Repositorio de Reportes de Biopsias Oncológicas
0.1.1-draft - STU1

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

## Resource Profile: Perfil del Documento de Biopsía ( Experimental )

Official URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-composition-biopsia | Version: 0.1.1-draft
Standards status: Draft | Maturity Level: 1 | Computable Name: R2BOCompositionBiopsia

Este recurso representa la cabecera del documento de un reporte de analisis de anatomía patológica

Usages:

- Use this Profile: Perfil de Bundle del Documento and Perfil de Bundle para Generar Informe
- Refer to this Profile: Extensión De Referencia al Composition
- Examples for this Profile: Composition/r2bo-documento-biopsia-ex
- CapabilityStatements using this Profile: CapabilityStatement del Cliente Analista del Repositorio de Biopsia del Ministerio de Salud, CapabilityStatement Cliente de Origen de Informes del Repositorio de Biopsia del Ministerio de Salud, CapabilityStatement Consumidor del Repositorio de Biopsia del Ministerio de Salud and CapabilityStatement Servidor del Repositorio de Biopsia del Ministerio de Salud

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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identificador del reporte
status | ?!S Σ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar
type | S Σ | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S Σ | 1..* | CodeableConcept | Categoría del Documento 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
subject | S Σ | 0..1 | Reference(Resource) | Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
encounter | S Σ | 0..1 | Reference(CL Encuentro Clínico(1.9.4)) | Contexto asistencial en el cual se generó Documento.
date | S Σ | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author | S Σ | 1..* | Reference(Perfil de Rol Profesional S | Prestador Profesional | Prestador Institucional) | Autor del documento
title | S Σ | 1..1 | string | Nombre/título legible para humanos
attester | S | 0..* | BackboneElement | Profesionales validadores del documento
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
time | S | 0..1 | dateTime | Fecha y Hora de la validación
party | S | 0..1 | Reference(CL Paciente(1.9.4) | RelatedPerson | CL Prestador(1.9.4) | CL RolClinico(1.9.4) | CL Organización(1.9.4)) | Quien validó
custodian | S Σ | 0..1 | Reference(CL Organización(1.9.4)) | Organización que mantiene los documentos
Slices for section | S C | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example)
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
section:solicitud | S C | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
section:muestra | S C | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
section:macroscopia | S C | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
section:microscopia | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
section:hallazgos | S C | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
section:conclusiones | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor | S C | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
section:Notas | S C | 0..1 | BackboneElement | Notas en texto libre Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📦4.0.1 | FHIR Std.
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📦4.0.1 | FHIR Std.
Composition.section.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | 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()`
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

This structure is derived from DocumentoCl

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
identifier |  | 1..1 | Identifier | Identificador del reporte
type |  | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S | 1..* | CodeableConcept | Categoría del Documento 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)
date |  | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author |  | 1..* | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Autor del documento
title |  | 1..1 | string | Nombre/título legible para humanos
Slices for section |  | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code
section:solicitud | S | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
entry |  | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
section:muestra | S | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
entry |  | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
section:macroscopia | S | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
entry |  | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
section:microscopia | S | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
entry |  | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
section:hallazgos | S | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
entry |  | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
section:conclusiones | S | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
Slices for entry |  | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor |  | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
section:Notas |  | 0..1 | BackboneElement | Notas en texto libre
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
text |  | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identificador del reporte
status | ?!S Σ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar
type | S Σ | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S Σ | 1..* | CodeableConcept | Categoría del Documento 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
subject | S Σ | 0..1 | Reference(Resource) | Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
encounter | S Σ | 0..1 | Reference(CL Encuentro Clínico(1.9.4)) | Contexto asistencial en el cual se generó Documento.
date | S Σ | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author | S Σ | 1..* | Reference(Perfil de Rol Profesional S | Prestador Profesional | Prestador Institucional) | Autor del documento
title | S Σ | 1..1 | string | Nombre/título legible para humanos
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester | S | 0..* | BackboneElement | Profesionales validadores del documento
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
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
time | S | 0..1 | dateTime | Fecha y Hora de la validación
party | S | 0..1 | Reference(CL Paciente(1.9.4) | RelatedPerson | CL Prestador(1.9.4) | CL RolClinico(1.9.4) | CL Organización(1.9.4)) | Quien validó
custodian | S Σ | 0..1 | Reference(CL Organización(1.9.4)) | Organización que mantiene los documentos
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example)
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:solicitud | S C | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:muestra | S C | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:macroscopia | S C | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:microscopia | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:hallazgos | S C | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:conclusiones | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor | S C | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:Notas | S C | 0..1 | BackboneElement | Notas en texto libre Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📦4.0.1 | FHIR Std.
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📦4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v6.5
Composition.section.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:solicitud.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:muestra.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:macroscopia.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:microscopia.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:hallazgos.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:conclusiones.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:Notas.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | 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()`
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

