{
  "resourceType" : "Bundle",
  "id" : "Track12ITI65TransactionExample",
  "meta" : {
    "profile" : ["http://racsel.org/StructureDefinition/LACBundleTransactionMHDIT"]
  },
  "type" : "transaction",
  "entry" : [{
    "fullUrl" : "urn:uuid:2c29e7a8-7e3d-4d2a-8d0e-0f5db3f5a112",
    "resource" : {
      "resourceType" : "List",
      "id" : "track12-submissionset",
      "meta" : {
        "profile" : ["http://racsel.org/StructureDefinition/LACList"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_track12-submissionset\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List track12-submissionset</b></p><a name=\"track12-submissionset\"> </a><a name=\"hctrack12-submissionset\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACList.html\">LACList</a></p></div><h2>Track 1.2 Submission Set - Consultation Response</h2><table class=\"clstu\"><tr><td>Date: 2026-04-23 07:50:00-0300 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: SubmissionSet as a FHIR List </td></tr><tr><td>Subject: <a href=\"Bundle-Track12ITI65TransactionExample.html#urn-uuid-5ca8da35-efb1-498a-93bc-ed34524a360f\">Juan Pérez (official) (no stated gender), DoB:  ( Patient internal identifier)</a></td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"Bundle-Track12ITI65TransactionExample.html#urn-uuid-15f62e6b-f4d9-43d8-91f5-ee963a34339c\">DocumentReference: masterIdentifier = UUID:15f62e6b-f4d9-43d8-91f5-ee963a34339c; status = current; type = Referral note; date = 2026-04-23 07:50:00-0300; description = Respuesta a interconsulta - Caso Dermatología</a></td></tr></table></div>"
      },
      "extension" : [{
        "url" : "https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId",
        "valueIdentifier" : {
          "value" : "urn:oid:1.3.6.1.4.1.57284.1"
        }
      }],
      "identifier" : [{
        "use" : "usual",
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:oid:1.3.6.1.4.1.57284.1.12"
      }],
      "status" : "current",
      "mode" : "working",
      "title" : "Track 1.2 Submission Set - Consultation Response",
      "code" : {
        "coding" : [{
          "system" : "https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes",
          "code" : "submissionset"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
      },
      "date" : "2026-04-23T07:50:00-03:00",
      "entry" : [{
        "item" : {
          "reference" : "urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c"
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "List"
    }
  },
  {
    "fullUrl" : "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "track12-patient",
      "meta" : {
        "profile" : ["http://racsel.org/StructureDefinition/LACPatient"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_track12-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient track12-patient</b></p><a name=\"track12-patient\"> </a><a name=\"hctrack12-patient\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACPatient.html\">LACPatient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Juan Pérez (official) (no stated gender), DoB:  ( Patient internal identifier)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Passport number/123456789\u00a0(use:\u00a0official,\u00a0)</td></tr></table></div>"
      },
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PPN"
          }]
        },
        "system" : "urn:oid.2.16.858.1.858.1.1.1",
        "value" : "123456789"
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PI"
          }]
        },
        "system" : "urn:oid.2.16.858.1.858.1.1.1",
        "value" : "123456789"
      }],
      "active" : true,
      "name" : [{
        "use" : "official",
        "family" : "Pérez",
        "given" : ["Juan"]
      }],
      "_birthDate" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
          "valueCode" : "unknown"
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "Patient"
    }
  },
  {
    "fullUrl" : "urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "track12-documentreference",
      "meta" : {
        "profile" : ["http://racsel.org/StructureDefinition/LACDocReferenceIT"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_track12-documentreference\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference track12-documentreference</b></p><a name=\"track12-documentreference\"> </a><a name=\"hctrack12-documentreference\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LACDocReferenceIT.html\">DocumentReference for Counter-Referral</a></p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 57133-1}\">Informe de Contra-referencia Dermatológica</span></p><p><b>subject</b>: <a href=\"Bundle-Track12ITI65TransactionExample.html#urn-uuid-5ca8da35-efb1-498a-93bc-ed34524a360f\">Juan Pérez (official) (no stated gender), DoB:  ( Patient internal identifier)</a></p><p><b>date</b>: 2026-04-23 07:50:00-0300</p><p><b>author</b>: Dra. Especialista - Nodo Panamá</p><p><b>description</b>: Respuesta a interconsulta - Caso Dermatología</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>application/fhir+json</td><td><a href=\"Bundle-Track12ITI65TransactionExample.html#urn-uuid-03e4a890-b152-481a-9ca5-685e03550a08\">Bundle: identifier = UUID:03e4a890-b152-481a-9ca5-685e03550a08; type = document; timestamp = 2026-04-23 07:50:00-0300</a></td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Related</b></td></tr><tr><td style=\"display: none\">*</td><td>Identifier: <code>https://salud.gub.uy/interconsultas</code>/UY-PA-2026-998877</td></tr></table></div>"
      },
      "masterIdentifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:15f62e6b-f4d9-43d8-91f5-ee963a34339c"
      },
      "status" : "current",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "57133-1",
          "display" : "Referral note"
        }],
        "text" : "Informe de Contra-referencia Dermatológica"
      },
      "subject" : {
        "reference" : "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
      },
      "date" : "2026-04-23T07:50:00-03:00",
      "author" : [{
        "display" : "Dra. Especialista - Nodo Panamá"
      }],
      "description" : "Respuesta a interconsulta - Caso Dermatología",
      "content" : [{
        "attachment" : {
          "contentType" : "application/fhir+json",
          "url" : "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08"
        }
      }],
      "context" : {
        "related" : [{
          "identifier" : {
            "system" : "https://salud.gub.uy/interconsultas",
            "value" : "UY-PA-2026-998877"
          }
        }]
      }
    },
    "request" : {
      "method" : "POST",
      "url" : "DocumentReference"
    }
  },
  {
    "fullUrl" : "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08",
    "resource" : {
      "resourceType" : "Bundle",
      "id" : "track12-consultation-response-document",
      "meta" : {
        "profile" : ["http://racsel.org/StructureDefinition/LACBundleDocIT"]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:03e4a890-b152-481a-9ca5-685e03550a08"
      },
      "type" : "document",
      "timestamp" : "2026-04-23T07:50:00-03:00",
      "entry" : [{
        "fullUrl" : "urn:uuid:4d58cb4f-1f8b-4f94-9877-bb5a0de47955",
        "resource" : {
          "resourceType" : "Composition",
          "id" : "track12-consultation-response-composition",
          "meta" : {
            "profile" : ["http://racsel.org/StructureDefinition/LACCompositionIT"]
          },
          "status" : "final",
          "type" : {
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "11488-4",
              "display" : "Consult note"
            }]
          },
          "subject" : {
            "reference" : "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f"
          },
          "date" : "2026-04-23T07:50:00-03:00",
          "author" : [{
            "display" : "Dra. Especialista - Nodo Panamá"
          }],
          "title" : "Informe de Contra-referencia Dermatológica",
          "section" : [{
            "title" : "Motivo de Interconsulta",
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "42349-1",
                "display" : "Reason for referral (narrative)"
              }]
            },
            "text" : {
              "status" : "generated",
              "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>"
            }
          },
          {
            "title" : "Revisión de Evidencia",
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "30954-2",
                "display" : "Relevant diagnostic tests/laboratory data note"
              }]
            },
            "text" : {
              "status" : "generated",
              "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>"
            }
          },
          {
            "title" : "Evaluation Result",
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "55112-7",
                "display" : "Document summary"
              }]
            },
            "text" : {
              "status" : "generated",
              "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>"
            }
          },
          {
            "title" : "Recomendaciones",
            "code" : {
              "coding" : [{
                "system" : "http://loinc.org",
                "code" : "18776-5",
                "display" : "Plan of care note"
              }]
            },
            "text" : {
              "status" : "generated",
              "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>"
            }
          }]
        }
      },
      {
        "fullUrl" : "urn:uuid:5ca8da35-efb1-498a-93bc-ed34524a360f",
        "resource" : {
          "resourceType" : "Patient",
          "id" : "track12-patient",
          "meta" : {
            "profile" : ["http://racsel.org/StructureDefinition/LACPatient"]
          },
          "identifier" : [{
            "use" : "official",
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PPN"
              }]
            },
            "system" : "urn:oid.2.16.858.1.858.1.1.1",
            "value" : "123456789"
          },
          {
            "type" : {
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "PI"
              }]
            },
            "system" : "urn:oid.2.16.858.1.858.1.1.1",
            "value" : "123456789"
          }],
          "active" : true,
          "name" : [{
            "use" : "official",
            "family" : "Pérez",
            "given" : ["Juan"]
          }],
          "_birthDate" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "unknown"
            }]
          }
        }
      }]
    },
    "request" : {
      "method" : "POST",
      "url" : "Bundle"
    }
  }]
}