Repositorio de Reportes de Biopsias Oncológicas
0.1.0 - ci-build
Repositorio de Reportes de Biopsias Oncológicas
0.1.0 - ci-build
Repositorio de Reportes de Biopsias Oncológicas, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/riap/ and changes regularly. See the Directory of published versions
| Official URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-informe-biopsia | Version: 0.1.0 | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: InformeBiopsia | ||
Reporte de anatomía patológica
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica |
 basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia |
| status |
?!SΣ | 1..1 | code | Estado del Informe de Anatomía Patológica Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final |
| category |
SΣ | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) |
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica |
| issued |
SΣ | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica |
| performer |
SΣ | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe |
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia |
 Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() |
 result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía |
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía |
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM |
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica |
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
 conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) |
  id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |
 Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system |
 coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT |
 system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
 coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 |
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system |
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 |
 presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica |
| contentType |
SΣ | 0..1 | code | Tipo de Contenido Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard | |
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | |
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG | |
| DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition |
 identifier |
S | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica |
| basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia |
| status |
S | 1..1 | code | Estado del Informe de Anatomía Patológica Required Pattern: final |
| category |
S | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |
| code |
S | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) |
| subject |
S | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica |
| issued |
S | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica |
| performer |
S | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe |
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia |
| Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() |
| result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía |
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía |
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM |
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica |
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id |
| conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |
| presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica |
| contentType |
S | 0..1 | code | Tipo de Contenido |
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | |
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica | ||||
| basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia | ||||
| status |
?!SΣ | 1..1 | code | Estado del Informe de Anatomía Patológica Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final | ||||
| category |
SΣ | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) | ||||
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
SΣ | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica | ||||
| performer |
SΣ | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||
| Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() | ||||
| result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía | ||||
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía | ||||
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM | ||||
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica | ||||
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
| conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) | ||||
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system | ||||
 coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) | ||||
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system | ||||
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
SΣ | 0..1 | code | Tipo de Contenido Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 | ||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | ||||
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | ||||
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG | ||||
| DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.presentedForm.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
This structure is derived from DiagnosticReport
Summary
Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica |
| basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia |
| status |
?!SΣ | 1..1 | code | Estado del Informe de Anatomía Patológica Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final |
| category |
SΣ | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) |
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica |
| issued |
SΣ | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica |
| performer |
SΣ | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe |
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia |
| Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() |
| result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía |
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía |
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM |
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica |
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
| conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system |
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 |
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system |
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 |
| presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica |
| contentType |
SΣ | 0..1 | code | Tipo de Contenido Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard | |
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | |
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG | |
| DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition |
| identifier |
S | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica |
| basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia |
| status |
