r2bo-documento-informe-bundle-ejemplo
type: Bundle
node role: treeRoot
id:
  v: r2bo-documento-informe-bundle-ejemplo
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-bundle-documento
    l: r2bo-bundle-documento
identifier:
  system:
    v: https://sigo.minsal.cl/
    l: sigo.minsal.cl
  value:
    v: r2bo-2020-0001
type:
  v: document
timestamp:
  v: 2021-08-01T10:00:00-04:00
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Composition/r2bo-documento-biopsia-ex
    l: r2bo-documento-biopsia-ex
  resource: r2bo-documento-biopsia-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/ServiceRequest/r2bo-solicitud-informe-apa-ej
    l: r2bo-solicitud-informe-apa-ej
  resource: r2bo-solicitud-informe-apa-ej
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Patient/paciente-requiere-examen
    l: paciente-requiere-examen
  resource: paciente-requiere-examen
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/PractitionerRole/ProfesionalHospital
    l: ProfesionalHospital
  resource: ProfesionalHospital
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/PractitionerRole/r2bo-anatopatologo-hospital
    l: r2bo-anatopatologo-hospital
  resource: r2bo-anatopatologo-hospital
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Practitioner/profesional-hospital-collector
    l: profesional-hospital-collector
  resource: profesional-hospital-collector
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Practitioner/profesional-hospital-anatopatologo
    l: profesional-hospital-anatopatologo
  resource: profesional-hospital-anatopatologo
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Organization/hospital-collector
    l: hospital-collector
  resource: hospital-collector
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Specimen/r2bo-specimen-example
    l: r2bo-specimen-example
  resource: r2bo-specimen-example
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-microscopica-ex
    l: r2bo-observacion-microscopica-ex
  resource: r2bo-observacion-microscopica-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/BodyStructure/r2bo-tumor-ex
    l: r2bo-tumor-ex
  resource: r2bo-tumor-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-macroscopica-ex
    l: r2bo-observacion-macroscopica-ex
  resource: r2bo-observacion-macroscopica-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-estadificacion-tnm-ex
    l: r2bo-estadificacion-tnm-ex
  resource: r2bo-estadificacion-tnm-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-tumor-primario-ex
    l: r2bo-tnm-categoria-tumor-primario-ex
  resource: r2bo-tnm-categoria-tumor-primario-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-nodo-regional-ex
    l: r2bo-tnm-categoria-nodo-regional-ex
  resource: r2bo-tnm-categoria-nodo-regional-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tnm-categoria-metastasis-distantel-ex
    l: r2bo-tnm-categoria-metastasis-distantel-ex
  resource: r2bo-tnm-categoria-metastasis-distantel-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-infiltracion-perineural-ex
    l: r2bo-observacion-infiltracion-perineural-ex
  resource: r2bo-observacion-infiltracion-perineural-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-ganglios-linfaticos-ex
    l: r2bo-observacion-ganglios-linfaticos-ex
  resource: r2bo-observacion-ganglios-linfaticos-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-infiltracion-peritumoral-ex
    l: r2bo-observacion-infiltracion-peritumoral-ex
  resource: r2bo-observacion-infiltracion-peritumoral-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-invasion-linfatica-ex
    l: r2bo-observacion-invasion-linfatica-ex
  resource: r2bo-observacion-invasion-linfatica-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-invasion-vascular-ex
    l: r2bo-observacion-invasion-vascular-ex
  resource: r2bo-observacion-invasion-vascular-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-margen-quirurgico-ex
    l: r2bo-observacion-margen-quirurgico-ex
  resource: r2bo-observacion-margen-quirurgico-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-centricidad-ex
    l: r2bo-observacion-centricidad-ex
  resource: r2bo-observacion-centricidad-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-multifocalidad-ex
    l: r2bo-observacion-multifocalidad-ex
  resource: r2bo-observacion-multifocalidad-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-porcentaje-necrosis-ex
    l: r2bo-observacion-porcentaje-necrosis-ex
  resource: r2bo-observacion-porcentaje-necrosis-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-observacion-post-tratamiento-neoadjuvancia-ex
    l: r2bo-observacion-post-tratamiento-neoadjuvancia-ex
  resource: r2bo-observacion-post-tratamiento-neoadjuvancia-ex
entry:
  full url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/Observation/r2bo-tamano-tumor-ex
    l: r2bo-tamano-tumor-ex
  resource: r2bo-tamano-tumor-ex

