Repositorio de Reportes de Biopsias Oncológicas
0.1.0 - ci-build
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 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/riap/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Subject | Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) |
Reported | 2021-08-01 10:00:00-0400 |
Performer | PractitionerRole MÉDICO CIRUJANO |
Identifier | r2bo-2020-0001 |
Report Details
Code | Value | Flags | When For |
Pathology report microscopic observation in Specimen | Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos | Final | 2021-06-01 12:00:00-0400 |
Macroscopic observation [Interpretation] in Specimen Narrative | Muestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vista | Final | 2021-06-01 12:00:00-0400 |
399588009 | Final | 2021-06-01 12:00:00-0400 | |
Lymph nodes with metastasis [#] in Cancer specimen | true | Final | 2021-06-01 12:00:00-0400 |
371513001 | 385001000 | Final | 2021-06-01 12:00:00-0400 |
371509008 | 369762001 | Final | 2021-06-01 12:00:00-0400 |
Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols | 52101004 | Final | 2021-06-01 12:00:00-0400 |
Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols | 52101004 | Final | 2021-06-01 12:00:00-0400 |
396631001 | Final | 2021-06-01 12:00:00-0400 | |
Multiple tumors reported as single primary Cancer | true | Final | 2021-06-01 12:00:00-0400 |
444696007 | true | Final | 2021-06-01 12:00:00-0400 |
405921002 | 5 % (Details: UCUM code% = '%') | Final | 2021-06-01 12:00:00-0400 |
Tumor response to neoadjuvant therapy | El tratamiento entregado no ha sido efectivo para reducir el tamaño del tumor, por lo que se recomienda un nuevo tratamiento. | Final | 2021-06-01 12:00:00-0400 |
Size Tumor | Final | 2021-06-01 12:00:00-0400 |
Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral
Coded Conclusions: