b>identifier</b>: id: 11002226</p><p><b>name</b>: INSTITUTO NACIONAL DEL CANCER</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEstablecimientoCodigoCS",
            "value" : "11002226"
          }
        ],
        "name" : "INSTITUTO NACIONAL DEL CANCER"
      }
    },
    {
      "fullUrl" : "urn:uuid:035c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "EjHistoria2Servicio",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Servicio PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosServicioPy"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosServicioPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"EjHistoria2Servicio\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;EjHistoria2Servicio&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosServicioPY.html\">Servicio</a></p></div><p><b>identifier</b>: id: 7</p><p><b>name</b>: ONCOLOGIA</p><p><b>partOf</b>: <a href=\"#Organization_EjHistoria2Establecimiento\">See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegServicioDepartamentoCS",
            "value" : "7"
          }
        ],
        "name" : "ONCOLOGIA",
        "partOf" : {
          "reference" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "EjHistoria2Paciente",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Paciente PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosPacientePy"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"EjHistoria2Paciente\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;EjHistoria2Paciente&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosPacientePY.html\">Paciente</a></p></div><blockquote><p><b>Lugar de Nacimiento</b></p><p><b>value</b>: Paraguay (Details: urn:iso:std:iso:3166 code PY = 'Paraguay', stated as 'Paraguay')</p></blockquote><p><b>Nacionalidad</b>: Paraguay (Details: urn:iso:std:iso:3166 code PY = 'Paraguay', stated as 'Paraguay')</p><p><b>Pueblo Indigena</b>: NO APLICA (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/GeoPuebloIndigenaPYCS code 0 = 'NO APLICA', stated as 'NO APLICA')</p><p><b>identifier</b>: Documento: 4545325 (use: OFFICIAL)</p><p><b>name</b>: ZUNILDA ARZAMENDIA ESCOBAR (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1981-01-28</p><p><b>deceased</b>: false</p><p><b>address</b>: ESTANCIA PALOMA GRANDE </p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "CodigoPais",
                "valueCoding" : {
                  "system" : "urn:iso:std:iso:3166",
                  "code" : "PY",
                  "display" : "Paraguay"
                }
              }
            ],
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/LugarNacimientoPy"
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/Nacionalidad",
            "valueCoding" : {
              "system" : "urn:iso:std:iso:3166",
              "code" : "PY",
              "display" : "Paraguay"
            }
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/PuebloIndigenaPy",
            "valueCoding" : {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoPuebloIndigenaPYCS",
              "code" : "0",
              "display" : "NO APLICA"
            }
          }
        ],
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegTipoDocumentoCS",
                  "code" : "1"
                }
              ]
            },
            "system" : "http://vigicanpy.gov.py/documentopaciente",
            "value" : "4545325"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "ARZAMENDIA ESCOBAR",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/humanname-mothers-family",
                  "valueString" : "ESCOBAR"
                }
              ]
            },
            "given" : [
              "ZUNILDA"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1981-01-28",
        "deceasedBoolean" : false,
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioDepartamentoCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoDepartamentosPYCS",
                  "code" : "11",
                  "display" : "CENTRAL"
                }
              },
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioCiudadCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoCiudadesPYCS",
                  "code" : "1106",
                  "display" : "ITAGUA"
                }
              },
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioBarrioCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoBarriosPYCS",
                  "code" : "110630",
                  "display" : "FRACCION SAN MIGUEL"
                }
              }
            ],
            "line" : [
              "ESTANCIA PALOMA GRANDE"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:055c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "EjHistoria2Tumor",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Datos de Tumor PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosTumorPY"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosTumorPY"
          ]
        },
        "language" : "es",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"es\" lang=\"es\"><p><b>Generated Narrative: Condition</b><a name=\"EjHistoria2Tumor\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition &quot;EjHistoria2Tumor&quot;  (Language &quot;es&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosTumorPY.html\">Tumor (registro)</a></p></div><p><b>Fecha Diagnostico</b>: 2022-10-27</p><p><b>Grado Diferenciación Histologica</b>: Bien Diferenciado (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS code 1 = 'Bien diferenciado', stated as 'Bien Diferenciado')</p><p><b>Clasificación CIE-O Morfología</b>: Carcinoma de celulas escamosas, SAI (Details: http://terminology.hl7.org/CodeSystem/icd-o code 8070 = '8070', stated as 'Carcinoma de celulas escamosas, SAI')</p><p><b>Clasificación Topografía</b>: Vagina (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS code 52 = '52', stated as 'Vagina')</p><p><b>Comportamiento Tumor</b>: Maligno, sitio primario (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/ClinComportamientoTumorCS code 3 = 'Maligno, sitio primario', stated as 'Maligno, sitio primario')</p><p><b>code</b>: CA VAGINA <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10.html\">ICD-10</a>#C52 &quot;TUMOR MALIGNO DE LA VAGINA&quot;)</span></p><p><b>bodySite</b>: Vagina, SAI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10.html\">ICD-10</a>#C52.9)</span></p><p><b>subject</b>: <a href=\"#Patient_EjHistoria2Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>onset</b>: 41 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></p><p><b>asserter</b>: <a href=\"#Practitioner_EjHistoria2Informante\">See above (urn:uuid:045c6f50-28de-4224-b950-a764396d4a25)</a></p><h3>Stages</h3><table class=\"grid\"><tr><td>-</td><td><b>Assessment</b></td></tr><tr><td>*</td><td><span>: TIS:IN SITU-N0:No hay cancer en nodos cercanos-M0:No se registra metástasis</span></td></tr></table><h3>Evidences</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>Citología <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ClinBaseDiagnosticoCS.html\">Base de Diagnóstico (codes)</a>#5)</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/FechaDiagnostico",
            "valueDate" : "2022-10-27"
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/GradoDiferenciacionHistologica",
            "valueCoding" : {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS",
              "code" : "1",
              "display" : "Bien Diferenciado"
            }
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionMorfologia",
            "valueCoding" : {
              "system" : "http://terminology.hl7.org/CodeSystem/icd-o",
              "code" : "8070",
              "display" : "Carcinoma de celulas escamosas, SAI"
            }
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/ClasificacionTopografia",
            "valueCoding" : {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS",
              "code" : "52",
              "display" : "Vagina"
            }
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/ComportamientoTumor",
            "valueCoding" : {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinComportamientoTumorCS",
              "code" : "3",
              "display" : "Maligno, sitio primario"
            }
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "C52",
              "display" : "TUMOR MALIGNO DE LA VAGINA"
            }
          ],
          "text" : "CA VAGINA"
        },
        "bodySite" : [
          {
            "extension" : [
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/Lateralidad",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinLateralidadCS",
                  "code" : "N",
                  "display" : "No Aplica"
                }
              }
            ],
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-10",
                "code" : "C52.9",
                "display" : "Vagina, SAI"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "onsetAge" : {
          "value" : 41,
          "unit" : "a",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "asserter" : {
          "reference" : "urn:uuid:045c6f50-28de-4224-b950-a764396d4a25"
        },
        "stage" : [
          {
            "assessment" : [
              {
                "type" : "21092-2",
                "display" : "TIS:IN SITU-N0:No hay cancer en nodos cercanos-M0:No se registra metástasis"
              }
            ]
          }
        ],
        "evidence" : [
          {
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinBaseDiagnosticoCS",
                    "code" : "5",
                    "display" : "Citología"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:045c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "EjHistoria2Informante",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Profesional PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosProfesionalPy"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"EjHistoria2Informante\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;EjHistoria2Informante&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosProfesionalPY.html\">Profesional</a></p></div><p><b>identifier</b>: id: 566</p><p><b>name</b>: FRANCISCO MARTINEZ </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>ONCOLOGIA MEDICA <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-RegEspecialidadProfesionalCS.html\">Especialidades Profesionales Paraguay (codes)</a>#2)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://www.paraguay.gov.py/oee/mspbs",
            "value" : "566"
          }
        ],
        "name" : [
          {
            "family" : "MARTINEZ",
            "given" : [
              "FRANCISCO"
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEspecialidadProfesionalCS",
                  "code" : "2",
                  "display" : "ONCOLOGIA MEDICA"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:085c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "EjHistoria2Encuentro",
        "meta" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
              "valueString" : "Ejemplo de Datos de Historia PY"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
              "valueMarkdown" : "Este es un ejemplo para DatosHistoriaPY"
            }
          ],
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"EjHistoria2Encuentro\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;EjHistoria2Encuentro&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosHistoriaPY.html\">Historia Clínica</a></p></div><p><b>identifier</b>: id: -</p><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>subject</b>: <a href=\"#Patient_EjHistoria2Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>serviceProvider</b>: <a href=\"#Organization_EjHistoria2Establecimiento\">See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://inc.gov.py/historias",
            "value" : "-"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "Ambulatory"
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "serviceProvider" : {
          "reference" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "EjemploOrigenDatosPY",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/OrigenDatosPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"EjemploOrigenDatosPY\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance &quot;EjemploOrigenDatosPY&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-OrigenDatosPY.html\">Origen de los Datos Enviados</a></p></div><p><b>target</b>: <span>: Caso #NUMERO</span></p><p><b>recorded</b>: Jun 26, 2023, 7:39:24 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>device <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#DEV)</span></td><td><span>: SICAP</span></td></tr></table></div>"
        },
        "target" : [
          {
            "identifier" : {
              "system" : "http://miservicio.com/casos",
              "value" : "NUMERO"
            },
            "display" : "Caso #NUMERO"
          }
        ],
        "recorded" : "2023-06-27T08:39:24+10:00",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "DEV"
                }
              ]
            },
            "who" : {
              "identifier" : {
                "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegSistemaOrigenCS",
                "value" : "SICAP"
              },
              "display" : "SICAP"
            }
          }
        ]
      }
    }
  ]
}