Bundle — Paquete de Referencia

Descripción

El perfil SofmedReferralBundle define la estructura del Bundle que agrupa todos los recursos necesarios para enviar una referencia o contrareferencia completa.

URL del perfil: https://sofmed.co/fhir/StructureDefinition/SofmedReferralBundle

Estructura

Un Bundle de referencia debe incluir como mínimo:

Recurso	Obligatorio	Descripción
`Patient`	✅	Datos del paciente
`ServiceRequest`	✅	Solicitud de referencia
`Encounter`	✅	Encuentro clínico de origen
`Practitioner`	✅	Médico que refiere
`Organization` (origen)	✅	IPS que genera la referencia
`Organization` (EPS)	Recomendado	EPS del paciente
`DiagnosticReport`	Si aplica	Resultados de exámenes
`MedicationRequest`	Si aplica	Medicamentos activos

Campos del Bundle

Campo	Tipo	Descripción
`type`	`code`	`transaction` para envío, `document` para consulta
`timestamp`	`instant`	Fecha/hora de creación del Bundle
`entry`	`BackboneElement[]`	Lista de recursos incluidos
`entry.fullUrl`	`uri`	URL del recurso dentro del Bundle
`entry.resource`	`Resource`	El recurso FHIR
`entry.request`	`BackboneElement`	Método HTTP para transacciones

Ejemplo


{
  "resourceType": "Bundle",
  "meta": {
    "profile": ["https://sofmed.co/fhir/StructureDefinition/SofmedReferralBundle"]
  },
  "type": "transaction",
  "timestamp": "2024-01-15T10:30:00-05:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:patient-001",
      "resource": {
        "resourceType": "Patient",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://sofmed.co/fhir/CodeSystem/tipo-documento",
                  "code": "CC"
                }
              ]
            },
            "value": "1234567890"
          }
        ],
        "name": [{ "family": "García", "given": ["María"] }],
        "gender": "female",
        "birthDate": "1985-03-15"
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:sr-001",
      "resource": {
        "resourceType": "ServiceRequest",
        "status": "draft",
        "intent": "order",
        "subject": { "reference": "urn:uuid:patient-001" },
        "requester": { "reference": "urn:uuid:pract-001" },
        "code": {
          "coding": [
            {
              "system": "https://sofmed.co/fhir/CodeSystem/cups",
              "code": "890301"
            }
          ]
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-10",
                "code": "I10"
              }
            ]
          }
        ],
        "authoredOn": "2024-01-15T10:30:00-05:00"
      },
      "request": {
        "method": "POST",
        "url": "ServiceRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:enc-001",
      "resource": {
        "resourceType": "Encounter",
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB"
        },
        "subject": { "reference": "urn:uuid:patient-001" },
        "serviceProvider": { "reference": "urn:uuid:org-001" },
        "period": {
          "start": "2024-01-15T10:00:00-05:00",
          "end": "2024-01-15T10:30:00-05:00"
        }
      },
      "request": {
        "method": "POST",
        "url": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:pract-001",
      "resource": {
        "resourceType": "Practitioner",
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://sofmed.co/fhir/CodeSystem/tipo-documento",
                  "code": "CC"
                }
              ]
            },
            "value": "9876543210"
          }
        ],
        "name": [{ "family": "López", "given": ["Carlos"], "prefix": ["Dr."] }]
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:org-001",
      "resource": {
        "resourceType": "Organization",
        "identifier": [
          {
            "system": "https://sofmed.co/fhir/NamingSystem/nit",
            "value": "900123456-7"
          }
        ],
        "name": "Hospital San José",
        "type": [
          {
            "coding": [
              {
                "system": "https://sofmed.co/fhir/CodeSystem/tipo-organizacion",
                "code": "ips"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Organization"
      }
    }
  ]
}