Documento de Biopsía - Repositorio de Reportes de Biopsias Oncológicas v0.1.0

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

Resource Profile: Documento de Biopsía ( Experimental )

Official URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-composition-biopsia				Version: 0.1.0
Standards status: Draft			Maturity Level: 1	Computable Name: CompositionBiopsia

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

Usages:

Use this Profile: Perfil de Bundle para Generar Informe
Refer to this Profile: Extensión De Referencia al Composition

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	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 Report URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Identificador del reporte
status	?!SΣ	1..1	code	Estado, valores posibles: preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar
type	SΣ	1..1	CodeableConcept	Tipo de documento, que representa al informe de biopsía Binding: Set de Valores de los Reportes de Biopsia (extensible)
category	SΣ	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	SΣ	0..1	Reference(Resource)	Recurso sobre el cual se ha generado este documento. Es deseable que el recurso cumpla con un perfil chileno.
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Contexto asistencial en el cual se generó Documento.
date	SΣ	1..1	dateTime	Fecha de creación del reporte de antomía patológica
author	SΣ	1..*	Reference(Perfil de Rol Profesional S \| Prestador Profesional \| Prestador Institucional)	Autor del documento
title	SΣ	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 \| RelatedPerson \| CL Prestador \| CL RolClinico \| CL Organización)	Quien validó
custodian	SΣ	0..1	Reference(CL Organización)	Organización que mantiene los documentos
Slices for section	SC	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	SC	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	SC	0..*	Reference(Resource)	Recurso referenciado en esta sección
section:solicitud	SC	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	SC	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	SC	1..1	Reference(Perfil de Solicitud de Informe de Anatomía Patológica)	Recurso referenciado en esta sección
section:muestra	SC	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	SC	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	SC	1..1	Reference(Perfil de Muestra)	Recurso referenciado en esta sección
section:macroscopica	SC	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	SC	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	SC	1..1	Reference(Perfil de Observación Macroscópica)	Recurso referenciado en esta sección
section:microscopica	SC	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	SC	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	SC	1..1	Reference(Perfil de Observación Microscópica)	Recurso referenciado en esta sección
section:hallazgos	SC	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	SC	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	SC	0..*	Reference(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 Multifocalidad \| Perfil de Observación Evaluación Post Neoadyuvancia \| Perfil de Observación Porcentaje Necrosis \| Perfil de Observacion Tejido Tumoral Adjacente \| Perfil de Tamaño del Tumor)	Recurso referenciado en esta sección
section:conclusiones	SC	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	SC	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	SC	2..*	Reference(Perfil de Grupo Estadificación TNM \| Morfología y Topología del Tumor \| CL Condición-Diagnóstico)	Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this
entry:TNM	SC	1..1	Reference(Perfil de Grupo Estadificación TNM)	Resultado del TNM Patológico
entry:DescripcionTumor	SC	1..1	Reference(Morfología y Topología del Tumor)	Conclusión Morfológica y Topográfica del tumor
section:Notas	SC	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	0..1	CodeableConcept	Código que define el tipo de sección Binding: DocumentSectionCodes (example)
text	SC	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	SC	0..*	Reference(Resource)	Recurso referenciado en esta sección
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status` From the FHIR Standard
Composition.type	extensible	ReporteBiopsiaVS `https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vs` From this IG
Composition.category	extensible	Pattern Value: PAT("Pathology (gross & histopath, not surgical)") `https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vs` From this IG
Composition.attester.mode	required	CompositionAttestationMode `http://hl7.org/fhir/ValueSet/composition-attestation-mode` From the FHIR Standard
Composition.section.code	example	DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:solicitud.code	example	Pattern Value: LOINC Code 22636-5 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:muestra.code	example	Pattern Value: LOINC Code 22633-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:macroscopica.code	example	Pattern Value: LOINC Code 22634-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:microscopica.code	example	Pattern Value: LOINC Code 22635-7 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:hallazgos.code	example	Pattern Value: LOINC Code 33746-9 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:conclusiones.code	example	Pattern Value: LOINC Code 22637-3 `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard
Composition.section:Notas.code	example	DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:solicitud, Composition.section:muestra, Composition.section:macroscopica, Composition.section:microscopica, 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:macroscopica, Composition.section:microscopica, 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	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 Report 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..1	Reference(Perfil de Muestra)	Recurso referenciado en esta sección
section:macroscopica	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:microscopica	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 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 Multifocalidad \| Perfil de Observación Evaluación Post Neoadyuvancia \| Perfil de Observación Porcentaje Necrosis \| Perfil de Observacion Tejido Tumoral Adjacente \| 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		2..*	Reference(Perfil de Grupo Estadificación TNM \| Morfología y Topología del Tumor \| CL Condición-Diagnóstico)	Recurso referenciado en esta sección Slice: Unordered, Open by profile:$this
entry:TNM	S	1..1	Reference(Perfil de Grupo Estadificación TNM)	Resultado del TNM Patológico
entry:DescripcionTumor	S	1..1	Reference(Morfología y Topología del Tumor)	Conclusión Morfológica y Topográfica del tumor
section:Notas		0..1	BackboneElement	Notas en texto libre
text		1..1	Narrative	Notas que se pueden dejar como texto narrativo
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	extensible	ReporteBiopsiaVS `https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vs` From this IG
Composition.category	extensible	Pattern Value: PAT("Pathology (gross & histopath, not surgical)") `https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vs` From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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())