r2bo-documento-biopsia-ex
type: Composition
id:
  v: r2bo-documento-biopsia-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-composition-biopsia
    l: r2bo-composition-biopsia
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition r2bo-documento-biopsia-ex Profile: Perfil de la Cabecera del Documento de Biopsía 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
extension:
  url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-referencia-diagnosticReport
    l: r2bo-extension-referencia-diagnosticReport
  value: Reference
    l: r2bo-informe-biopsia-ex
    reference:
      v: DiagnosticReport/r2bo-informe-biopsia-ex
identifier:
  value:
    v: r2bo-2020-0001
status:
  v: final
type:
  coding: https://loinc.org/rdf/66110-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 66110-8
  text:
    v: Informe de Biopsia de Mama
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: PAT
    display:
      v: Pathology (gross & histopath, not surgical)
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
date:
  v: 2021-08-01T10:00:00-04:00
author:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
title:
  v: Informe de Biopsia de Mama
section:
  code:
    coding: https://loinc.org/rdf/22636-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 22636-5
    text:
      v: Solicitud de Biopsia
  text:
    status:
      v: generated
    div:
      v: Solicitud de Biopsia
  entry:
    l: r2bo-solicitud-informe-apa-ej
    reference:
      v: ServiceRequest/r2bo-solicitud-informe-apa-ej
section:
  code:
    coding: https://loinc.org/rdf/22633-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 22633-2
    text:
      v: Muestra de Biopsia
  text:
    status:
      v: generated
    div:
      v: Muestra de Biopsia
  entry:
    l: r2bo-specimen-example
    reference:
      v: Specimen/r2bo-specimen-example
section:
  code:
    coding: https://loinc.org/rdf/22634-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 22634-0
    text:
      v: Macroscopia de Biopsia
  text:
    status:
      v: generated
    div:
      v: Macroscopia de Biopsia
  entry:
    l: r2bo-observacion-macroscopica-ex
    reference:
      v: Observation/r2bo-observacion-macroscopica-ex
section:
  code:
    coding: https://loinc.org/rdf/22635-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 22635-7
    text:
      v: Microscopia de Biopsia
  text:
    status:
      v: generated
    div:
      v: Microscopia de Biopsia
  entry:
    l: r2bo-observacion-microscopica-ex
    reference:
      v: Observation/r2bo-observacion-microscopica-ex
section:
  code:
    coding: https://loinc.org/rdf/33746-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 33746-9
    text:
      v: Hallazgos de Biopsia
  text:
    status:
      v: generated
    div:
      v: Hallazgos de Biopsia
  entry:
    l: r2bo-observacion-ganglios-linfaticos-ex
    reference:
      v: Observation/r2bo-observacion-ganglios-linfaticos-ex
  entry:
    l: r2bo-observacion-infiltracion-perineural-ex
    reference:
      v: Observation/r2bo-observacion-infiltracion-perineural-ex
  entry:
    l: r2bo-observacion-infiltracion-peritumoral-ex
    reference:
      v: Observation/r2bo-observacion-infiltracion-peritumoral-ex
  entry:
    l: r2bo-observacion-invasion-linfatica-ex
    reference:
      v: Observation/r2bo-observacion-invasion-linfatica-ex
  entry:
    l: r2bo-observacion-invasion-vascular-ex
    reference:
      v: Observation/r2bo-observacion-invasion-vascular-ex
  entry:
    l: r2bo-observacion-margen-quirurgico-ex
    reference:
      v: Observation/r2bo-observacion-margen-quirurgico-ex
  entry:
    l: r2bo-observacion-centricidad-ex
    reference:
      v: Observation/r2bo-observacion-centricidad-ex
  entry:
    l: r2bo-observacion-multifocalidad-ex
    reference:
      v: Observation/r2bo-observacion-multifocalidad-ex
  entry:
    l: r2bo-observacion-porcentaje-necrosis-ex
    reference:
      v: Observation/r2bo-observacion-porcentaje-necrosis-ex
  entry:
    l: r2bo-observacion-post-tratamiento-neoadjuvancia-ex
    reference:
      v: Observation/r2bo-observacion-post-tratamiento-neoadjuvancia-ex
  entry:
    l: r2bo-tamano-tumor-ex
    reference:
      v: Observation/r2bo-tamano-tumor-ex
  entry:
    l: r2bo-estadificacion-tnm-ex
    reference:
      v: Observation/r2bo-estadificacion-tnm-ex
section:
  code:
    coding: https://loinc.org/rdf/22637-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 22637-3

r2bo-solicitud-informe-apa-ej
type: ServiceRequest
id:
  v: r2bo-solicitud-informe-apa-ej
meta:
  version id:
    v: 2
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-solicitud-informe-apa
    l: r2bo-solicitud-informe-apa
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest r2bo-solicitud-informe-apa-ej version: 2 Profile: Perfil de Solicitud de Informe de Anatomía Patológica identifier: 111111101 status: Completed intent: Order priority: Routine code: Informe de Biopsia subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) requester: PractitionerRole MÉDICO CIRUJANO performer: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco) locationCode: hospital laboratory reasonCode: Neoplasm of uncertain behaviour of breast specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
identifier:
  value:
    v: 111111101
status:
  v: completed
intent:
  v: order
priority:
  v: routine
code:
  coding: http://snomed.info/id/116784002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 116784002
  text:
    v: Informe de Biopsia
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
requester:
  l: ProfesionalHospital
  reference:
    v: PractitionerRole/ProfesionalHospital
performer:
  l: hospital-collector
  reference:
    v: Organization/hospital-collector
location code:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: HLAB
    display:
      v: hospital laboratory
reason code:
  coding: http://snomed.info/id/269497004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 269497004
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    version:
      v: 2019-covid-expanded
    code:
      v: D48.6
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

paciente-requiere-examen
type: Patient
id:
  v: paciente-requiere-examen
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPaciente
    l: MINSALPaciente
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient paciente-requiere-examen Profile: MINSAL Paciente Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) Active: true Deceased: false Marital Status: Soltero(a) Other Id: RUN/16182522-0 (use: official, ) Contact Detail +56912387678 Avenida Las Torres 3456, Departamento 702 null null null (home) Sexo Biologico del paciente Femenina País de origen del paciente Uruguay Pueblos Originarios: pertenece: false Código de Países Chile Religión Ninguna, ateo, agnóstico Identidad De Género Femenina Pueblos Afrodescendiente false
extension:
  url:
    v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero
    l: IdentidadDeGenero
  value: CodeableConcept
    coding:
      system:
        v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSIdentidaddeGenero
        l: CSIdentidaddeGenero
      code:
        v: 2
      display:
        v: Femenina
extension:
  url:
    v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico
    l: SexoBiologico
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: female
      display:
        v: Female
    text:
      v: Femenina
extension:
  url:
    v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises
    l: CodigoPaises
  value: CodeableConcept
    coding:
      system:
        v: urn:iso:std:iso:3166
        l: 3166
      code:
        v: 152
      display:
        v: Chile
extension:
  url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PaisOrigenMPI
    l: PaisOrigenMPI
  value: CodeableConcept
    coding:
      system:
        v: urn:iso:std:iso:3166
        l: 3166
      code:
        v: 858
      display:
        v: Uruguay
extension:
  url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/Religion
    l: Religion
  value: CodeableConcept
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSReligion
        l: CSReligion
      code:
        v: 9
      display:
        v: Ninguna, ateo, agnóstico
extension:
  url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosAfrodescendiente
    l: PueblosAfrodescendiente
  value: Boolean
    v: false
extension:
  extension:
    url:
      v: pertenece
      l: pertenece
    value: Boolean
      v: false
  url:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosOriginariosMPI
    l: PueblosOriginariosMPI
identifier:
  use:
    v: official
  type:
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises
        l: CodigoPaises
      value: CodeableConcept
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoIdentificador
        l: CSTipoIdentificador
      code:
        v: 1
      display:
        v: RUN
  system:
    v: urn:oid:2.16.840.1.113883.2.22.1.152.787300
    l: 2.16.840.1.113883.2.22.1.152.787300
  value:
    v: 16182522-0
identifier:
  use:
    v: official
  type:
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises
        l: CodigoPaises
      value: CodeableConcept
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoIdentificador
        l: CSTipoIdentificador
      code:
        v: 5
      display:
        v: PPN
  system:
    v: urn:oid:2.16.840.1.113883.2.22.0.2.102100.50.10
    l: 2.16.840.1.113883.2.22.0.2.102100.50.10
  value:
    v: ACL123456789876
active:
  v: true
name:
  use:
    v: official
  family:
    v: Castilla
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
        l: SegundoApellido
      value: String
        v: Muñoz
  given:
    v: Javiera
telecom:
  system:
    v: phone
  value:
    v: +56912387678
  use:
    v: mobile
gender:
  v: female
birth date:
  v: 1995-12-12
deceased: Boolean
  v: false
address:
  extension:
    extension:
      url:
        v: latitude
        l: latitude
      value: Decimal
        v: -33.4265
    extension:
      url:
        v: longitude
        l: longitude
      value: Decimal
        v: -70.56652
    url:
      v: http://hl7.org/fhir/StructureDefinition/geolocation
      l: geolocation
  extension:
    url:
      v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/SituacionCalle
      l: SituacionCalle
    value: Boolean
      v: false
  use:
    v: home
  line:
    v: Avenida Las Torres 3456, Departamento 702
  city:
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ComunasCl
        l: ComunasCl
      value: CodeableConcept
  district:
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ProvinciasCl
        l: ProvinciasCl
      value: CodeableConcept

