{ "resourceType" : "Bundle", "id" : "BundleRD03", "meta" : { "profile" : ["https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/bundle"] }, "type" : "transaction", "entry" : [{ "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Practitioner/3092", "resource" : { "resourceType" : "Practitioner", "id" : "3092", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner 3092

identifier: Cédula Física/112110419\u00a0(use:\u00a0official,\u00a0)

name: MARIA JOSE ARRIETA GUZMAN

telecom: ph: 8665-1234, dra.arrieta@nuevamentecr.com

address: Lourdes, Montes de Oca

gender: Female

birthDate: 1984-07-14

" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/id-types-domain", "code" : "1", "display" : "Cédula Física" }], "text" : "Cédula Física" }, "value" : "112110419" }], "name" : [{ "text" : "MARIA JOSE ARRIETA GUZMAN", "family" : "ARRIETA GUZMAN", "given" : ["MARIA JOSE"] }], "telecom" : [{ "system" : "phone", "value" : "8665-1234" }, { "system" : "email", "value" : "dra.arrieta@nuevamentecr.com" }], "address" : [{ "text" : "Lourdes, Montes de Oca", "city" : "MONTES DE OCA", "district" : "LOURDES", "state" : "SAN JOSÉ", "country" : "Costa Rica" }], "gender" : "female", "birthDate" : "1984-07-14" }, "request" : { "method" : "POST", "url" : "Practitioner" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Patient/98015", "resource" : { "resourceType" : "Patient", "id" : "98015", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient 98015

JEFFREY ALEJANDRO ARRIETA GUZMAN Male, DoB: 1985-01-12 ( Cédula Física:\u00a0112300555\u00a0(use:\u00a0official,\u00a0))

Contact Detail
Links:
" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/id-types-domain", "code" : "1", "display" : "Cédula Física" }], "text" : "Cédula Física" }, "value" : "112300555" }], "name" : [{ "text" : "JEFFREY ALEJANDRO ARRIETA GUZMAN", "family" : "ESQUIVEL SIBAJA", "given" : ["JEFFREY ALEJANDRO"] }], "telecom" : [{ "system" : "phone", "value" : "87077072" }, { "system" : "email", "value" : "jeff.esquivel@gmail.com" }], "gender" : "male", "birthDate" : "1985-01-12", "address" : [{ "text" : "Sabanilla", "city" : "MONTES DE OCA", "district" : "SABANILLA", "state" : "SAN JOSÉ", "country" : "Costa Rica" }], "generalPractitioner" : [{ "reference" : "Practitioner/3092", "display" : "MARIA JOSE ARRIETA GUZMAN" }] }, "request" : { "method" : "POST", "url" : "Patient" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/MedicationRequest/2377815", "resource" : { "resourceType" : "MedicationRequest", "id" : "2377815", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationRequest 2377815

Tipo de receta: ATM

status: Completed

intent: Order

category: Empírica

medication: AUGMENTIN BID 400mg-57mg/5mL (Glaxo Wellcome Production)

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

encounter: Encounter

supportingInformation:

authoredOn: 2025-05-27 21:53:25+0000

requester: MARIA JOSE ARRIETA GUZMAN

reasonReference: J03 Amigdalitis agud

groupIdentifier: 35DF488B05

note:

.

\n

dosageInstruction

text: .

timing: Duration 7days , Once per 7 days

route: Oral

DoseAndRates

-Dose[x]
*5 mL

dispenseRequest

validityPeriod: 2025-05-28 21:17:03+0000 --> 2025-06-04 21:17:03+0000

numberOfRepeatsAllowed: 1

quantity: 70 .

ExpectedSupplyDurations

-ValueUnit
*7days
" }, "extension" : [{ "url" : "https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/prescription-type", "valueString" : "ATM" }], "status" : "completed", "intent" : "order", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/prescription-categories-code", "code" : "empirica", "display" : "Empírica" }], "text" : "Empírica" }], "medicationReference" : { "reference" : "Medication/1053", "display" : "AUGMENTIN BID 400mg-57mg/5mL (Glaxo Wellcome Production)" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "encounter" : { "reference" : "Encounter/111766", "display" : "Encounter" }, "supportingInformation" : [{ "reference" : "AllergyIntolerance/4070", "display" : "AllergyIntolerance" }, { "reference" : "Observation/271", "display" : "Observation(Cultivo)" }, { "reference" : "Observation/125", "display" : "Observation(Panel Gram(-))" }, { "reference" : "Observation/521", "display" : "Observation(Panel Gram(+))" }], "authoredOn" : "2025-05-27T21:53:25.000Z", "requester" : { "reference" : "Practitioner/3092", "display" : "MARIA JOSE ARRIETA GUZMAN" }, "reasonReference" : [{ "reference" : "Condition/6283", "display" : "J03 Amigdalitis agud" }], "groupIdentifier" : { "value" : "35DF488B05" }, "note" : [{ "text" : "." }], "dosageInstruction" : [{ "text" : ".", "timing" : { "repeat" : { "duration" : 7, "durationUnit" : "d", "frequency" : 1, "period" : 7, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/administration-lines-code", "code" : "PO", "display" : "Oral" }], "text" : "Oral" }, "doseAndRate" : [{ "doseQuantity" : { "value" : 5, "unit" : "mL" } }] }], "dispenseRequest" : { "validityPeriod" : { "start" : "2025-05-28T21:17:03.000Z", "end" : "2025-06-04T21:17:03.000Z" }, "numberOfRepeatsAllowed" : 1, "quantity" : { "value" : 70, "unit" : "." }, "expectedSupplyDuration" : { "value" : 7, "unit" : "days" } } }, "request" : { "method" : "POST", "url" : "MedicationRequest" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/MedicationStatement/108729", "resource" : { "resourceType" : "MedicationStatement", "id" : "108729", "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationStatement 108729

status: Active

medication: AUGMENTIN BID 400mg-57mg/5mL (Glaxo Wellcome Production)

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

context: Encounter

effective: 2025-05-29 09:17:03+0000

" }, "status" : "active", "medicationReference" : { "reference" : "Medication/1053", "display" : "AUGMENTIN BID 400mg-57mg/5mL (Glaxo Wellcome Production)" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "context" : { "reference" : "Encounter/111766", "display" : "Encounter" }, "effectiveDateTime" : "2025-05-29T09:17:03Z" }, "request" : { "method" : "POST", "url" : "MedicationStatement" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/AllergyIntolerance/4070", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "4070", "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance 4070

clinicalStatus: Activa

verificationStatus: Confirmada

type: Allergy

category: Medication

criticality: Low Risk

code: agente perfluoroquímico

patient: MARIA JOSE ARRIETA GUZMAN

onset: 2025-01-12 19:30:45+0000

recorder: Practitioner MARIA JOSE ARRIETA GUZMAN

Reactions

-ManifestationSeverity
*angioedemaModerate
" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active", "display" : "Active" }], "text" : "Activa" }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed", "display" : "Confirmed" }], "text" : "Confirmada" }, "type" : "allergy", "category" : ["medication"], "criticality" : "low", "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/substances-code", "code" : "294851004", "display" : "agente perfluoroquímico" }], "text" : "agente perfluoroquímico" }, "patient" : { "reference" : "Patient/98015", "display" : "MARIA JOSE ARRIETA GUZMAN" }, "onsetDateTime" : "2025-01-12T19:30:45Z", "recorder" : { "reference" : "Practitioner/3092" }, "reaction" : [{ "manifestation" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/manifestations-code", "code" : "41291007", "display" : "angioedema" }], "text" : "angioedema" }], "severity" : "moderate" }] }, "request" : { "method" : "POST", "url" : "AllergyIntolerance" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Encounter/111766", "resource" : { "resourceType" : "Encounter", "id" : "111766", "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter 111766

status: Finished

class: ActCode AMB: Ambulatory

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

Participants

-Individual
*MARIA JOSE ARRIETA GUZMAN

period: 2025-05-27 09:53:25+0000 --> (ongoing)

serviceProvider: Consultorio Particular de MARIA JOSE ARRIETA

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB", "display" : "Ambulatory" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "participant" : [{ "individual" : { "reference" : "Practitioner/3092", "display" : "MARIA JOSE ARRIETA GUZMAN" } }], "period" : { "start" : "2025-05-27T09:53:25Z" }, "serviceProvider" : { "reference" : "Organization/3092", "display" : "Consultorio Particular de MARIA JOSE ARRIETA" } }, "request" : { "method" : "POST", "url" : "Encounter" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Observation/2722", "resource" : { "resourceType" : "Observation", "id" : "2722", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 2722

