@andes/fhir 1.13.0-beta.10 → 1.13.0-beta.11

package/dist/lib/allergyIntolerance.d.ts

@@ -19,6 +19,18 @@ export declare function encode(patientReference: any, alergiaIntolerancia: any):
     meta: {
         profile: string[];
     };
+    clinicalStatus: {
+        coding: {
+            system: string;
+            code: string;
+        }[];
+    };
+    verificationStatus: {
+        coding: {
+            system: string;
+            code: string;
+        }[];
+    };
     text: {
         status: string;
         div: string;

package/dist/lib/allergyIntolerance.js

@@ -25,7 +25,23 @@ function encode(patientReference, alergiaIntolerancia) {
             ]
         },
         meta: {
-            profile: ['http://hl7.org/fhir/uv/ips/StructureDefinition/allergyintolerance-uv-ips']
+            profile: ['http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips']
+        },
+        clinicalStatus: {
+            coding: [
+                {
+                    system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical',
+                    code: 'active'
+                }
+            ]
+        },
+        verificationStatus: {
+            coding: [
+                {
+                    system: 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification',
+                    code: 'confirmed'
+                }
+            ]
         },
         text: {
             status: 'generated',

package/dist/lib/bundle.d.ts

@@ -4,9 +4,9 @@ export declare function encode(ID: any, resources: any): {
     meta: {
         lastUpdated: string;
     };
-    language: string;
     entry: any;
     type: string;
+    timestamp: string;
     identifier: {
         system: string;
         value: any;

package/dist/lib/bundle.js

@@ -3,15 +3,16 @@ Object.defineProperty(exports, "__esModule", { value: true });
 exports.encode = encode;
 const config_1 = require("./config");
 function encode(ID, resources) {
+    const now = new Date().toISOString();
     return {
         resourceType: 'Bundle',
         id: ID,
         meta: {
-            lastUpdated: new Date().toISOString()
+            lastUpdated: now
         },
-        language: 'es-AR',
         entry: resources,
         type: 'document',
+        timestamp: now,
         identifier: {
             system: (0, config_1.makeUrl)('Bundle'),
             value: ID

package/dist/lib/composition.d.ts

@@ -6,16 +6,12 @@ export declare function encode(ID: any, patientReference: any, custodianReferenc
     section: any[];
     resourceType: string;
     author: {
-        identifier: {
-            system: string;
-            value: any;
-        };
+        reference: any;
     }[];
     confidentiality: string;
     type: {
         coding: {
             system: string;
-            display: string;
             code: string;
         }[];
     };
@@ -25,15 +21,15 @@ export declare function encode(ID: any, patientReference: any, custodianReferenc
         value: any;
     };
     date: string;
+    meta: {
+        profile: string[];
+    };
     text: {
         status: string;
         div: string;
     };
     custodian: {
-        identifier: {
-            system: string;
-            value: any;
-        };
+        reference: any;
     };
     attester: {
         mode: string;