ProfesionalHospital
type: PractitionerRole
id:
  v: ProfesionalHospital
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-rol-profesional-minsal
    l: r2bo-rol-profesional-minsal
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole ProfesionalHospital Profile: Perfil de Rol Profesional practitioner: Practitioner Juan Perez organization: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco) code: MÉDICO CIRUJANO location: Location Medicina General
practitioner:
  l: profesional-hospital-collector
  reference:
    v: Practitioner/profesional-hospital-collector
organization:
  l: hospital-collector
  reference:
    v: Organization/hospital-collector
code:
  coding:
    system:
      v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTituloProfesional
      l: CSTituloProfesional
    code:
      v: 1
    display:
      v: MÉDICO CIRUJANO
location:
  l: r2bo-localizacion-MedicinaGeneral
  reference:
    v: Location/r2bo-localizacion-MedicinaGeneral

r2bo-anatopatologo-hospital
type: PractitionerRole
id:
  v: r2bo-anatopatologo-hospital
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-rol-profesional-minsal
    l: r2bo-rol-profesional-minsal
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole r2bo-anatopatologo-hospital Profile: Perfil de Rol Profesional practitioner: Practitioner Patricia Gutierrez organization: Organization Hospital Dr. Hernán Henríquez Aravena (Temuco) code: MÉDICO CIRUJANO specialty: ANATOMÍA PATOLÓGICA
practitioner:
  l: profesional-hospital-anatopatologo
  reference:
    v: Practitioner/profesional-hospital-anatopatologo
organization:
  l: hospital-collector
  reference:
    v: Organization/hospital-collector
code:
  coding:
    system:
      v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTituloProfesional
      l: CSTituloProfesional
    code:
      v: 1
    display:
      v: MÉDICO CIRUJANO
specialty:
  coding:
    system:
      v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSEspecialidadMed
      l: CSEspecialidadMed
    code:
      v: 1
    display:
      v: ANATOMÍA PATOLÓGICA

profesional-hospital-collector
type: Practitioner
id:
  v: profesional-hospital-collector
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorProfesional
    l: MINSALPrestadorProfesional
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner profesional-hospital-collector Profile: Prestador Profesional identifier: RUN/5135329-3 (use: official, ) name: Juan Perez birthDate: 1991-05-18 Qualifications - Identifier Code * cert MÉDICO CIRUJANO
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador
        l: CSTipoIdentificador
      code:
        v: 01
      display:
        v: RUN
  value:
    v: 5135329-3
name:
  family:
    v: Perez
    extension:
      url:
        v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
        l: SegundoApellido
      value: String
        v: Perez
  given:
    v: Juan
birth date:
  v: 1991-05-18
qualification:
  identifier:
    value:
      v: cert
  code:
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTituloProfesional
        l: CSTituloProfesional
      code:
        v: 1
      display:
        v: MÉDICO CIRUJANO
    text:
      v: MÉDICO CIRUJANO

profesional-hospital-anatopatologo
type: Practitioner
id:
  v: profesional-hospital-anatopatologo
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorProfesional
    l: MINSALPrestadorProfesional
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner profesional-hospital-anatopatologo Profile: Prestador Profesional identifier: RUN/19283789-2 (use: official, ) name: Patricia Gutierrez gender: Female birthDate: 1983-11-18 qualification identifier: cert code: MÉDICO CIRUJANO qualification identifier: esp code: MEDICINA INTERNA qualification identifier: subesp code: ANATOMÍA PATOLÓGICA
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSTipoIdentificador
        l: CSTipoIdentificador
      code:
        v: 01
      display:
        v: RUN
  value:
    v: 19283789-2
name:
  family:
    v: Gutierrez
  given:
    v: Patricia
gender:
  v: female
birth date:
  v: 1983-11-18
qualification:
  identifier:
    value:
      v: cert
  code:
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTituloProfesional
        l: CSTituloProfesional
      code:
        v: 1
      display:
        v: MÉDICO CIRUJANO
    text:
      v: MÉDICO CIRUJANO
qualification:
  identifier:
    value:
      v: esp
  code:
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSEspecialidadMed
        l: CSEspecialidadMed
      code:
        v: 30
      display:
        v: MEDICINA INTERNA
    text:
      v: MEDICINA INTERNA
qualification:
  identifier:
    value:
      v: subesp
  code:
    coding:
      system:
        v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSEspecialidadMed
        l: CSEspecialidadMed
      code:
        v: 1
      display:
        v: ANATOMÍA PATOLÓGICA
    text:
      v: ANATOMÍA PATOLÓGICA

