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

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Resource Profile: Perfil de Origen para las Categorías T, N, M (Abstracto) ( Abstract Experimental )

Perfil para originar las Categorías T, N, M

Usages:

• Derived from this Profile: Perfil de Categoria TNM de Metástasis Distante, Perfil de Categoria TNM Nodos Regional and Perfil de Categoria TNM Tumor Primario
• CapabilityStatements using this Profile: CapabilityStatement Cliente de Origen de Informes del Repositorio de Biopsia del Ministerio de Salud, CapabilityStatement del Cliente Analista 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
Observation	C	0..*	ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	SΣ	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject	SΣ	1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]	SΣC	0..1	CodeableConcept	Actual Resultado
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen	S	0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
component	SΣ	0..*	BackboneElement	Componentes de los resultados
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario
basedOn	S	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject		1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
performer		0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]		0..1	CodeableConcept	Actual Resultado
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen		0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
device		0..0
referenceRange		0..0
hasMember		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario Measurements and simple assertions Constraints: obs-6, obs-7
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	SΣ	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject	SΣ	1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]	SΣC	0..1	CodeableConcept	Actual Resultado
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen	S	0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 2 elements
Must-Support: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Perfil de Solicitud de Informe de Anatomía Patológica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa)
• MINSAL Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPaciente)
• 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 Muestra (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-muestra-biopsia)

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	SΣ	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject	SΣ	1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]	SΣC	0..1	CodeableConcept	Actual Resultado
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen	S	0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
component	SΣ	0..*	BackboneElement	Componentes de los resultados
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario
basedOn	S	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject		1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
performer		0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]		0..1	CodeableConcept	Actual Resultado
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen		0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
device		0..0
referenceRange		0..0
hasMember		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ObservacionCL	This is an abstract profile. Child profiles: TNMCategoriaMetastasisDistante, TNMCategoriaNodoRegional, TNMCategoriaTumorPrimario Measurements and simple assertions Constraints: obs-6, obs-7
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	SΣ	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Solicitud por la cual se realizo la prueba
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Set de Valores para Categorias pTNM (extensible)
subject	SΣ	1..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional)	Quien es responsable por la observación
value[x]	SΣC	0..1	CodeableConcept	Actual Resultado
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: TNM Staging Method Value Set (extensible)
specimen	S	0..1	Reference(Perfil de Muestra)	Muestra tomada para la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	extensible	CategoriaspTNMVS https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categorias-pTNM-VS From this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	extensible	TNMStagingMethodVS http://hl7.org/fhir/us/mcode/ValueSet/mcode-tnm-staging-method-vs
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 2 elements
Must-Support: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Perfil de Solicitud de Informe de Anatomía Patológica (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa)
• MINSAL Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPaciente)
• 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 Muestra (https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-muestra-biopsia)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron