Repositorio de Reportes de Biopsias Oncológicas
0.1.1-draft - ci-build Chile flag

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 0.1.1-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

: Documento del Informe de Anatomía Patológica de Biopsia de Mama - JSON Representation

Page standards status: Informative

Raw json | Download

{
  "resourceType" : "Composition",
  "id" : "r2bo-documento-biopsia-ex",
  "meta" : {
    "profile" : [
      🔗 "https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-composition-biopsia"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composición r2bo-documento-biopsia-ex</b></p><a name=\"r2bo-documento-biopsia-ex\"> </a><a name=\"hcr2bo-documento-biopsia-ex\"> </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-r2bo-composition-biopsia.html\">Perfil del Documento de Biopsía</a></p></div><p><b>Extensión De Referencia al Reporte</b>: <a href=\"DiagnosticReport-r2bo-informe-biopsia-ex.html\">Diagnostic Report for 'Informe de biopsia patológica: Seno : Punto temporal: Hallazgo: Narrativo:' for '-&gt;Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876\u00a0(use:\u00a0official,\u00a0))'</a></p><p><b>identifier</b>: r2bo-2020-0001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 66110-8}\">Informe de Biopsia de Mama</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 PAT}\">Pathology (gross &amp; histopath, not surgical)</span></p><p><b>date</b>: 2021-08-01 10:00:00-0400</p><p><b>author</b>: <a href=\"PractitionerRole-r2bo-anatopatologo-hospital.html\">PractitionerRole MÉDICO CIRUJANO</a></p><p><b>title</b>: Informe de Biopsia de Mama</p></div>"
  },
  "extension" : [
    {
      "url" : "https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport",
      "valueReference" : {
        🔗 "reference" : "DiagnosticReport/r2bo-informe-biopsia-ex"
      }
    }
  ],
  "identifier" : {
    "value" : "r2bo-2020-0001"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "66110-8"
      }
    ],
    "text" : "Informe de Biopsia de Mama"
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "PAT",
          "display" : "Pathology (gross & histopath, not surgical)"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/paciente-requiere-examen"
  },
  "date" : "2021-08-01T10:00:00-04:00",
  "author" : [
    {
      🔗 "reference" : "PractitionerRole/r2bo-anatopatologo-hospital"
    }
  ],
  "title" : "Informe de Biopsia de Mama",
  "section" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22636-5"
          }
        ],
        "text" : "Solicitud de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Solicitud de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "ServiceRequest/r2bo-solicitud-informe-apa-ej"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22633-2"
          }
        ],
        "text" : "Muestra de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Muestra de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Specimen/r2bo-specimen-example"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22634-0"
          }
        ],
        "text" : "Macroscopia de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Macroscopia de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/r2bo-observacion-macroscopica-ex"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22635-7"
          }
        ],
        "text" : "Microscopia de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Microscopia de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/r2bo-observacion-microscopica-ex"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "33746-9"
          }
        ],
        "text" : "Hallazgos de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hallazgos de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/r2bo-observacion-ganglios-linfaticos-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-infiltracion-perineural-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-infiltracion-peritumoral-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-invasion-linfatica-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-invasion-vascular-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-margen-quirurgico-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-centricidad-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-multifocalidad-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-porcentaje-necrosis-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-observacion-post-tratamiento-neoadjuvancia-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-tamano-tumor-ex"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22637-3"
          }
        ],
        "text" : "Conclusiones de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Conclusiones de Biopsia</div>"
      },
      "entry" : [
        {
          🔗 "reference" : "BodyStructure/r2bo-tumor-ex"
        },
        {
          🔗 "reference" : "Observation/r2bo-estadificacion-tnm-ex"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "22638-1"
          }
        ],
        "text" : "Notas del Informe de Biopsia"
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Notas del Informe de Biopsia:</p><p>Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral</p></div>"
      }
    }
  ]
}