Repositorio de Reportes de Biopsias Oncológicas
0.3.0-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 0.3.0-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

Resource Profile: Perfil del Reporte de Anatomía Patológica ( Experimental )

Official URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-informe-biopsia Version: 0.3.0-draft
Standards status: Draft Maturity Level: 1 Computable Name: R2BOInformeBiopsia

Reporte de anatomía patológica

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... status ?!SΣ 1..1 code Estado del Informe de Anatomía Patológica
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... category SΣ 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject SΣ 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... issued SΣ 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer SΣ 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... Slices for extension 0..* Extension Grado de diferenciación tumoral
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... contentType SΣ 0..1 code Tipo de Contenido
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... identifier S 1..1 Identifier Identificador del Informe de Anatomía Patológica
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... category S 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
... code S 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject S 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... issued S 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer S 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico
..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... extension 0..* Extension Grado de diferenciación tumoral
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico
..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... contentType S 0..1 code Tipo de Contenido
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Identificador del Informe de Anatomía Patológica
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... status ?!SΣ 1..1 code Estado del Informe de Anatomía Patológica
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... category SΣ 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject SΣ 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer SΣ 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... Slices for extension 0..* Extension Grado de diferenciación tumoral
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 0..1 code Tipo de Contenido
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.
DiagnosticReport.presentedForm.​language Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result
  • The element 1 is sliced based on the value of DiagnosticReport.conclusionCode

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... status ?!SΣ 1..1 code Estado del Informe de Anatomía Patológica
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... category SΣ 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject SΣ 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... issued SΣ 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer SΣ 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... Slices for extension 0..* Extension Grado de diferenciación tumoral
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... contentType SΣ 0..1 code Tipo de Contenido
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... identifier S 1..1 Identifier Identificador del Informe de Anatomía Patológica
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... category S 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
... code S 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject S 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... issued S 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer S 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico
..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... extension 0..* Extension Grado de diferenciación tumoral
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico
..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... contentType S 0..1 code Tipo de Contenido
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:addendum S 0..1 Reference(Perfil del Reporte de Anatomía Patológica) Referencia a un informe previo que necesita ser actualizado
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-Addenda-Reportebiopsia
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier Identificador del Informe de Anatomía Patológica
... basedOn S 1..1 Reference(Perfil de Solicitud de Informe de Anatomía Patológica) Solicitud de Biopsia
... status ?!SΣ 1..1 code Estado del Informe de Anatomía Patológica
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... category SΣ 1..1 CodeableConcept Categoría del Informe de Anatomía Patológica
Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible)

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... display 1..1 string Representation defined by the system
Fixed Value: Pathology (gross & histopath, not surgical)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código del Informe de Anatomía Patológica
Binding: Set de Valores de los Reportes de Biopsia (preferred)
Example CodeableConcept: {"coding":[{"system":"http://snomed.info/sct","code":"726566009","display":"Pathology biopsy report"}]}
... subject SΣ 1..1 Reference(MINSAL Paciente) Paciente del Informe de Anatomía Patológica
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant Fecha de Emisión del Informe de Anatomía Patológica
... performer SΣ 1..1 Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) Anatomopatólogo que realiza el Informe
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen S 1..* Reference(Perfil de Muestra) Muestra de Biopsia
... Slices for result 0..* Reference(Perfil de Para Todas las Observaciones de los Resultados de Biopsias) Resultados del Informe de Anatomía Patológica
Slice: Unordered, Open by profile:resolve()
.... result:TNM S 0..1 Reference(Perfil de Grupo Estadificación TNM) Estadificación patológica TNM
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion S 1..1 string Conclusión narrativa del informe de anatomía patológica
... Slices for conclusionCode S 0..2 CodeableConcept Conclusión codificada del informe de anatomía patológica
Slice: Unordered, Open by value:id
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
.... conclusionCode:Morfologico S 0..1 CodeableConcept Conclusión Morfológica
Binding: Set de Valores Morfología (extensible)
Additional BindingsPurposeDocumentation
Set de Valores CIE-11 Códigos de Extensión Histopatológicos Extensible
Set de valores utilizados para CIE-11 que permiten el mapeo a la CIE-O 3.2 Morfológico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Morfologico
..... Slices for extension 0..* Extension Grado de diferenciación tumoral
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:gradoDiferenciacion S 0..1 CodeableConcept Extensión del Grado de Diferenciación
URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-grado-diferenciacion
Binding: Set de Valores Para Grado de Diferenciación (required): Grado de diferenciación tumoral según clasificación de la OMS
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
.... conclusionCode:Topografico S 0..1 CodeableConcept Conclusión Topográfica
Binding: Set de Valores para Topografía según la CIE-O 3.2 (extensible)
Additional BindingsPurposeDocumentation
Set de Valores para Topografía Extensible
Set de valores utilizados para la topografía de la CIE-11 que permiten el mapeo a la CIE-O 3.2 Tográfico

..... id 1..1 string Unique id for inter-element referencing
Required Pattern: Topografico
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Plain text representation of the concept
... presentedForm S 0..* Attachment Representación del Informe de Anatomía Patológica
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ 0..1 code Tipo de Contenido
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
.... data S 0..1 base64Binary Informe de Anatomía Patológica en base64
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
.... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base extensible Set de Valores de la Categoría Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.code Base preferred Set de Valores de los Reportes de Biopsia 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode:Morfologico Base extensible Set de Valores Morfología 📦0.3.0-draft This IG
DiagnosticReport.conclusionCode:Topografico Base extensible Set de Valores para Topografía según la CIE-O 3.2 📦0.3.0-draft This IG
DiagnosticReport.presentedForm.​contentType Base required MimeType 📍4.0.1 FHIR Std.
DiagnosticReport.presentedForm.​language Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 8 elements(2 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.result
  • The element 1 is sliced based on the value of DiagnosticReport.conclusionCode

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron