Repositorio de Reportes de Biopsias Oncológicas
0.1.0 - ci-build Chile flag

Repositorio de Reportes de Biopsias Oncológicas, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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: InformeBiopsia - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the r2bo-informe-biopsia resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. DiagnosticReport
Definition

The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Comments

This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesReport, Test, Result, Results, Labs, Laboratory
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
r2bo-diag-1: Si el reporte es de categoría patológico la observación macroscópica debe existir ((category.coding.where(code = 'PAT').exists()) implies (result.resolve().exists(o | o.conformsTo('https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica'))))
2. DiagnosticReport.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DiagnosticReport.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on DiagnosticReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. DiagnosticReport.extension:composition
    Slice Namecomposition
    Definition

    Extensión que genera la referencia al composition el cual permite generar un documento en FHIR

    ShortRefernecia al composition del documento
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Extensión De Referencia al Composition) (Extension Type: Reference(Documento de Biopsía))
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. DiagnosticReport.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. DiagnosticReport.identifier
    Definition

    Identifiers assigned to this report by the performer or other systems.

    ShortIdentificador del Informe de Anatomía PatológicaBusiness identifier for report
    Comments

    Usually assigned by the Information System of the diagnostic service provider (filler id).

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..1*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

    Alternate NamesReportID, Filler ID, Placer ID
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. DiagnosticReport.basedOn
    Definition

    Details concerning a service requested.

    ShortSolicitud de BiopsiaWhat was requested
    Comments

    Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.

    Control10..1*
    TypeReference(Perfil de Solicitud de Informe de Anatomía Patológica, CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

    Alternate NamesRequest
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. DiagnosticReport.status
    Definition

    The status of the diagnostic report.

    ShortEstado del Informe de Anatomía Patológicaregistered | partial | preliminary | final +
    Control1..1
    BindingThe codes SHALL be taken from DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1)

    The status of the diagnostic report.

    Typecode
    Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

    Pattern Valuefinal
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. DiagnosticReport.category
    Definition

    A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.

    ShortCategoría del Informe de Anatomía PatológicaService category
    Comments

    Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.

    Control10..1*
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Set de Valores de la Categoría Reportes de Biopsiahttp://hl7.org/fhir/ValueSet/diagnostic-service-sections
    (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vs)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Alternate NamesDepartment, Sub-department, Service, Discipline
    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
        "code" : "PAT",
        "display" : "Pathology (gross & histopath, not surgical)"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. DiagnosticReport.code
    Definition

    A code or name that describes this diagnostic report.

    ShortCódigo del Informe de Anatomía PatológicaName/Code for this diagnostic report
    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Set de Valores de los Reportes de Biopsiahttp://hl7.org/fhir/ValueSet/report-codes
    (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vs)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Alternate NamesType
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. DiagnosticReport.subject
    Definition

    The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

    ShortPaciente del Informe de Anatomía PatológicaThe subject of the report - usually, but not always, the patient
    Control10..1
    TypeReference(MINSAL Paciente, Patient, Group, Device, Location)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    SHALL know the subject context.

    Alternate NamesPatient
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. DiagnosticReport.issued
    Definition

    The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

    ShortFecha de Emisión del Informe de Anatomía PatológicaDateTime this version was made
    Comments

    May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

    Control10..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    Clinicians need to be able to check the date that the report was released.

    Alternate NamesDate published, Date Issued, Date Verified
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. DiagnosticReport.performer
    Definition

    The diagnostic service that is responsible for issuing the report.

    ShortAnatomopatólogo que realiza el InformeResponsible Diagnostic Service
    Comments

    This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

    Control10..1*
    TypeReference(Perfil de Rol Profesional, Prestador Profesional, Prestador Institucional, Practitioner, PractitionerRole, Organization, CareTeam)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

    Alternate NamesLaboratory, Service, Practitioner, Department, Company, Authorized by, Director
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. DiagnosticReport.specimen
    Definition

    Details about the specimens on which this diagnostic report is based.

    ShortMuestra de BiopsiaSpecimens this report is based on
    Comments

    If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.

    Control10..1*
    TypeReference(Perfil de Muestra, Specimen)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    Need to be able to report information about the collected specimens on which the report is based.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. DiagnosticReport.result
    Definition

    Observations that are part of this diagnostic report.

    ShortResultados del Informe de Anatomía PatológicaObservations
    Comments

    Observations can contain observations.

    Control10..*
    TypeReference(Perfil de Origen de Todos Los Resultados, Observation)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

    Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on DiagnosticReport.result. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ $this.resolve()
    • 30. DiagnosticReport.result:Microscopia
      Slice NameMicroscopia
      Definition

      Observations that are part of this diagnostic report.

      ShortResultados de MicroscopíaObservations
      Comments

      Observations can contain observations.

      Control10..1*
      TypeReference(Perfil de Observación Microscópica, Observation)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. DiagnosticReport.result:Macroscopia
      Slice NameMacroscopia
      Definition

      Observations that are part of this diagnostic report.

      ShortResultados de MacroscopíaObservations
      Comments

      Observations can contain observations.

      Control0..1*
      TypeReference(Perfil de Observación Macroscópica, Observation)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. DiagnosticReport.result:TNM
      Slice NameTNM
      Definition

      Observations that are part of this diagnostic report.

      ShortEstadificación patológica TNMObservations
      Comments

      Observations can contain observations.

      Control0..1*
      TypeReference(Perfil de Grupo Estadificación TNM, Observation)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. DiagnosticReport.result:Resultados
      Slice NameResultados
      Definition

      Observations that are part of this diagnostic report.

      ShortOtros posibles resultadosObservations
      Comments

      Observations can contain observations.

      Control0..*
      TypeReference(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, Observation)
      Is Modifierfalse
      Summaryfalse
      Requirements

      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. DiagnosticReport.conclusion
      Definition

      Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

      ShortConclusión narrativa del informe de anatomía patológicaClinical conclusion (interpretation) of test results
      Control10..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Need to be able to provide a conclusion that is not lost among the basic result data.

      Alternate NamesReport
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. DiagnosticReport.conclusionCode
      Definition

      One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

      ShortConclusión codificada del informe de anatomía patológicaCodes for the clinical conclusion of test results
      Control0..2*
      BindingFor example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings
      (example to http://hl7.org/fhir/ValueSet/clinical-findings)

      Diagnosis codes provided as adjuncts to the report.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ id
      • 42. DiagnosticReport.conclusionCode:Morfologico
        Slice NameMorfologico
        Definition

        One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

        ShortConclusión MorfológicaCodes for the clinical conclusion of test results
        Control0..1*
        BindingUnless not suitable, these codes SHALL be taken from For example codes, see Set de Valores Morfologíahttp://hl7.org/fhir/ValueSet/clinical-findings
        (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VS)
        TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. DiagnosticReport.conclusionCode:Morfologico.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control10..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        Pattern ValueMorfologico
        46. DiagnosticReport.conclusionCode:Morfologico.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCódigos definidos en SnomedCT y CIE-OCode defined by a terminology system
        Comments

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..*
        TypeCoding
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 48. DiagnosticReport.conclusionCode:Morfologico.coding:SCT
          Slice NameSCT
          Definition

          A reference to a code defined by a terminology system.

          ShortSistema de Codificación SNOMED CTCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Pattern Valuehttp://snomed.info/sct
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO
          Slice NameCIEO
          Definition

          A reference to a code defined by a terminology system.

          ShortSistema de Codificación CIE-OCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Pattern Valuehttp://terminology.hl7.org/CodeSystem/icd-o-3
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. DiagnosticReport.conclusionCode:Topografico
          Slice NameTopografico
          Definition

          One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

          ShortConclusión TopográficaCodes for the clinical conclusion of test results
          Control0..1*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see Set de Valores para Topografíahttp://hl7.org/fhir/ValueSet/clinical-findings
          (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VS)
          TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. DiagnosticReport.conclusionCode:Topografico.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control10..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          Pattern ValueTopografico
          60. DiagnosticReport.conclusionCode:Topografico.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCódigos definidos en SnomedCT y CIE-OCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 62. DiagnosticReport.conclusionCode:Topografico.coding:SCT
            Slice NameSCT
            Definition

            A reference to a code defined by a terminology system.

            ShortSistema de Codificación SNOMED CTCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            TypeCoding
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            64. DiagnosticReport.conclusionCode:Topografico.coding:SCT.system
            Definition

            The identification of the code system that defines the meaning of the symbol in the code.

            ShortIdentity of the terminology system
            Comments

            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to be unambiguous about the source of the definition of the symbol.

            Pattern Valuehttp://snomed.info/sct
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            66. DiagnosticReport.conclusionCode:Topografico.coding:CIEO
            Slice NameCIEO
            Definition

            A reference to a code defined by a terminology system.

            ShortSistema de Codificación CIE-OCode defined by a terminology system
            Comments

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Control0..1*
            TypeCoding
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            68. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.system
            Definition

            The identification of the code system that defines the meaning of the symbol in the code.

            ShortIdentity of the terminology system
            Comments

            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Need to be unambiguous about the source of the definition of the symbol.

            Pattern Valuehttp://terminology.hl7.org/CodeSystem/icd-o-3
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. DiagnosticReport.presentedForm
            Definition

            Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.

            ShortRepresentación del Informe de Anatomía PatológicaEntire report as issued
            Comments

            "application/pdf" is recommended as the most reliable and interoperable in this context.

            Control0..*
            TypeAttachment
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Requirements

            Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. DiagnosticReport.presentedForm.contentType
            Definition

            Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

            ShortTipo de ContenidoMime type of the content, with charset etc.
            Control0..1
            BindingThe codes SHALL be taken from Mime Typeshttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1
            (required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

            The mime type of an attachment. Any valid mime type is allowed.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            Processors of the data need to be able to know how to interpret the data.

            ExampleGeneral: text/plain; charset=UTF-8, image/png
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            74. DiagnosticReport.presentedForm.data
            Definition

            The actual data of the attachment - a sequence of bytes, base64 encoded.

            ShortInforme de Anatomía Patológica en base64Data inline, base64ed
            Comments

            The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.

            Control0..1
            Typebase64Binary
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summaryfalse
            Requirements

            The data needs to able to be transmitted inline.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

            Guidance on how to interpret the contents of this table can be foundhere

            0. DiagnosticReport
            Invariantsr2bo-diag-1: Si el reporte es de categoría patológico la observación macroscópica debe existir ((category.coding.where(code = 'PAT').exists()) implies (result.resolve().exists(o | o.conformsTo('https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica'))))
            2. DiagnosticReport.extension
            SlicingThis element introduces a set of slices on DiagnosticReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 4. DiagnosticReport.extension:composition
              Slice Namecomposition
              ShortRefernecia al composition del documento
              Control0..1
              TypeExtension(Extensión De Referencia al Composition) (Extension Type: Reference(Documento de Biopsía))
              Must Supporttrue
              6. DiagnosticReport.identifier
              ShortIdentificador del Informe de Anatomía Patológica
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control1..1
              Must Supporttrue
              8. DiagnosticReport.basedOn
              ShortSolicitud de Biopsia
              Control1..1
              TypeReference(Perfil de Solicitud de Informe de Anatomía Patológica)
              Must Supporttrue
              10. DiagnosticReport.status
              ShortEstado del Informe de Anatomía Patológica
              Must Supporttrue
              Pattern Valuefinal
              12. DiagnosticReport.category
              ShortCategoría del Informe de Anatomía Patológica
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from Set de Valores de la Categoría Reportes de Biopsia
              (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vs)
              Must Supporttrue
              Pattern Value{
                "coding" : [{
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                  "code" : "PAT",
                  "display" : "Pathology (gross & histopath, not surgical)"
                }]
              }
              14. DiagnosticReport.code
              ShortCódigo del Informe de Anatomía Patológica
              BindingUnless not suitable, these codes SHALL be taken from Set de Valores de los Reportes de Biopsia
              (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vs)
              Must Supporttrue
              16. DiagnosticReport.subject
              ShortPaciente del Informe de Anatomía Patológica
              Control1..?
              TypeReference(MINSAL Paciente)
              Must Supporttrue
              18. DiagnosticReport.issued
              ShortFecha de Emisión del Informe de Anatomía Patológica
              Control1..?
              Must Supporttrue
              20. DiagnosticReport.performer
              ShortAnatomopatólogo que realiza el Informe
              Control1..1
              TypeReference(Perfil de Rol Profesional, Prestador Profesional, Prestador Institucional)
              Must Supporttrue
              Must Support TypesNo must-support rules about the choice of types/profiles
              22. DiagnosticReport.specimen
              ShortMuestra de Biopsia
              Control1..1
              TypeReference(Perfil de Muestra)
              Must Supporttrue
              24. DiagnosticReport.result
              ShortResultados del Informe de Anatomía Patológica
              Control1..?
              TypeReference(Perfil de Origen de Todos Los Resultados)
              Must Supporttrue
              SlicingThis element introduces a set of slices on DiagnosticReport.result. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • profile @ $this.resolve()
              • 26. DiagnosticReport.result:Microscopia
                Slice NameMicroscopia
                ShortResultados de Microscopía
                Control1..1
                TypeReference(Perfil de Observación Microscópica)
                Must Supporttrue
                28. DiagnosticReport.result:Macroscopia
                Slice NameMacroscopia
                ShortResultados de Macroscopía
                Control0..1
                TypeReference(Perfil de Observación Macroscópica)
                Must Supporttrue
                30. DiagnosticReport.result:TNM
                Slice NameTNM
                ShortEstadificación patológica TNM
                Control0..1
                TypeReference(Perfil de Grupo Estadificación TNM)
                Must Supporttrue
                32. DiagnosticReport.result:Resultados
                Slice NameResultados
                ShortOtros posibles resultados
                Control0..*
                TypeReference(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)
                34. DiagnosticReport.conclusion
                ShortConclusión narrativa del informe de anatomía patológica
                Control1..?
                Must Supporttrue
                36. DiagnosticReport.conclusionCode
                ShortConclusión codificada del informe de anatomía patológica
                Control0..2
                Must Supporttrue
                SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ id
                • 38. DiagnosticReport.conclusionCode:Morfologico
                  Slice NameMorfologico
                  ShortConclusión Morfológica
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from Set de Valores Morfología
                  (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VS)
                  TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
                  Must Supporttrue
                  40. DiagnosticReport.conclusionCode:Morfologico.id
                  Control1..?
                  Pattern ValueMorfologico
                  42. DiagnosticReport.conclusionCode:Topografico
                  Slice NameTopografico
                  ShortConclusión Topográfica
                  Control0..1
                  BindingUnless not suitable, these codes SHALL be taken from Set de Valores para Topografía
                  (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VS)
                  TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
                  Must Supporttrue
                  44. DiagnosticReport.conclusionCode:Topografico.id
                  Control1..?
                  Pattern ValueTopografico
                  46. DiagnosticReport.presentedForm
                  ShortRepresentación del Informe de Anatomía Patológica
                  Must Supporttrue
                  48. DiagnosticReport.presentedForm.contentType
                  ShortTipo de Contenido
                  Must Supporttrue
                  50. DiagnosticReport.presentedForm.data
                  ShortInforme de Anatomía Patológica en base64
                  Must Supporttrue

                  Guidance on how to interpret the contents of this table can be foundhere

                  0. DiagnosticReport
                  Definition

                  The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

                  ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                  Comments

                  This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

                  Control0..*
                  Is Modifierfalse
                  Summaryfalse
                  Alternate NamesReport, Test, Result, Results, Labs, Laboratory
                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                  dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                  r2bo-diag-1: Si el reporte es de categoría patológico la observación macroscópica debe existir ((category.coding.where(code = 'PAT').exists()) implies (result.resolve().exists(o | o.conformsTo('https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica'))))
                  2. DiagnosticReport.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Summarytrue
                  4. DiagnosticReport.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. DiagnosticReport.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. DiagnosticReport.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                  Control0..1
                  BindingThe codes SHOULD be taken from CommonLanguages
                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                  A human language.

                  Additional BindingsPurpose
                  AllLanguagesMax Binding
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. DiagnosticReport.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                  ShortText summary of the resource, for human interpretation
                  Comments

                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                  Control0..1
                  TypeNarrative
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  12. DiagnosticReport.contained
                  Definition

                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                  ShortContained, inline Resources
                  Comments

                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                  Control0..*
                  TypeResource
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  14. DiagnosticReport.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on DiagnosticReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. DiagnosticReport.extension:composition
                    Slice Namecomposition
                    Definition

                    Extensión que genera la referencia al composition el cual permite generar un documento en FHIR

                    ShortRefernecia al composition del documento
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(Extensión De Referencia al Composition) (Extension Type: Reference(Documento de Biopsía))
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    18. DiagnosticReport.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Summaryfalse
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    20. DiagnosticReport.identifier
                    Definition

                    Identifiers assigned to this report by the performer or other systems.

                    ShortIdentificador del Informe de Anatomía Patológica
                    Comments

                    Usually assigned by the Information System of the diagnostic service provider (filler id).

                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..1
                    TypeIdentifier
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

                    Alternate NamesReportID, Filler ID, Placer ID
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    22. DiagnosticReport.basedOn
                    Definition

                    Details concerning a service requested.

                    ShortSolicitud de Biopsia
                    Comments

                    Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.

                    Control1..1
                    TypeReference(Perfil de Solicitud de Informe de Anatomía Patológica)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Requirements

                    This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

                    Alternate NamesRequest
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    24. DiagnosticReport.status
                    Definition

                    The status of the diagnostic report.

                    ShortEstado del Informe de Anatomía Patológica
                    Control1..1
                    BindingThe codes SHALL be taken from DiagnosticReportStatus
                    (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1)

                    The status of the diagnostic report.

                    Typecode
                    Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

                    Pattern Valuefinal
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. DiagnosticReport.category
                    Definition

                    A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.

                    ShortCategoría del Informe de Anatomía Patológica
                    Comments

                    Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.

                    Control1..1
                    BindingUnless not suitable, these codes SHALL be taken from Set de Valores de la Categoría Reportes de Biopsia
                    (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vs)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Alternate NamesDepartment, Sub-department, Service, Discipline
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                        "code" : "PAT",
                        "display" : "Pathology (gross & histopath, not surgical)"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    28. DiagnosticReport.code
                    Definition

                    A code or name that describes this diagnostic report.

                    ShortCódigo del Informe de Anatomía Patológica
                    Control1..1
                    BindingUnless not suitable, these codes SHALL be taken from Set de Valores de los Reportes de Biopsia
                    (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vs)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Alternate NamesType
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    30. DiagnosticReport.subject
                    Definition

                    The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

                    ShortPaciente del Informe de Anatomía Patológica
                    Control1..1
                    TypeReference(MINSAL Paciente)
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    SHALL know the subject context.

                    Alternate NamesPatient
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    32. DiagnosticReport.encounter
                    Definition

                    The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.

                    ShortHealth care event when test ordered
                    Comments

                    This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).

                    Control0..1
                    TypeReference(Encounter)
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Links the request to the Encounter context.

                    Alternate NamesContext
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    34. DiagnosticReport.effective[x]
                    Definition

                    The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.

                    ShortClinically relevant time/time-period for report
                    Comments

                    If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.

                    Control0..1
                    TypeChoice of: dateTime, Period
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to know where in the patient history to file/present this report.

                    Alternate NamesObservation time, Effective Time, Occurrence
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. DiagnosticReport.issued
                    Definition

                    The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

                    ShortFecha de Emisión del Informe de Anatomía Patológica
                    Comments

                    May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

                    Control1..1
                    Typeinstant
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Clinicians need to be able to check the date that the report was released.

                    Alternate NamesDate published, Date Issued, Date Verified
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. DiagnosticReport.performer
                    Definition

                    The diagnostic service that is responsible for issuing the report.

                    ShortAnatomopatólogo que realiza el Informe
                    Comments

                    This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

                    Control1..1
                    TypeReference(Perfil de Rol Profesional, Prestador Profesional, Prestador Institucional)
                    Is Modifierfalse
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Summarytrue
                    Requirements

                    Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

                    Alternate NamesLaboratory, Service, Practitioner, Department, Company, Authorized by, Director
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    40. DiagnosticReport.resultsInterpreter
                    Definition

                    The practitioner or organization that is responsible for the report's conclusions and interpretations.

                    ShortPrimary result interpreter
                    Comments

                    Might not be the same entity that takes responsibility for the clinical report.

                    Control0..*
                    TypeReference(Practitioner, PractitionerRole, Organization, CareTeam)
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

                    Alternate NamesAnalyzed by, Reported by
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    42. DiagnosticReport.specimen
                    Definition

                    Details about the specimens on which this diagnostic report is based.

                    ShortMuestra de Biopsia
                    Comments

                    If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.

                    Control1..1
                    TypeReference(Perfil de Muestra)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Requirements

                    Need to be able to report information about the collected specimens on which the report is based.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    44. DiagnosticReport.result
                    Definition

                    Observations that are part of this diagnostic report.

                    ShortResultados del Informe de Anatomía Patológica
                    Comments

                    Observations can contain observations.

                    Control1..*
                    TypeReference(Perfil de Origen de Todos Los Resultados)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Requirements

                    Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

                    Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on DiagnosticReport.result. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ $this.resolve()
                    • 46. DiagnosticReport.result:Microscopia
                      Slice NameMicroscopia
                      Definition

                      Observations that are part of this diagnostic report.

                      ShortResultados de Microscopía
                      Comments

                      Observations can contain observations.