status: Final

category: Taking patient vital signs (procedure)

code: Peso

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

effective: 2025-05-12 19:25:59+0000

value: 80 kg

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "61746007", "display" : "Taking patient vital signs (procedure)" }] }], "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "27113001", "display" : "Body Weight" }], "text" : "Peso" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "effectiveDateTime" : "2025-05-12T19:25:59Z", "valueQuantity" : { "value" : 80, "unit" : "kg" } }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Observation/268", "resource" : { "resourceType" : "Observation", "id" : "268", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 268

status: Final

category: hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)

code: Frotis

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

effective: 2025-05-31 18:05:17+0000

value: Cocos Gram Positivos

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "104177005", "display" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "text" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/analysis-types-code", "code" : "frotis", "display" : "Frotis" }], "text" : "Frotis" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "effectiveDateTime" : "2025-05-31T18:05:17Z", "valueCodeableConcept" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/analysis-family-code", "code" : "CGP", "display" : "Cocos Gram Positivos" }], "text" : "Cocos Gram Positivos" } }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Observation/271", "resource" : { "resourceType" : "Observation", "id" : "271", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 271

status: Final

category: hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)

code: Cultivo

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

effective: 2025-05-12 19:25:59+0000

Components

-Code
*Escherichia coli
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "104177005", "display" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "text" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/analysis-types-code", "code" : "cultivo", "display" : "Cultivo" }], "text" : "Cultivo" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "effectiveDateTime" : "2025-05-12T19:25:59Z", "component" : [{ "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/microorganism-code", "code" : "487", "display" : "Escherichia coli" }], "text" : "Escherichia coli" } }] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Observation/125", "resource" : { "resourceType" : "Observation", "id" : "125", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 125

status: Final

category: hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)

code: negativo Panel Gram(-)

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

effective: 2025-05-14 18:31:44+0000

Components

-CodeValue[x]
*Ceftriaxonasensitive
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "104177005", "display" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "text" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/analysis-types-code", "code" : "gram_negativo", "display" : "negativo Panel Gram(-)" }], "text" : "negativo Panel Gram(-)" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "effectiveDateTime" : "2025-05-14T18:31:44Z", "component" : [{ "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/antibiotic-sensitivity-gram-negatives-code", "code" : "CEFTRIAXONA", "display" : "Ceftriaxona" }], "text" : "Ceftriaxona" }, "valueString" : "sensitive" }] }, "request" : { "method" : "POST", "url" : "Observation" } }, { "fullUrl" : "https://integrations-api.recetadigital.go.cr/fhir/R4/Observation/521", "resource" : { "resourceType" : "Observation", "id" : "521", "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation 521

status: Final

category: hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)

code: positivo Panel Gram(+)

subject: JEFFREY ALEJANDRO ARRIETA GUZMAN

effective: 2025-05-14 18:31:44+0000

Components

-CodeValue[x]
*Ampicilina (Enterococcus spp, S. agalactiae)medium
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/snomed-code", "code" : "104177005", "display" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "text" : "hemocultivo para detección de bacterias y organismos anaerobios (procedimiento)" }], "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/analysis-types-code", "code" : "gram_positivo", "display" : "positivo Panel Gram(+)" }], "text" : "positivo Panel Gram(+)" }, "subject" : { "reference" : "Patient/98015", "display" : "JEFFREY ALEJANDRO ARRIETA GUZMAN" }, "effectiveDateTime" : "2025-05-14T18:31:44Z", "component" : [{ "code" : { "coding" : [{ "system" : "https://ministeriodesalud.go.cr/fhir/receta/CodeSystem/antibiotic-sensitivity-gram-positives-code", "code" : "AMPICILINA", "display" : "Ampicilina (Enterococcus spp, S. agalactiae)" }], "text" : "Ampicilina (Enterococcus spp, S. agalactiae)" }, "valueString" : "medium" }] }, "request" : { "method" : "POST", "url" : "Observation" } }] }