les dejo el bundle si fuera necesario
{
"resourceType": "Bundle",
"id": "BundleRevisarEjemplo",
"meta": {
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/BundleRevisarLE"
]
},
"type": "message",
"timestamp": "2024-01-19T16:00:00-03:00",
"entry": [
{
"fullUrl": "urn:uuid:3d8ce276-6fea-49c1-aacd-cb06cde1f562",
"resource": {
"resourceType": "MessageHeader",
"id": "1",
"meta": {
"lastUpdated": "2024-01-19T16:00:00-03:00",
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/MessageHeaderLE"
]
},
"text": {
"status": "generated",
"div": ""
},
"eventCoding": {
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSTipoEventoLE",
"code": "revisar",
"display": "Revisar"
},
"author": {
"reference": "urn:uuid:20fea0f3-f1d7-4fd6-bf04-9d88db576037"
},
"source": {
"software": "Software HIS Hospital de Linares",
"endpoint": "http://link-to-sending.cl"
},
"focus": [
{
"reference": "urn:uuid:5240be29-2488-4a3b-b241-f0187dc1012d"
}
]
}
},
{
"fullUrl": "urn:uuid:5240be29-2488-4a3b-b241-f0187dc1012d",
"resource": {
"resourceType": "ServiceRequest",
"id": "2",
"meta": {

"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ServiceRequestLE"
]
},
"text": {
"status": "generated",
"div": ""
},
"extension": [
{
"url": "https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionOrigenInterconsulta",
"valueCodeableConcept": {
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSorigenInterconsulta",
"code": "1",
"display": "APS"
}
]
}
},
{
"url": "https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionEspecialidadMedicaDestinoCodigo",
"valueCodeableConcept": {
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSEspecialidadMed",
"code": "3",
"display": "Cardiología"
}
]
}
},
{
"url": "https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionEstadoInterconsultaCodigoLE",
"valueCodeableConcept": {
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSEstadoInterconsulta",
"code": "3",
"display": "A la espera de priorización"
}
]
}
},

{
"extension": [
{
"url": "EvaluacionPertinencia",
"valueCodeableConcept": {
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSPertinenciaInterconsulta",
"code": "1",
"display": "Pertinente"
}
]
}
}
],
"url": "https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaInterconsulta"
}
],
"identifier": [
{
"value": "022a89ef-f08b-45a2-9082-b88591d7bdd1"
}
],
"status": "draft",
"intent": "order",
"category": [
{
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSModalidadAtencionCodigo",
"code": "1",
"display": "Presencial"
}
]
}
],
"priority": "routine",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103696004"
}
],
"text": "Interconsulta para atención presencial"
},
"subject": {
"reference": "Patient/3573"
},
"authoredOn": "2024-09-23T11:30:00Z",
"requester": {
"reference": "PractitionerRole/3575"
},
"performer": [
{
"reference": "urn:uuid:20fea0f3-f1d7-4fd6-bf04-9d88db576037"
}
],
"locationCode": [
{
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSDestinoReferenciaCodigo",
"code": "1",
"display": "Nivel Secundario"
}
]
}
],
"reasonCode": [
{
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSDerivadoParaCodigo",
"code": "2"

}
]
}
]
}
},
{
"fullUrl": "urn:uuid:07d8c03b-d67c-4fe0-a0ac-6b1cff0a6590",
"resource": {
"resourceType": "Practitioner",
"id": "3",
"meta": {
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerProfesionalLE"
]
},
"text": {
"status": "generated",
"div": ""
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador",
"code": "01"
}
]
},
"system":"http://registrocivil/RUN",
"value": "13.232.444-K"
},
{
"use": "secondary",
"type": {
"coding": [
{
"system": "https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador",
"code": "13"
}
]
},
"system": "http://rnpi.superdesalud.gob.cl",
"value": "54721"
}
],
"active": true,
"name": [
{
"use":"official",
"family": "Sandoval",
"_family": {
"extension": [
{
"url": "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido",
"valueString": "Valenzuela"
}
]
},
"given": [
"Jorge"
],
"prefix": [
"Dr"
]
}
],
"gender": "male",
"birthDate": "1977-01-01",
"qualification": [
{
"identifier": [
{
"value": "cert"
}
],
"code": {
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSTituloProfesional",
"code": "30",
"display": "Medicina general"
}
],
"text": "Medicina general"
},
"period": {
"start": "2007-11-01"
},
"issuer": {
"display": "Universidad de Chile"
}
}
]
}
},
{
"fullUrl": "urn:uuid:20fea0f3-f1d7-4fd6-bf04-9d88db576037",
"resource": {
"resourceType": "PractitionerRole",
"id": "PractitionerRoleRevisor2",
"meta": {
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerRoleLE"
]
},
"text": {
"status": "generated",
"div": ""
},
"active": true,
"practitioner": {
"reference": "urn:uuid:07d8c03b-d67c-4fe0-a0ac-6b1cff0a6590"
},
"organization": {
"reference": "urn:uuid:dcb4b519-08b5-4054-87b8-9dbdd0fe3a5b"
},
"code": [
{
"coding": [
{
"system": "https://interoperabilidad.minsal.cl/fhir/ig/tei/CodeSystem/CSPractitionerTipoRolLE",
"code": "revisor",
"display": "Revisor"
}
]
}
]
}
},
{
"fullUrl": "http://interoperabilidad.minsal.cl/fhir/ig/tei/ServiceRequest/EjemploSolicitudExamen",
"resource": {
"resourceType": "ServiceRequest",
"id": "EjemploSolicitudExamen",
"meta": {
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ServiceRequestExamenLE"
]
},
"text": {
"status": "generated",
"div": ""
},
"basedOn": [
{
"reference": "ServiceRequest/EjemploSolicitudInterconsultaFinalizada"
}
],
"status": "draft",
"intent": "order",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "2857-1",
"display": "Prostate specific Ag [Mass/volume] in Serum or Plasma"
}
],
"text": "Antigeno Prostático Específico en Suero o Plasma"
},
"subject": {
"reference": "Patient/EjemploPatientLE"
},
"occurrenceDateTime": "2024-01-19T16:00:00-03:00",
"authoredOn": "2024-01-17T16:00:00-03:00",
"requester": {
"reference": "Practitioner/PractitionerProfesionalLEEjemplo"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "414205003"
}
],
"text": "antecedente familiar de neoplasia maligna de próstata"
}
],
"note": [
{
"text": "paciente con APE elevado en 2022, se solicita examen vigente previo a atención con especialidad"
}
]
}
},
{
"fullUrl": "urn:uuid:dcb4b519-08b5-4054-87b8-9dbdd0fe3a5b",
"resource": {
"resourceType": "Organization",
"meta": {
"profile": [
"https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/OrganizationLE"
]
},
"identifier": [
{
"system": "http://minsal.cl/deis/establecimientos",
"value": "116108"
}
],
"name": "Hospital de Linares"
}
}
]
}

Hola Juan Pablo,
Tu problema está en la referencia del requester que está en el ServiceRequest de exámen, que estás agregando de manera opcional.