package/dist/lib/composition.js

@@ -15,74 +15,182 @@ function encode(ID, patientReference, custodianReference, deviceReference, medic
     let conditions = [];
     let medications = [];
     let allergyIntolerance = [];
-    Immunization = [{
-            title: 'Vacunas',
-            text: {
-                status: 'generated',
-                div: '<div xmlns="http://www.w3.org/1999/xhtml">Sección referida a la vacunación del paciente </div>'
-            },
-            code: {
-                coding: [
-                    {
-                        system: 'http://loinc.org',
-                        display: 'Immunization record',
-                        code: '60484-3'
-                    }
-                ]
-            },
-            entry: ImmunizationReferences ? ImmunizationReferences.map(getReference) : []
-        }];
-    medications = [{
-            title: 'Medicamentos',
-            text: {
-                status: 'generated',
-                div: '<div xmlns="http://www.w3.org/1999/xhtml">Registro de medicamentos</div>'
-            },
-            code: {
-                coding: [
-                    {
-                        system: 'http://loinc.org',
-                        display: 'Medication use',
-                        code: '10160-0'
-                    }
-                ]
-            },
-            entry: medicationStatementReference ? medicationStatementReference.map(getReference) : [],
-        }];
-    allergyIntolerance = [{
-            title: 'Alergias o Intolerancias',
-            text: {
-                status: 'generated',
-                div: '<div xmlns="http://www.w3.org/1999/xhtml">Registro de Alergias</div>'
-            },
-            code: {
-                coding: [
-                    {
-                        system: 'http://loinc.org',
-                        display: 'Allergies and/or adverse reactions',
-                        code: '48765-2'
-                    }
-                ]
-            },
-            entry: AllergyIntoleranceReferences ? AllergyIntoleranceReferences.map(getReference) : [],
-        }];
-    conditions = [{
-            code: {
-                coding: [
-                    {
-                        system: 'http://loinc.org',
-                        display: 'Problem list',
-                        code: '11450-4'
-                    }
-                ]
-            },
-            entry: ConditionReferences ? ConditionReferences.map(getReference) : [],
-            title: 'Problemas activos',
-            text: {
-                status: 'generated',
-                div: '<div xmlns="http://www.w3.org/1999/xhtml">Lista de problemas activos (trastornos)</div>'
-            }
-        }];
+    if (ImmunizationReferences && ImmunizationReferences.length > 0) {
+        Immunization = [{
+                title: 'Vacunas',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">Sección referida a la vacunación del paciente </div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '60484-3'
+                        }
+                    ]
+                },
+                entry: ImmunizationReferences.map(getReference)
+            }];
+    }
+    else {
+        Immunization = [{
+                title: 'Vacunas',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">No hay vacunas registradas</div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '60484-3'
+                        }
+                    ]
+                },
+                emptyReason: {
+                    coding: [
+                        {
+                            system: 'http://terminology.hl7.org/CodeSystem/list-empty-reason',
+                            code: 'nilknown',
+                            display: 'Nil Known'
+                        }
+                    ]
+                }
+            }];
+    }
+    if (medicationStatementReference && medicationStatementReference.length > 0) {
+        medications = [{
+                title: 'Medicamentos',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">Registro de medicamentos</div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '10160-0'
+                        }
+                    ]
+                },
+                entry: medicationStatementReference.map(getReference)
+            }];
+    }
+    else {
+        medications = [{
+                title: 'Medicamentos',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">No hay medicamentos registrados</div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '10160-0'
+                        }
+                    ]
+                },
+                emptyReason: {
+                    coding: [
+                        {
+                            system: 'http://terminology.hl7.org/CodeSystem/list-empty-reason',
+                            code: 'nilknown',
+                            display: 'Nil Known'
+                        }
+                    ]
+                }
+            }];
+    }
+    if (AllergyIntoleranceReferences && AllergyIntoleranceReferences.length > 0) {
+        allergyIntolerance = [{
+                title: 'Alergias o Intolerancias',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">Registro de Alergias</div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '48765-2'
+                        }
+                    ]
+                },
+                entry: AllergyIntoleranceReferences.map(getReference)
+            }];
+    }
+    else {
+        allergyIntolerance = [{
+                title: 'Alergias o Intolerancias',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">No hay registro de alergias</div>'
+                },
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '48765-2'
+                        }
+                    ]
+                },
+                emptyReason: {
+                    coding: [
+                        {
+                            system: 'http://terminology.hl7.org/CodeSystem/list-empty-reason',
+                            code: 'nilknown',
+                            display: 'Nil Known'
+                        }
+                    ]
+                }
+            }];
+    }
+    if (ConditionReferences && ConditionReferences.length > 0) {
+        conditions = [{
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '11450-4'
+                        }
+                    ]
+                },
+                entry: ConditionReferences.map(getReference),
+                title: 'Problemas activos',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">Lista de problemas activos (trastornos)</div>'
+                }
+            }];
+    }
+    else {
+        conditions = [{
+                code: {
+                    coding: [
+                        {
+                            system: 'http://loinc.org',
+                            code: '11450-4'
+                        }
+                    ]
+                },
+                title: 'Problemas activos',
+                text: {
+                    status: 'generated',
+                    div: '<div xmlns="http://www.w3.org/1999/xhtml">No hay problemas activos registrados</div>'
+                },
+                emptyReason: {
+                    coding: [
+                        {
+                            system: 'http://terminology.hl7.org/CodeSystem/list-empty-reason',
+                            code: 'nilknown',
+                            display: 'Nil Known'
+                        }
+                    ]
+                }
+            }];
+    }
     return {
         id: ID,
         subject: {
@@ -97,10 +205,7 @@ function encode(ID, patientReference, custodianReference, deviceReference, medic
         resourceType: 'Composition',
         author: [
             {
-                identifier: {
-                    system: 'https://federador.msal.gob.ar/uri',
-                    value: deviceReference
-                }
+                reference: deviceReference
             }
         ],
         confidentiality: 'N',
@@ -108,7 +213,6 @@ function encode(ID, patientReference, custodianReference, deviceReference, medic
             coding: [
                 {
                     system: 'http://loinc.org',
-                    display: 'Patient Summary',
                     code: '60591-5'
                 }
             ]
@@ -119,20 +223,17 @@ function encode(ID, patientReference, custodianReference, deviceReference, medic
             value: ID
         },
         date: nowIso,
-        // meta: {
-        //     profile: [
-        //         'http:\/\/hl7.org\/fhir\/uv\/ips\/StructureDefinition\/composition-uv-ips'
-        //     ]
-        // },
+        meta: {
+            profile: [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/Composition-uv-ips'
+            ]
+        },
         text: {
             status: 'generated',
             div: '<div xmlns="http://www.w3.org/1999/xhtml">IPS Neuquen</div>'
         },
         custodian: {
-            identifier: {
-                system: 'https://federador.msal.gob.ar/uri',
-                value: custodianReference
-            }
+            reference: custodianReference
         },
         attester: [
             {