This structure is derived from DocumentoCl

Summary

Mandatory: 19 elements(4 nested mandatory elements)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

- Perfil de Rol Profesional (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-rol-profesional-minsal)
- Prestador Profesional (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorProfesional)
- Prestador Institucional (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorOrganizacional)
- Perfil de Solicitud de Informe de Anatomía Patológica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa)
- Perfil de Muestra (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-muestra-biopsia)
- Perfil de Observación Macroscópica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica)
- Perfil de Observación Microscópica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-microscopica)
- Perfil de Grupo Estadificación TNM (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-estadificacion-tnm)
- Perfil de Observación Infiltración Perineural (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-perineural)
- Perfil de Observación Ganglios Linfáticos (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-ganglios-linfaticos)
- Perfil de Observación Infiltración Peritumoral (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-peritumoral)
- Perfil de Observación Invasión Linfatica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-linfatica)
- Perfil de Observación Invasión Vascular (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-vascular)
- Perfil de Observación Margen Quirúrgico (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-margen-quirurgico)
- Perfil de Observación Multicentricidad (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-multicentricidad)
- Perfil de Observación Focalidad (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-focalidad)
- Perfil de Observación Evaluación Post Neoadyuvancia (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-post-tratamiento-neoadjuvancia)
- Perfil de Observación Porcentaje Necrosis (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-porcentaje-necrosis)
- Perfil de Observacion Tejido No Tumoral Adyacente (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-tejido-no-tumor-adyacente)
- Perfil de Tamaño del Tumor (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tamano-tumor)
- Perfil de la Morfología y Topología del Tumor (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tumor)
- CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl|1.9.4)

Extensions

This structure refers to these extensions:

- https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identificador del reporte
status | ?!S Σ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar
type | S Σ | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S Σ | 1..* | CodeableConcept | Categoría del Documento 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
subject | S Σ | 0..1 | Reference(Resource) | Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
encounter | S Σ | 0..1 | Reference(CL Encuentro Clínico(1.9.4)) | Contexto asistencial en el cual se generó Documento.
date | S Σ | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author | S Σ | 1..* | Reference(Perfil de Rol Profesional S | Prestador Profesional | Prestador Institucional) | Autor del documento
title | S Σ | 1..1 | string | Nombre/título legible para humanos
attester | S | 0..* | BackboneElement | Profesionales validadores del documento
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
time | S | 0..1 | dateTime | Fecha y Hora de la validación
party | S | 0..1 | Reference(CL Paciente(1.9.4) | RelatedPerson | CL Prestador(1.9.4) | CL RolClinico(1.9.4) | CL Organización(1.9.4)) | Quien validó
custodian | S Σ | 0..1 | Reference(CL Organización(1.9.4)) | Organización que mantiene los documentos
Slices for section | S C | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example)
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
section:solicitud | S C | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
section:muestra | S C | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
section:macroscopia | S C | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
section:microscopia | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
section:hallazgos | S C | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
section:conclusiones | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry | S C | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor | S C | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
section:Notas | S C | 0..1 | BackboneElement | Notas en texto libre Constraints: cmp-1, cmp-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
text | S C | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.status | Base | required | CompositionStatus | 📦4.0.1 | FHIR Std.
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📦4.0.1 | FHIR Std.
Composition.section.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | 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()`
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