S | 1..1 | code | Estado del Informe de Anatomía Patológica Required Pattern: final |
| category |
S | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |
| code |
S | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) |
| subject |
S | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica |
| issued |
S | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica |
| performer |
S | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe |
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia |
| Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() |
| result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía |
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía |
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM |
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica |
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id |
| conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) |
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |
| presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica |
| contentType |
S | 0..1 | code | Tipo de Contenido |
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | |
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | |
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: r2bo-diag-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:composition |
S | 0..1 | Reference(Documento de Biopsía) | Refernecia al composition del documento URL: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-composition | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Identificador del Informe de Anatomía Patológica | ||||
| basedOn |
S | 1..1 | Reference(Perfil de Solicitud de Informe de Anatomía Patológica) | Solicitud de Biopsia | ||||
| status |
?!SΣ | 1..1 | code | Estado del Informe de Anatomía Patológica Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final | ||||
| category |
SΣ | 1..1 | CodeableConcept | Categoría del Informe de Anatomía Patológica Binding: Set de Valores de la Categoría Reportes de Biopsia (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PAT | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pathology (gross & histopath, not surgical) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Código del Informe de Anatomía Patológica Binding: Set de Valores de los Reportes de Biopsia (extensible) | ||||
| subject |
SΣ | 1..1 | Reference(MINSAL Paciente) | Paciente del Informe de Anatomía Patológica | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
SΣ | 1..1 | instant | Fecha de Emisión del Informe de Anatomía Patológica | ||||
| performer |
SΣ | 1..1 | Reference(Perfil de Rol Profesional | Prestador Profesional | Prestador Institucional) | Anatomopatólogo que realiza el Informe | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
S | 1..1 | Reference(Perfil de Muestra) | Muestra de Biopsia | ||||
| Slices for result |
S | 1..* | Reference(Perfil de Origen de Todos Los Resultados) | Resultados del Informe de Anatomía Patológica Slice: Unordered, Open by profile:$this.resolve() | ||||
| result:Microscopia |
S | 1..1 | Reference(Perfil de Observación Microscópica) | Resultados de Microscopía | ||||
| result:Macroscopia |
S | 0..1 | Reference(Perfil de Observación Macroscópica) | Resultados de Macroscopía | ||||
| result:TNM |
S | 0..1 | Reference(Perfil de Grupo Estadificación TNM) | Estadificación patológica TNM | ||||
| result:Resultados |
0..* | Reference(Perfil de Observación Infiltración Perineural | Perfil de Observación Ganglios Linfáticos | Perfil de Observación Infiltración Peritumoral | Perfil de Observación Invasión Linfatica | Perfil de Observación Invasión Vascular | Perfil de Observación Margen Quirúrgico | Perfil de Observación Multicentricidad | Perfil de Observación Multifocalidad | Perfil de Observación Evaluación Post Neoadyuvancia | Perfil de Observación Porcentaje Necrosis | Perfil de Observacion Tejido Tumoral Adjacente | Perfil de Tamaño del Tumor) | Otros posibles resultados | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
S | 1..1 | string | Conclusión narrativa del informe de anatomía patológica | ||||
| Slices for conclusionCode |
S | 0..2 | CodeableConcept | Conclusión codificada del informe de anatomía patológica Slice: Unordered, Open by value:id Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
| conclusionCode:Morfologico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Morfológica Binding: Set de Valores Morfología (extensible) | ||||
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Morfologico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system | ||||
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| conclusionCode:Topografico |
S | 0..1 | CodeableConceptSCTCIEO | Conclusión Topográfica Binding: Set de Valores para Topografía (extensible) | ||||
| id |
1..1 | string | Unique id for inter-element referencing Required Pattern: Topografico | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Códigos definidos en SnomedCT y CIE-O Slice: Unordered, Open by value:system | ||||
| coding:SCT |
SΣ | 0..1 | Coding | Sistema de Codificación SNOMED CT | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:CIEO |
SΣ | 0..1 | Coding | Sistema de Codificación CIE-O | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3 | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| presentedForm |
S | 0..* | Attachment | Representación del Informe de Anatomía Patológica | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
SΣ | 0..1 | code | Tipo de Contenido Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data |
S | 0..1 | base64Binary | Informe de Anatomía Patológica en base64 | ||||
| url |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.status | required | Pattern Value: finalhttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | extensible | Pattern Value: PAT("Pathology (gross & histopath, not surgical)")https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-categoria-reporte-biopsia-vsFrom this IG | ||||
| DiagnosticReport.code | extensible | ReporteBiopsiaVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-reporte-biopsia-vsFrom this IG | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode:Morfologico | extensible | MorfologicoSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-morfologicosct-cieo-VSFrom this IG | ||||
| DiagnosticReport.conclusionCode:Topografico | extensible | TopograficaSnomedCIEOVShttps://interoperabilidad.minsal.cl/fhir/ig/r2bo/ValueSet/r2bo-topografica-cieo-VSFrom this IG | ||||
| DiagnosticReport.presentedForm.contentType | required | Mime Types(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.presentedForm.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
|
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| r2bo-diag-1 | error | DiagnosticReport | 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'))) |
This structure is derived from DiagnosticReport
Summary
Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron