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Packagehl7.fhir.cl.minsal.r2bo
Resource TypeComposition
IdComposition-r2bo-documento-biopsia-ex.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Composition r2bo-documento-biopsia-ex

Extensión De Referencia al Reporte: Diagnostic Report for 'Breast Pathology biopsy report' for '->Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))'

identifier: r2bo-2020-0001

status: Final

type: Informe de Biopsia de Mama

category: Pathology (gross & histopath, not surgical)

date: 2021-08-01 10:00:00-0400

author: PractitionerRole MÉDICO CIRUJANO

title: Informe de Biopsia de Mama


Source1

{
  "resourceType": "Composition",
  "id": "r2bo-documento-biopsia-ex",
  "meta": {
    "profile": [
      "https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-composition-biopsia"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport",
      "valueReference": {
        "reference": "DiagnosticReport/r2bo-informe-biopsia-ex"
      }
    }
  ],
  "identifier": {
    "value": "r2bo-2020-0001"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "66110-8"
      }
    ],
    "text": "Informe de Biopsia de Mama"
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "PAT",
          "display": "Pathology (gross & histopath, not surgical)"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/paciente-requiere-examen"
  },
  "date": "2021-08-01T10:00:00-04:00",
  "author": [
    {
      "reference": "PractitionerRole/r2bo-anatopatologo-hospital"
    }
  ],
  "title": "Informe de Biopsia de Mama",
  "section": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22636-5"
          }
        ],
        "text": "Solicitud de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Solicitud de Biopsia</div>"
      },
      "entry": [
        {
          "reference": "ServiceRequest/r2bo-solicitud-informe-apa-ej"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22633-2"
          }
        ],
        "text": "Muestra de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Muestra de Biopsia</div>"
      },
      "entry": [
        {
          "reference": "Specimen/r2bo-specimen-example"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22634-0"
          }
        ],
        "text": "Macroscopia de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Macroscopia de Biopsia</div>"
      },
      "entry": [
        {
          "reference": "Observation/r2bo-observacion-macroscopica-ex"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22635-7"
          }
        ],
        "text": "Microscopia de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Microscopia de Biopsia</div>"
      },
      "entry": [
        {
          "reference": "Observation/r2bo-observacion-microscopica-ex"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22637-3"
          }
        ],
        "text": "Conclusiones de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Conclusiones de Biopsia</div>"
      },
      "entry": [
        {
          "reference": "BodyStructure/r2bo-tumor-ex"
        }
      ]
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "22638-1"
          }
        ],
        "text": "Notas del Informe de Biopsia"
      },
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Notas del Informe de Biopsia:</p><p>Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral</p></div>"
      }
    }
  ]
}