Differential View

This structure is derived from DocumentoCl

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
identifier |  | 1..1 | Identifier | Identificador del reporte
type |  | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S | 1..* | CodeableConcept | Categoría del Documento 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)
date |  | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author |  | 1..* | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Autor del documento
title |  | 1..1 | string | Nombre/título legible para humanos
Slices for section |  | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code
section:solicitud | S | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
entry |  | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
section:muestra | S | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
entry |  | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
section:macroscopia | S | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
entry |  | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
section:microscopia | S | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
entry |  | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
section:hallazgos | S | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
entry |  | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
section:conclusiones | S | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
Slices for entry |  | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor |  | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
section:Notas |  | 0..1 | BackboneElement | Notas en texto libre
code |  | 1..1 | CodeableConcept | Código que define el tipo de sección 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://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
text |  | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Composition | C | 0..* | DocumentoCl(1.9.4) | A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: r2bo-comp-1
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReporteBiopsia | S | 1..1 | Reference(Perfil del Reporte de Anatomía Patológica) | Extensión De Referencia al Reporte URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 1..1 | Identifier | Identificador del reporte
status | ?!S Σ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar
type | S Σ | 1..1 | CodeableConcept | Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category | S Σ | 1..* | CodeableConcept | Categoría del Documento 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
subject | S Σ | 0..1 | Reference(Resource) | Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
encounter | S Σ | 0..1 | Reference(CL Encuentro Clínico(1.9.4)) | Contexto asistencial en el cual se generó Documento.
date | S Σ | 1..1 | dateTime | Fecha de creación del reporte de antomía patológica
author | S Σ | 1..* | Reference(Perfil de Rol Profesional S | Prestador Profesional | Prestador Institucional) | Autor del documento
title | S Σ | 1..1 | string | Nombre/título legible para humanos
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester | S | 0..* | BackboneElement | Profesionales validadores del documento
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
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR
time | S | 0..1 | dateTime | Fecha y Hora de la validación
party | S | 0..1 | Reference(CL Paciente(1.9.4) | RelatedPerson | CL Prestador(1.9.4) | CL RolClinico(1.9.4) | CL Organización(1.9.4)) | Quien validó
custodian | S Σ | 0..1 | Reference(CL Organización(1.9.4)) | Organización que mantiene los documentos
relatesTo |  | 0..* | BackboneElement | Relationships to other compositions/documents
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
code |  | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x] |  | 1..1 |  | Target of the relationship
targetIdentifier |  |  | Identifier |
targetReference |  |  | Reference(Composition) |
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented
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
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
period | Σ | 0..1 | Period | The period covered by the documentation
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented
Slices for section | S C | 5..* | BackboneElement | Sección del documento Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
section:All Slices |  |  |  | Content/Rules for all slices
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example)
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:solicitud | S C | 1..1 | BackboneElement | Indica la solicitud por la cual se generó el documento, con su sospecha diagnóstica Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22636-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:muestra | S C | 1..1 | BackboneElement | Describe la muestra por la cual se realizo el informe Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22633-2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..* | Reference(Perfil de Muestra) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:macroscopia | S C | 0..1 | BackboneElement | Observaciones realizadas a la muestra a simple vista Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22634-0
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Observación Macroscópica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:microscopia | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22635-7
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 1..1 | Reference(Perfil de Observación Microscópica) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:hallazgos | S C | 1..1 | BackboneElement | Resultado de observaciones que fueron realizadas a la muestra Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 33746-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Perfil de Grupo Estadificación TNM | Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Focalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido No Tumoral Adyacente | Perfil de Tamaño del Tumor) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:conclusiones | S C | 1..1 | BackboneElement | Observaciones realizadas a traves de un microscopio Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22637-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 0..1 | Narrative | Texto que describe el contenido de la sección This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry | S C | 1..2 | Reference(Perfil de la Morfología y Topología del Tumor | CL Condición-Diagnóstico(1.9.4)) | Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this.resolve()
entry:DescripcionTumor | S C | 1..1 | Reference(Perfil de la Morfología y Topología del Tumor) | Conclusión Morfológica y Topográfica del tumor
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
section:Notas | S C | 0..1 | BackboneElement | Notas en texto libre Constraints: cmp-1, cmp-2
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
title |  | 0..1 | string | Label for section (e.g. for ToC)
code | S | 1..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) 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://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 22638-1
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
author |  | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section
focus |  | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition
text | S C | 1..1 | Narrative | Notas que se pueden dejar como texto narrativo This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode |  | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy |  | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry | S C | 0..* | Reference(Resource) | Recurso referenciado en esta sección
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section | C | 0..* | See section (Composition) | Nested Section
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Composition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Composition.status | Base | required | CompositionStatus | 📦4.0.1 | FHIR Std.
Composition.type | Base | extensible | Set de Valores de los Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.category | Base | extensible | Set de Valores de la Categoría Reportes de Biopsia | 📦0.1.1-draft | This IG
Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std.
Composition.attester.​mode | Base | required | CompositionAttestationMode | 📦4.0.1 | FHIR Std.
Composition.relatesTo.​code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std.
Composition.event.code | Base | example | v3 Code System ActCode | 📍3.0.0 | THO v6.5
Composition.section.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:solicitud.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:solicitud.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:muestra.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:muestra.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:macroscopia.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:macroscopia.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:microscopia.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:microscopia.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:hallazgos.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:hallazgos.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:conclusiones.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:conclusiones.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​code | Base | example | Document Section Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​mode | Base | required | ListMode | 📍4.0.1 | FHIR Std.
Composition.section:Notas.​orderedBy | Base | preferred | List Order Codes | 📦4.0.1 | FHIR Std.
Composition.section:Notas.​emptyReason | Base | preferred | List Empty Reasons | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cmp-1 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section must contain at least one of text, entries, or sub-sections | `text.exists() or entry.exists() or section.exists()`
cmp-2 | error | Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopia, Composition.section:microscopia, Composition.section:hallazgos, Composition.section:conclusiones, Composition.section:Notas | A section can only have an emptyReason if it is empty | `emptyReason.empty() or entry.empty()`
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Composition | 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()`
r2bo-comp-1 | error | Composition | Si el reporte es de categoría patológico la sección macroscópica debe existir | `(category.coding.where(code = 'PAT').exists()) implies (section.code.coding.where(code = '22634-0').exists())`

This structure is derived from DocumentoCl

Summary

Mandatory: 19 elements(4 nested mandatory elements)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

- Perfil de Rol Profesional (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-rol-profesional-minsal)
- Prestador Profesional (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorProfesional)
- Prestador Institucional (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorOrganizacional)
- Perfil de Solicitud de Informe de Anatomía Patológica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa)
- Perfil de Muestra (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-muestra-biopsia)
- Perfil de Observación Macroscópica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica)
- Perfil de Observación Microscópica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-microscopica)
- Perfil de Grupo Estadificación TNM (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-estadificacion-tnm)
- Perfil de Observación Infiltración Perineural (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-perineural)
- Perfil de Observación Ganglios Linfáticos (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-ganglios-linfaticos)
- Perfil de Observación Infiltración Peritumoral (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-peritumoral)
- Perfil de Observación Invasión Linfatica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-linfatica)
- Perfil de Observación Invasión Vascular (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-vascular)
- Perfil de Observación Margen Quirúrgico (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-margen-quirurgico)
- Perfil de Observación Multicentricidad (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-multicentricidad)
- Perfil de Observación Focalidad (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-focalidad)
- Perfil de Observación Evaluación Post Neoadyuvancia (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-post-tratamiento-neoadjuvancia)
- Perfil de Observación Porcentaje Necrosis (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-porcentaje-necrosis)
- Perfil de Observacion Tejido No Tumoral Adyacente (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-tejido-no-tumor-adyacente)
- Perfil de Tamaño del Tumor (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tamano-tumor)
- Perfil de la Morfología y Topología del Tumor (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tumor)
- CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl|1.9.4)

Extensions

This structure refers to these extensions:

- https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Composition.section
- The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Other representations of profile: CSV, Excel, Schematron