                      Control1..1
                      TypeReference(Perfil de Observación Microscópica)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

                      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      48. DiagnosticReport.result:Macroscopia
                      Slice NameMacroscopia
                      Definition

                      Observations that are part of this diagnostic report.

                      ShortResultados de Macroscopía
                      Comments

                      Observations can contain observations.

                      Control0..1
                      TypeReference(Perfil de Observación Macroscópica)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

                      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      50. DiagnosticReport.result:TNM
                      Slice NameTNM
                      Definition

                      Observations that are part of this diagnostic report.

                      ShortEstadificación patológica TNM
                      Comments

                      Observations can contain observations.

                      Control0..1
                      TypeReference(Perfil de Grupo Estadificación TNM)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

                      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      52. DiagnosticReport.result:Resultados
                      Slice NameResultados
                      Definition

                      Observations that are part of this diagnostic report.

                      ShortOtros posibles resultados
                      Comments

                      Observations can contain observations.

                      Control0..*
                      TypeReference(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)
                      Is Modifierfalse
                      Summaryfalse
                      Requirements

                      Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

                      Alternate NamesData, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. DiagnosticReport.imagingStudy
                      Definition

                      One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.

                      ShortReference to full details of imaging associated with the diagnostic report
                      Comments

                      ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.

                      Control0..*
                      TypeReference(ImagingStudy)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. DiagnosticReport.media
                      Definition

                      A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).

                      ShortKey images associated with this report
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Many diagnostic services include images in the report as part of their service.

                      Alternate NamesDICOM, Slides, Scans
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      58. DiagnosticReport.media.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      60. DiagnosticReport.media.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      62. DiagnosticReport.media.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      64. DiagnosticReport.media.comment
                      Definition

                      A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.

                      ShortComment about the image (e.g. explanation)
                      Comments

                      The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Requirements

                      The provider of the report should make a comment about each image included in the report.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. DiagnosticReport.media.link
                      Definition

                      Reference to the image source.

                      ShortReference to the image source
                      Control1..1
                      TypeReference(Media)
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. DiagnosticReport.conclusion
                      Definition

                      Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

                      ShortConclusión narrativa del informe de anatomía patológica
                      Control1..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Need to be able to provide a conclusion that is not lost among the basic result data.

                      Alternate NamesReport
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. DiagnosticReport.conclusionCode
                      Definition

                      One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

                      ShortConclusión codificada del informe de anatomía patológica
                      Control0..2
                      BindingFor example codes, see SNOMEDCTClinicalFindings
                      (example to http://hl7.org/fhir/ValueSet/clinical-findings)

                      Diagnosis codes provided as adjuncts to the report.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ id
                      • 72. DiagnosticReport.conclusionCode:Morfologico
                        Slice NameMorfologico
                        Definition

                        One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

                        ShortConclusión Morfológica
                        Control0..1
                        BindingUnless not suitable, these codes SHALL be taken from Set de Valores Morfología
                        (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VS)
                        TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        74. DiagnosticReport.conclusionCode:Morfologico.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control1..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        Pattern ValueMorfologico
                        76. DiagnosticReport.conclusionCode:Morfologico.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 78. DiagnosticReport.conclusionCode:Morfologico.coding
                          Definition

                          A reference to a code defined by a terminology system.

                          ShortCódigos definidos en SnomedCT y CIE-O
                          Comments

                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                          Control1..*
                          TypeCoding
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ system
                          • 80. DiagnosticReport.conclusionCode:Morfologico.coding:SCT
                            Slice NameSCT
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortSistema de Codificación SNOMED CT
                            Comments

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Control0..1
                            TypeCoding
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            82. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            84. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 86. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.system
                              Definition

                              The identification of the code system that defines the meaning of the symbol in the code.

                              ShortIdentity of the terminology system
                              Comments

                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                              Control1..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be unambiguous about the source of the definition of the symbol.

                              Pattern Valuehttp://snomed.info/sct
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              88. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.version
                              Definition

                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                              ShortVersion of the system - if relevant
                              Comments

                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                              NoteThis is a business version Id, not a resource version Id (see discussion)
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              90. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.code
                              Definition

                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                              ShortSymbol in syntax defined by the system
                              Control0..1
                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to refer to a particular code in the system.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              92. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.display
                              Definition

                              A representation of the meaning of the code in the system, following the rules of the system.

                              ShortRepresentation defined by the system
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              94. DiagnosticReport.conclusionCode:Morfologico.coding:SCT.userSelected
                              Definition

                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                              ShortIf this coding was chosen directly by the user
                              Comments

                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                              Control0..1
                              Typeboolean
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              96. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO
                              Slice NameCIEO
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortSistema de Codificación CIE-O
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control0..1
                              TypeCoding
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Allows for alternative encodings within a code system, and translations to other code systems.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              98. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              100. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 102. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.system
                                Definition

                                The identification of the code system that defines the meaning of the symbol in the code.

                                ShortIdentity of the terminology system
                                Comments

                                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                Control1..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be unambiguous about the source of the definition of the symbol.

                                Pattern Valuehttp://terminology.hl7.org/CodeSystem/icd-o-3
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                104. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.version
                                Definition

                                The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                ShortVersion of the system - if relevant
                                Comments

                                Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                NoteThis is a business version Id, not a resource version Id (see discussion)
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                106. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.code
                                Definition

                                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                ShortSymbol in syntax defined by the system
                                Control0..1
                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to refer to a particular code in the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                108. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.display
                                Definition

                                A representation of the meaning of the code in the system, following the rules of the system.

                                ShortRepresentation defined by the system
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                110. DiagnosticReport.conclusionCode:Morfologico.coding:CIEO.userSelected
                                Definition

                                Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                ShortIf this coding was chosen directly by the user
                                Comments

                                Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                Control0..1
                                Typeboolean
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                112. DiagnosticReport.conclusionCode:Morfologico.text
                                Definition

                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                ShortPlain text representation of the concept
                                Comments

                                Very often the text is the same as a displayName of one of the codings.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                114. DiagnosticReport.conclusionCode:Topografico
                                Slice NameTopografico
                                Definition

                                One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

                                ShortConclusión Topográfica
                                Control0..1
                                BindingUnless not suitable, these codes SHALL be taken from Set de Valores para Topografía
                                (extensible to https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VS)
                                TypeCodeableConcept(Estructura del Dato CodeableConcept con SCT y CIE-O)
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                116. DiagnosticReport.conclusionCode:Topografico.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control1..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                Pattern ValueTopografico
                                118. DiagnosticReport.conclusionCode:Topografico.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 120. DiagnosticReport.conclusionCode:Topografico.coding
                                  Definition

                                  A reference to a code defined by a terminology system.

                                  ShortCódigos definidos en SnomedCT y CIE-O
                                  Comments

                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                  Control1..*
                                  TypeCoding
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Requirements

                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ system
                                  • 122. DiagnosticReport.conclusionCode:Topografico.coding:SCT
                                    Slice NameSCT
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortSistema de Codificación SNOMED CT
                                    Comments

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Control0..1
                                    TypeCoding
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    124. DiagnosticReport.conclusionCode:Topografico.coding:SCT.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    126. DiagnosticReport.conclusionCode:Topografico.coding:SCT.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 128. DiagnosticReport.conclusionCode:Topografico.coding:SCT.system
                                      Definition

                                      The identification of the code system that defines the meaning of the symbol in the code.

                                      ShortIdentity of the terminology system
                                      Comments

                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                      Control1..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be unambiguous about the source of the definition of the symbol.

                                      Pattern Valuehttp://snomed.info/sct
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      130. DiagnosticReport.conclusionCode:Topografico.coding:SCT.version
                                      Definition

                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                      ShortVersion of the system - if relevant
                                      Comments

                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      132. DiagnosticReport.conclusionCode:Topografico.coding:SCT.code
                                      Definition

                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                      ShortSymbol in syntax defined by the system
                                      Control0..1
                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to refer to a particular code in the system.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      134. DiagnosticReport.conclusionCode:Topografico.coding:SCT.display
                                      Definition

                                      A representation of the meaning of the code in the system, following the rules of the system.

                                      ShortRepresentation defined by the system
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      136. DiagnosticReport.conclusionCode:Topografico.coding:SCT.userSelected
                                      Definition

                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                      ShortIf this coding was chosen directly by the user
                                      Comments

                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                      Control0..1
                                      Typeboolean
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Requirements

                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      138. DiagnosticReport.conclusionCode:Topografico.coding:CIEO
                                      Slice NameCIEO
                                      Definition

                                      A reference to a code defined by a terminology system.

                                      ShortSistema de Codificación CIE-O
                                      Comments

                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                      Control0..1
                                      TypeCoding
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      140. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      142. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on DiagnosticReport.conclusionCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 144. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.system
                                        Definition

                                        The identification of the code system that defines the meaning of the symbol in the code.

                                        ShortIdentity of the terminology system
                                        Comments

                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to be unambiguous about the source of the definition of the symbol.

                                        Pattern Valuehttp://terminology.hl7.org/CodeSystem/icd-o-3
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        146. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.version
                                        Definition

                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                        ShortVersion of the system - if relevant
                                        Comments

                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        148. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.code
                                        Definition

                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                        ShortSymbol in syntax defined by the system
                                        Control0..1
                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to refer to a particular code in the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        150. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.display
                                        Definition

                                        A representation of the meaning of the code in the system, following the rules of the system.

                                        ShortRepresentation defined by the system
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        152. DiagnosticReport.conclusionCode:Topografico.coding:CIEO.userSelected
                                        Definition

                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                        ShortIf this coding was chosen directly by the user
                                        Comments

                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                        Control0..1
                                        Typeboolean
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        154. DiagnosticReport.conclusionCode:Topografico.text
                                        Definition

                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                        ShortPlain text representation of the concept
                                        Comments

                                        Very often the text is the same as a displayName of one of the codings.

                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        156. DiagnosticReport.presentedForm
                                        Definition

                                        Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.

                                        ShortRepresentación del Informe de Anatomía Patológica
                                        Comments

                                        "application/pdf" is recommended as the most reliable and interoperable in this context.

                                        Control0..*
                                        TypeAttachment
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        158. DiagnosticReport.presentedForm.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        160. DiagnosticReport.presentedForm.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on DiagnosticReport.presentedForm.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 162. DiagnosticReport.presentedForm.contentType
                                          Definition

                                          Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

                                          ShortTipo de Contenido
                                          Control0..1
                                          BindingThe codes SHALL be taken from Mime Types
                                          (required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

                                          The mime type of an attachment. Any valid mime type is allowed.

                                          Typecode
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summarytrue
                                          Requirements

                                          Processors of the data need to be able to know how to interpret the data.

                                          ExampleGeneral: text/plain; charset=UTF-8, image/png
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          164. DiagnosticReport.presentedForm.language
                                          Definition

                                          The human language of the content. The value can be any valid value according to BCP 47.

                                          ShortHuman language of the content (BCP-47)
                                          Control0..1
                                          BindingThe codes SHOULD be taken from CommonLanguages
                                          (preferred to http://hl7.org/fhir/ValueSet/languages)

                                          A human language.

                                          Additional BindingsPurpose
                                          AllLanguagesMax Binding
                                          Typecode
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Users need to be able to choose between the languages in a set of attachments.

                                          ExampleGeneral: en-AU
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          166. DiagnosticReport.presentedForm.data
                                          Definition

                                          The actual data of the attachment - a sequence of bytes, base64 encoded.

                                          ShortInforme de Anatomía Patológica en base64
                                          Comments

                                          The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.

                                          Control0..1
                                          Typebase64Binary
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summaryfalse
                                          Requirements

                                          The data needs to able to be transmitted inline.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          168. DiagnosticReport.presentedForm.url
                                          Definition

                                          A location where the data can be accessed.

                                          ShortUri where the data can be found
                                          Comments

                                          If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.

                                          Control0..1
                                          Typeurl
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          The data needs to be transmitted by reference.

                                          ExampleGeneral: http://www.acme.com/logo-small.png
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          170. DiagnosticReport.presentedForm.size
                                          Definition

                                          The number of bytes of data that make up this attachment (before base64 encoding, if that is done).

                                          ShortNumber of bytes of content (if url provided)
                                          Comments

                                          The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.

                                          Control0..1
                                          TypeunsignedInt
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          172. DiagnosticReport.presentedForm.hash
                                          Definition

                                          The calculated hash of the data using SHA-1. Represented using base64.

                                          ShortHash of the data (sha-1, base64ed)
                                          Comments

                                          The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.

                                          Control0..1
                                          Typebase64Binary
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          174. DiagnosticReport.presentedForm.title
                                          Definition

                                          A label or set of text to display in place of the data.

                                          ShortLabel to display in place of the data
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.

                                          ExampleGeneral: Official Corporate Logo
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          176. DiagnosticReport.presentedForm.creation
                                          Definition

                                          The date that the attachment was first created.

                                          ShortDate attachment was first created
                                          Control0..1
                                          TypedateTime
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Requirements

                                          This is often tracked as an integrity issue for use of the attachment.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))