package/dist/lib/condition.d.ts

@@ -2,52 +2,4 @@
  *
  * @param registro Registro RUP a transformar a FHIR
  */
-export declare function encode(patientReference: any, registro: any): {
-    id: any;
-    category: {
-        coding: {
-            system: string;
-            display: string;
-            code: string;
-        }[];
-    }[];
-    subject: {
-        reference: any;
-    };
-    onsetDateTime: any;
-    resourceType: string;
-    verificationStatus: {
-        coding: {
-            system: string;
-            code: string;
-        }[];
-    };
-    code: {
-        coding: {
-            code: any;
-            system: string;
-            display: any;
-        }[];
-    };
-    recordedDate: any;
-    meta: {
-        profile: string[];
-    };
-    text: {
-        status: string;
-        div: string;
-    };
-    severity: {
-        coding: {
-            system: string;
-            display: string;
-            code: string;
-        }[];
-    };
-    clinicalStatus: {
-        coding: {
-            system: string;
-            code: any;
-        }[];
-    };
-};
+export declare function encode(patientReference: any, registro: any): any;

package/dist/lib/condition.js

@@ -6,14 +6,32 @@
 Object.defineProperty(exports, "__esModule", { value: true });
 exports.encode = encode;
 function encode(patientReference, registro) {
-    return {
+    const estado = registro.valor?.estado;
+    let clinicalStatusCode = 'active';
+    if (estado === 'inactivo' || estado === 'inactive') {
+        clinicalStatusCode = 'inactive';
+    }
+    else if (estado === 'resuelto' || estado === 'resolved') {
+        clinicalStatusCode = 'resolved';
+    }
+    const condition = {
+        resourceType: 'Condition',
         id: registro._id,
+        meta: {
+            profile: [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips'
+            ]
+        },
         category: [
             {
                 coding: [
+                    {
+                        system: 'http://terminology.hl7.org/CodeSystem/condition-category',
+                        code: 'problem-list-item',
+                        display: 'Problem List Item'
+                    },
                     {
                         system: 'http://loinc.org',
-                        display: 'Problem',
                         code: '75326-9'
                     }
                 ]
@@ -22,57 +40,44 @@ function encode(patientReference, registro) {
         subject: {
             reference: patientReference
         },
-        onsetDateTime: registro.createdAt.getFullYear(), // [TODO] No va solo el año
-        resourceType: 'Condition',
-        // Por el momento ponemos 'confirmed'
+        onsetDateTime: registro.createdAt ? new Date(registro.createdAt).toISOString() : new Date().toISOString(),
         verificationStatus: {
             coding: [
                 {
-                    system: 'http://terminology.hl7.org//CodeSystem//condition-ver-status',
+                    system: 'http://terminology.hl7.org/CodeSystem/condition-ver-status',
                     code: 'confirmed'
                 }
             ]
         },
-        code: {
+        clinicalStatus: {
             coding: [
                 {
-                    code: registro.concepto.conceptId,
-                    system: 'http://snomed.info/sct',
-                    display: registro.concepto.fsn
+                    system: 'http://terminology.hl7.org/CodeSystem/condition-clinical',
+                    code: clinicalStatusCode
                 }
             ]
         },
-        recordedDate: registro.createdAt,
-        meta: {
-            profile: [
-                'http://hl7.org/fhir/uv/ips/StructureDefinition/condition-uv-ips'
-            ]
-        },
-        text: {
-            status: 'generated',
-            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Problema: </p><p>${registro.nombre}</p></div>`
-        },
-        severity: {
+        code: {
             coding: [
                 {
-                    system: 'http://loinc.org',
-                    display: 'Moderate',
-                    code: 'LA6751-7'
+                    system: 'http://snomed.info/sct',
+                    code: String(registro.concepto.conceptId)
                 }
-            ]
+            ],
+            text: registro.concepto.term || registro.concepto.fsn
         },
-        clinicalStatus: {
-            coding: [
-                {
-                    system: 'http://terminology.hl7.org/CodeSystem/condition-clinical',
-                    code: registro.valor.estado // [TODO]  Tenemos este dato.
-                },
-                {
-                    system: 'http://terminology.hl7.org/CodeSystem/evolution',
-                    // code: registro.valor.evolucion.replace('<p>','').replace('</p>','')  // [TODO]  Tenemos este dato.
-                    code: registro.valor.evolucion // [TODO]  Tenemos este dato.
-                }
-            ]
+        recordedDate: registro.createdAt ? new Date(registro.createdAt).toISOString() : undefined,
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: Problema: </p><p>${registro.nombre || registro.concepto?.term || ''}</p></div>`
         }
     };
+    if (registro.valor?.evolucion) {
+        condition.note = [
+            {
+                text: String(registro.valor.evolucion)
+            }
+        ];
+    }
+    return condition;
 }

package/dist/lib/device.d.ts

@@ -1,6 +1,10 @@
 export declare function encode(): {
     resourceType: string;
     id: string;
+    text: {
+        status: string;
+        div: string;
+    };
     identifier: {
         system: string;
         value: string;
@@ -9,8 +13,8 @@ export declare function encode(): {
         coding: {
             system: string;
             code: string;
-            display: string;
         }[];
+        text: string;
     };
     owner: {
         reference: string;

package/dist/lib/device.js

@@ -9,6 +9,10 @@ function encode() {
     return {
         resourceType: 'Device',
         id: 'device-01',
+        text: {
+            status: 'generated',
+            div: '<div xmlns="http://www.w3.org/1999/xhtml"><p>Sistema de Aplicaciones Neuquinas de Salud (ANDES)</p></div>'
+        },
         identifier: [
             {
                 system: (0, config_1.makeUrl)('Device'),
@@ -19,10 +23,10 @@ function encode() {
             coding: [
                 {
                     system: 'http://snomed.info/sct',
-                    code: '462894001',
-                    display: 'software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)'
+                    code: '462894001'
                 }
-            ]
+            ],
+            text: 'software de aplicación de sistema de información de historias clínicas de pacientes (objeto físico)'
         },
         owner: {
             reference: 'http://argentina.gob.ar/salud/refes/14999912399913'

package/dist/lib/immunization.d.ts

@@ -4,41 +4,4 @@
  * [ASK] El code de extension puede ir en vaccineCode?
  * [ASk] Location no se sabe. Solo esta el texto
  */
-export declare function encode(patientReference: any, nomivac: any): {
-    resourceType: string;
-    id: any;
-    extension: {
-        url: string;
-        valueCoding: {
-            system: string;
-            code: string;
-            display: any;
-        };
-    }[];
-    status: string;
-    notGiven: boolean;
-    vaccineCode: {
-        coding: {
-            system: string;
-            code: any;
-            display: any;
-        }[];
-    };
-    patient: {
-        reference: any;
-    };
-    date: any;
-    primarySource: boolean;
-    location: {
-        reference: string;
-    };
-    vaccinationProtocol: {
-        doseSequence: number;
-        doseStatus: {
-            coding: {
-                system: string;
-                code: any;
-            }[];
-        };
-    }[];
-};
+export declare function encode(patientReference: any, nomivac: any): any;

package/dist/lib/immunization.js

@@ -8,59 +8,72 @@ exports.encode = encode;
  * [ASk] Location no se sabe. Solo esta el texto
  */
 function encode(patientReference, nomivac) {
-    return {
+    const occurrenceDate = nomivac.fechaAplicacion
+        ? new Date(nomivac.fechaAplicacion).toISOString()
+        : new Date().toISOString();
+    const immunization = {
         resourceType: 'Immunization',
-        id: nomivac.idvacuna,
-        extension: [
-            {
-                url: 'http://sisa/fhir/esquema',
-                valueCoding: {
-                    system: 'http://argentina.gob.ar/salud/NOMIVAC-esquemas',
-                    code: '0', // [TODO] Ver que code ponemos acá
-                    display: nomivac.vacuna
-                }
-            },
-            {
-                url: 'http://sisa/fhir/condicionAplicacion',
-                valueCoding: {
-                    system: 'http://argentina.gob.ar/salud/NOMIVAC-condicion',
-                    code: '17',
-                    display: 'Personal de Salud'
-                }
-            }
-        ],
+        id: String(nomivac.idvacuna),
+        meta: {
+            profile: [
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips'
+            ]
+        },
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p>${nomivac.vacuna || 'Vacuna'}</p></div>`
+        },
         status: 'completed',
-        notGiven: false,
         vaccineCode: {
             coding: [
                 {
                     system: 'https://snomed.info/sct/11000221109/id/228100022110',
-                    code: nomivac.idvacuna,
+                    code: String(nomivac.idvacuna),
                     display: nomivac.vacuna
                 }
-            ]
+            ],
+            text: nomivac.vacuna
         },
         patient: {
             reference: patientReference
         },
-        date: nomivac.fechaAplicacion,
-        primarySource: false,
-        location: {
+        occurrenceDateTime: occurrenceDate,
+        primarySource: false
+    };
+    if (nomivac.vacuna || nomivac.condicion) {
+        immunization.extension = [];
+        if (nomivac.vacuna) {
+            immunization.extension.push({
+                url: 'http://sisa/fhir/esquema',
+                valueCoding: {
+                    system: 'http://argentina.gob.ar/salud/NOMIVAC-esquemas',
+                    code: '0',
+                    display: nomivac.vacuna
+                }
+            });
+        }
+        if (nomivac.condicion) {
+            immunization.extension.push({
+                url: 'http://sisa/fhir/condicionAplicacion',
+                valueCoding: {
+                    system: 'http://argentina.gob.ar/salud/NOMIVAC-condicion',
+                    code: '17',
+                    display: 'Personal de Salud'
+                }
+            });
+        }
+    }
+    if (nomivac.location) {
+        immunization.location = {
             reference: 'http://argentina.gob.ar/salud/refes/14999912399913'
-        },
-        // lotNumber: null,
-        vaccinationProtocol: [
+        };
+    }
+    if (nomivac.dosis) {
+        immunization.protocolApplied = [
             {
-                doseSequence: 1,
-                doseStatus: {
-                    coding: [
-                        {
-                            system: 'http://hl7.org/fhir/vaccination-protocol-dose-status',
-                            code: nomivac.dosis
-                        }
-                    ]
-                }
+                doseNumberString: String(nomivac.dosis)
             }
-        ]
-    };
+        ];
+    }
+    return immunization;
 }

package/dist/lib/medicationStatement.js

@@ -23,7 +23,7 @@ function encode(patientReference, medicationReference, prestacionMedicamento) {
         },
         meta: {
             profile: [
-                'http://hl7.org/fhir/uv/ips/StructureDefinition/medication-ips'
+                'http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips'
             ]
         },
         // extension: null,

package/dist/lib/organization.js

@@ -63,18 +63,35 @@ function encode(organization) {
     const direcciones = [];
     if (data.direccion) {
         const dir = data.direccion;
-        direcciones.push({
-            postalCode: dir.codigoPostal ?? '',
-            line: [dir.valor],
-            city: dir.ubicacion?.localidad?.nombre ?? '',
-            state: dir.ubicacion?.provincia?.nombre ?? '',
-            country: dir.ubicacion?.pais?.nombre ?? ''
-        });
+        const address = {};
+        const city = dir.ubicacion?.localidad?.nombre;
+        const state = dir.ubicacion?.provincia?.nombre;
+        const country = dir.ubicacion?.pais?.nombre;
+        if (dir.valor?.trim()) {
+            address.line = [dir.valor.trim()];
+        }
+        if (dir.codigoPostal && String(dir.codigoPostal).trim()) {
+            address.postalCode = String(dir.codigoPostal).trim();
+        }
+        if (city?.trim()) {
+            address.city = city.trim();
+        }
+        if (state?.trim()) {
+            address.state = state.trim();
+        }
+        if (country?.trim()) {
+            address.country = country.trim();
+        }
+        direcciones.push(address);
     }
     // Organización FHIR
     const organizacionFHIR = {
         resourceType: 'Organization',
         id: data._id ?? data.id,
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p>${data.nombre || 'Organización'}</p></div>`
+        },
         identifier: identificadores,
         active: data.activo ?? undefined,
         name: data.nombre ?? undefined,

package/dist/lib/patient.js

@@ -175,13 +175,23 @@ function encode(patient) {
         const country = typeof unaDireccion.ubicacion.pais === 'object'
             ? unaDireccion.ubicacion.pais?.nombre
             : unaDireccion.ubicacion.pais;
-        return {
-            postalCode: unaDireccion.codigoPostal ?? '',
-            line: [unaDireccion.valor],
-            city: city ?? '',
-            state: state ?? '',
-            country: country ?? ''
-        };
+        const address = {};
+        if (unaDireccion.valor?.trim()) {
+            address.line = [unaDireccion.valor.trim()];
+        }
+        if (unaDireccion.codigoPostal && String(unaDireccion.codigoPostal).trim()) {
+            address.postalCode = String(unaDireccion.codigoPostal).trim();
+        }
+        if (city?.trim()) {
+            address.city = city.trim();
+        }
+        if (state?.trim()) {
+            address.state = state.trim();
+        }
+        if (country?.trim()) {
+            address.country = country.trim();
+        }
+        return address;
     });
     // Relaciones → contact
     const relacionesFHIR = (patient.relaciones ?? [])
@@ -207,6 +217,10 @@ function encode(patient) {
     const pacienteFHIR = {
         resourceType: 'Patient',
         id: patient._id ?? patient.id,
+        text: {
+            status: 'generated',
+            div: `<div xmlns="http://www.w3.org/1999/xhtml"><p>${`${patient.nombre || ''} ${patient.apellido || ''}`.trim()}</p></div>`
+        },
         identifier: identificadores,
         active: patient.activo ?? undefined,
         name: [{

package/dist/lib/practitioner.js

@@ -52,13 +52,26 @@ function encode(practitioner) {
     // Direcciones → address
     // -----------------------------
     const direcciones = (data.domicilios ?? []).map((unDomicilio) => {
-        return {
-            postalCode: unDomicilio.codigoPostal ?? '',
-            line: [unDomicilio.valor],
-            city: unDomicilio.ubicacion?.localidad?.nombre ?? '',
-            state: unDomicilio.ubicacion?.provincia?.nombre ?? '',
-            country: unDomicilio.ubicacion?.pais?.nombre ?? ''
-        };
+        const address = {};
+        const city = unDomicilio.ubicacion?.localidad?.nombre;
+        const state = unDomicilio.ubicacion?.provincia?.nombre;
+        const country = unDomicilio.ubicacion?.pais?.nombre;
+        if (unDomicilio.valor?.trim()) {
+            address.line = [unDomicilio.valor.trim()];
+        }
+        if (unDomicilio.codigoPostal && String(unDomicilio.codigoPostal).trim()) {
+            address.postalCode = String(unDomicilio.codigoPostal).trim();
+        }
+        if (city?.trim()) {
+            address.city = city.trim();
+        }
+        if (state?.trim()) {
+            address.state = state.trim();
+        }
+        if (country?.trim()) {
+            address.country = country.trim();
+        }
+        return address;
     });
     // -----------------------------
     // Relaciones (hoy no se usan en Practitioner)

package/package.json

@@ -1,6 +1,6 @@
 {
     "name": "@andes/fhir",
-    "version": "1.13.0-beta.10",
+    "version": "1.13.0-beta.11",
     "engines": {
         "node": ">=24.0.0"
     },