Repositorio de Reportes de Biopsias Oncológicas
0.2.0-draft - draft 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 0.2.0-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

Example DiagnosticReport: Informe de Anatomía Patológica de Biopsia de Mama

Informe de Biopsia de Mama (Pathology (gross & histopath, not surgical))

SubjectJaviera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
Reported2021-08-01 10:00:00-0400
Performer PractitionerRole MÉDICO CIRUJANO
Identifier r2bo-2020-0001

Report Details

CodeValueFlagsWhen For
Pathology report microscopic observation in SpecimenSe observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticosFinal2021-06-01 12:00:00-0400
Macroscopic observation [Interpretation] in Specimen NarrativeMuestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vistaFinal2021-06-01 12:00:00-0400
Pathologic TNM stage grouping (observable entity)Final2021-06-01 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