Repositorio de Reportes de Biopsias Oncológicas
0.2.0-draft - draft
Repositorio de Reportes de Biopsias Oncológicas
0.2.0-draft - draft
Repositorio de Reportes de Biopsias Oncológicas, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.2.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/R2BO/ and changes regularly. See the Directory of published versions
Bundle r2bo-generar-informe-bundle-ejemplo of type transaction
Entry 1 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ServiceRequest/r2bo-solicitud-informe-apa-ej
Resource ServiceRequest:
version: 2
Profile: Perfil de Solicitud de Informe de Anatomía Patológica
identifier: 111111101
status: Completed
intent: Order
priority: Routine
code: No display for ServiceRequest.code (concept: Pathologist report)
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
requester: PractitionerRole MÉDICO CIRUJANO
performer: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco)
Request:
PUT ServiceRequest?identifier=111111101
Entry 2 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Patient/paciente-requiere-examen
Resource Patient:
Profile: MINSAL Paciente
Javiera Castilla (official) Female, DoB: 1995-12-12 ( RUN: 16182522-0 (use: official, ))
Active: true Deceased: false Marital Status: Soltero(a) Other Id: PPN/ACL123456789876 (use: official, ) Contact Detail
- +56912387678
- Avenida Las Torres 3456, Departamento 702 null null null (home)
Sexo Biologico del paciente Femenina País de origen del paciente Uruguay Pueblos Originarios:
- pertenece: false
Código de Países Chile Religión Ninguna, ateo, agnóstico Identidad De Género Femenina Pueblos Afrodescendiente false
Request:
POST Patient If-None-Exist = Patient?identifier=16182522-0
Entry 3 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/PractitionerRole/ProfesionalHospital
Resource PractitionerRole:
Profile: Perfil de Rol Profesional
practitioner: Practitioner Juan Perez
organization: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco)
code: MÉDICO CIRUJANO
location: Location Medicina General
Request:
POST PractitionerRole If-None-Exist = PractitionerRole?practitioner.identifier=5135329-3&organization.identifier=121109
Entry 4 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/PractitionerRole/r2bo-anatopatologo-hospital
Resource PractitionerRole:
Profile: Perfil de Rol Profesional
practitioner: Practitioner Patricia Gutierrez
organization: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco)
code: MÉDICO CIRUJANO
specialty: ANATOMÍA PATOLÓGICA
Request:
POST PractitionerRole If-None-Exist = PractitionerRole?practitioner.identifier=19283789-2&organization.identifier=121109
Entry 5 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Location/r2bo-localizacion-MedicinaGeneral
Resource Location:
Profile: Servicio Solicitante del Informe
name: Medicina General
Request:
POST Location If-None-Exist = Location?name=Medicina%20General
Entry 6 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Practitioner/profesional-hospital-collector
Resource Practitioner:
Profile: Prestador Profesional
identifier: RUN/5135329-3 (use: official, )
name: Juan Perez
birthDate: 1991-05-18
Qualifications
Identifier Code cert MÉDICO CIRUJANO
Request:
POST Practitioner If-None-Exist = Practitioner?identifier=5135329-3
Entry 7 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Practitioner/profesional-hospital-anatopatologo
Resource Practitioner:
Profile: Prestador Profesional
identifier: RUN/19283789-2 (use: official, )
name: Patricia Gutierrez
gender: Female
birthDate: 1983-11-18
qualification
identifier: cert
code: MÉDICO CIRUJANO
qualification
identifier: esp
code: MEDICINA INTERNA
qualification
identifier: subesp
code: ANATOMÍA PATOLÓGICA
Request:
POST Practitioner If-None-Exist = Practitioner?identifier=19283789-2
Entry 8 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Organization/hospital-collector
Resource Organization:
Profile: Prestador Institucional
identifier: 121109
name: Hospital Dr. Hernán Henríquez Aravena (Temuco)
Request:
POST Organization If-None-Exist = Organization?identifier=121109
Entry 9 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Specimen/r2bo-specimen-example
Resource Specimen:
Profile: Perfil de Muestra
identifier: 110101101
status: Available
type: Tissue
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
receivedTime: 2021-06-01 00:00:00+0000
Collections
Collector Collected[x] Method BodySite PractitionerRole MÉDICO CIRUJANO 2021-06-01 10:00:00+0000 Biopsy of breast No display for Specimen.collection.bodySite (concept: Breast) note:
Resección completa de tejido mamario, posible carcinoma
Request:
PUT Specimen?identifier=110101101
Entry 10 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Composition/r2bo-documento-biopsia-ex
Resource Composition:
Extensión De Referencia al Reporte: Diagnostic Report for 'Breast Pathology biopsy report' for '->Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))'
identifier: r2bo-2020-0001
status: Final
type: Informe de Biopsia de Mama
category: Pathology (gross & histopath, not surgical)
date: 2021-08-01 10:00:00-0400
author: PractitionerRole MÉDICO CIRUJANO
title: Informe de Biopsia de Mama
Request:
POST Composition
Entry 11 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/DiagnosticReport/r2bo-informe-biopsia-ex
Resource DiagnosticReport:
Informe de Biopsia de Mama (Pathology (gross & histopath, not surgical))
Subject Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) Reported 2021-08-01 10:00:00-0400 Performer PractitionerRole MÉDICO CIRUJANO Identifier r2bo-2020-0001 Report Details
Code Value Flags When For Pathology report microscopic observation in Specimen Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos Final 2021-06-01 12:00:00-0400 Macroscopic observation [Interpretation] in Specimen Narrative Muestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vista Final 2021-06-01 12:00:00-0400 Pathologic TNM stage grouping (observable entity) Final 2021-06-01 12:00:00-0400 Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral
Coded Conclusions:
- Carcinoma ductal infiltrante
- Mama
Request:
POST DiagnosticReport
Entry 12 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-microscopica-ex
Resource Observation:
Profile: Perfil de Observación Microscópica
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: Pathology report microscopic observation in Specimen
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
value: Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos
Request:
POST Observation
Entry 13 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/BodyStructure/r2bo-tumor-ex
Resource BodyStructure:
morphology: Carcinoma ductal infiltrante
patient: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
Request:
POST BodyStructure
Entry 14 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-macroscopica-ex
Resource Observation:
Profile: Perfil de Observación Macroscópica
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: Macroscopic observation [Interpretation] in Specimen Narrative
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
value: Muestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vista
Request:
POST Observation
Entry 15 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-estadificacion-tnm-ex
Resource Observation:
Profile: Perfil de Grupo Estadificación TNM
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: Pathologic TNM stage grouping (observable entity)
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
hasMember:
Request:
POST Observation
Entry 16 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-tumor-primario-ex
Resource Observation:
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: pT category (observable entity)
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
value: American Joint Committee on Cancer pT2 (qualifier value)
Request:
POST Observation
Entry 17 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-nodo-regional-ex
Resource Observation:
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: Stage of tumour involvement of regional lymph nodes
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
value: American Joint Committee on Cancer pN2
Request:
POST Observation
Entry 18 - fullUrl = https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-metastasis-distantel-ex
Resource Observation:
basedOn: ServiceRequest Pathologist report
status: Final
category: Laboratory
code: Stage of distant metastasis of tumour
subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
effective: 2021-06-01 12:00:00-0400
performer: PractitionerRole MÉDICO CIRUJANO
value: American Joint Committee on Cancer pM1 (qualifier value)
Request:
POST Observation