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Packagehl7.fhir.cl.minsal.r2bo
Resource TypeObservation
IdObservation-r2bo-observacion-microscopica-ex.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Observation r2bo-observacion-microscopica-ex

basedOn: ServiceRequest Pathologist report

status: Final

category: Laboratory

code: Pathology report microscopic observation in Specimen

subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))

effective: 2021-06-01 12:00:00-0400

performer: PractitionerRole MÉDICO CIRUJANO

value: Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos

specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma

Source1

{
  "resourceType": "Observation",
  "id": "r2bo-observacion-microscopica-ex",
  "meta": {
    "profile": [
      "https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-microscopica"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "basedOn": [
    {
      "reference": "ServiceRequest/r2bo-solicitud-informe-apa-ej"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "102034-6"
      }
    ]
  },
  "subject": {
    "reference": "Patient/paciente-requiere-examen"
  },
  "effectiveDateTime": "2021-06-01T12:00:00-04:00",
  "performer": [
    {
      "reference": "PractitionerRole/r2bo-anatopatologo-hospital"
    }
  ],
  "valueString": "Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos",
  "specimen": {
    "reference": "Specimen/r2bo-specimen-example"
  }
}