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PH4H - RACSEL Core Guide
0.2.1 - draft International flag

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ITI-65 Transaction - Consultation Response (Panamá → Uruguay) - JSON Representation

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  "timestamp" : "2026-05-18T09:00:00-05:00",
  "entry" : [
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      "fullUrl" : "urn:uuid:a1b2c3d4-e5f6-7890-abcd-ef1234567890",
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        "text" : {
          "status" : "extensions",
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        },
        "extension" : [
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            "valueIdentifier" : {
              "value" : "urn:oid:2.16.591.1.1.1"
            }
          }
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        "identifier" : [
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            "use" : "usual",
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          }
        ],
        "status" : "current",
        "mode" : "working",
        "title" : "SubmissionSet - Carlos Eduardo Sánchez López",
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        "subject" : {
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          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_b2c3d4e5-f6a7-8901-bcde-f12345678901\"> </a><p>DocumentReference for the consultation response for Carlos Eduardo Sánchez López, attended by Dr. María García (Panamá).</p></div>"
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        },
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            "value" : "UY-PA-2026-998877"
          }
        ],
        "status" : "current",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "57133-1",
              "display" : "Referral note"
            }
          ],
          "text" : "Counter-Referral Note / Consultation Response"
        },
        "subject" : {
          "reference" : "urn:uuid:d5e6f7a8-b9c0-1234-efab-567890123456"
        },
        "date" : "2026-05-18T09:00:00-05:00",
        "author" : [
          {
            "display" : "Dr. María García - Dermatology Specialist - Panamá"
          }
        ],
        "content" : [
          {
            "attachment" : {
              "contentType" : "application/fhir+json",
              "url" : "urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012",
              "title" : "Consultation Response - Carlos Eduardo Sánchez López"
            },
            "format" : {
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              "code" : "urn:ihe:iti:xds-sd:text:2008"
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        ],
        "context" : {
          "related" : [
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              "identifier" : {
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                "value" : "UY-PA-2026-IC-001"
              },
              "display" : "Original consultation request - Uruguay"
            },
            {
              "identifier" : {
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                "value" : "ips-carlos-sanchez"
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              "display" : "Patient IPS used as clinical background"
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          ]
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              },
              "status" : "final",
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                    "system" : "http://loinc.org",
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                ]
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              "subject" : {
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              },
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              "author" : [
                {
                  "display" : "Dr. María García - Dermatology Specialist - Hospital Santo Tomás, Panamá"
                }
              ],
              "title" : "Cross-Border Consultation Response - Dermatology",
              "section" : [
                {
                  "title" : "Evaluation Result",
                  "code" : {
                    "coding" : [
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                        "system" : "http://loinc.org",
                        "code" : "55112-7",
                        "display" : "Document summary"
                      }
                    ]
                  },
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                    "status" : "generated",
                    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Clinical Response</h3><p>After reviewing the background information for Carlos Eduardo Sánchez López (Perú) sent in the attached IPS, it is concluded that the patient has allergic contact dermatitis. No signs of cutaneous malignancy are observed. Low-potency topical corticosteroid treatment is recommended for 2 weeks, along with avoiding the identified trigger (nickel). If symptoms persist, a confirmatory patch test is suggested.</p></div>"
                  }
                }
              ]
            }
          },
          {
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              "meta" : {
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              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Carlos Eduardo Sánchez López, male, born 03/22/1996, Perú.</p></div>"
              },
              "identifier" : [
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