hospital-collector
type: Organization
id:
  v: hospital-collector
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPrestadorOrganizacional
    l: MINSALPrestadorOrganizacional
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization hospital-collector Profile: Prestador Institucional identifier: 121109 name: Hospital Dr. Hernán Henríquez Aravena (Temuco)
identifier:
  value:
    v: 121109
name:
  v: Hospital Dr. Hernán Henríquez Aravena (Temuco)

r2bo-specimen-example
type: Specimen
id:
  v: r2bo-specimen-example
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-muestra-biopsia
    l: r2bo-muestra-biopsia
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Specimen r2bo-specimen-example Profile: Perfil de Muestra identifier: 110101101 status: Available type: Tissue subject: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) receivedTime: 2021-06-01 00:00:00+0000 Collections - Collector Collected[x] Method BodySite * PractitionerRole MÉDICO CIRUJANO 2021-06-01 10:00:00+0000 Biopsy of breast Breast note: Resección completa de tejido mamario, posible carcinoma
identifier:
  value:
    v: 110101101
status:
  v: available
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0487
      l: v2-0487
    code:
      v: TISS
    display:
      v: Tissue
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
received time:
  v: 2021-06-01T00:00:00Z
collection:
  collector:
    l: ProfesionalHospital
    reference:
      v: PractitionerRole/ProfesionalHospital
  collected: DateTime
    v: 2021-06-01T10:00:00Z
  method:
    extension:
      url:
        v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-extension-tipo-procedimientos-biopsias
        l: r2bo-extension-tipo-procedimientos-biopsias
      value: CodeableConcept
        coding: http://snomed.info/id/8889005
    coding: http://snomed.info/id/122548005
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 122548005
  body site:
    extension:
      url:
        v: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
        l: mcode-laterality-qualifier
      value: CodeableConcept
        coding: http://snomed.info/id/7771000
    coding: http://snomed.info/id/76752008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 76752008
note:
  text:
    v: Resección completa de tejido mamario, posible carcinoma

r2bo-observacion-microscopica-ex
type: Observation
id:
  v: r2bo-observacion-microscopica-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-microscopica
    l: r2bo-observacion-microscopica
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-microscopica-ex Profile: Perfil de Observación Microscópica 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
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/102034-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 102034-6
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: String
  v: Se observa tejido mamario con células epiteliales y estromales, con signos de malignidad con metastasis en ganglios linfáticos
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-tumor-ex
type: BodyStructure
id:
  v: r2bo-tumor-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tumor
    l: r2bo-tumor
text:
  status:
    v: generated
  div:
    v: Generated Narrative: BodyStructure r2bo-tumor-ex Profile: Perfil de la Morfología y Topología del Tumor morphology: Carcinoma ductal infiltrante location: Mama patient: Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, ))
morphology:
  id:
    v: Morfologico
  coding: http://snomed.info/id/82711006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 82711006
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/icd-o-3
      l: icd-o-3
    code:
      v: 8500/3
  text:
    v: Carcinoma ductal infiltrante
location:
  id:
    v: Topografico
  coding: http://snomed.info/id/76752008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 76752008
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/icd-o-3
      l: icd-o-3
    code:
      v: C50.9
  text:
    v: Mama
patient:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen

r2bo-observacion-macroscopica-ex
type: Observation
id:
  v: r2bo-observacion-macroscopica-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-macroscopica
    l: r2bo-observacion-macroscopica
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-macroscopica-ex Profile: Perfil de Observación Macroscópica basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Macroscopic observation [Interpretation] in Specimen Narrative 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: Muestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vista specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/74574-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 74574-5
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: String
  v: Muestra de biopsia de tejido mamario, de 2x2x1 cm, de color blanco, consistencia firme, bordes irregulares, sin lesiones visibles a simple vista
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-estadificacion-tnm-ex
type: Observation
id:
  v: r2bo-estadificacion-tnm-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-estadificacion-tnm
    l: r2bo-estadificacion-tnm
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-estadificacion-tnm-ex Profile: Perfil de Grupo Estadificación TNM basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Pathologic TNM stage grouping (observable entity) 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 specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma hasMember: Observation pT category (observable entity) Observation Stage of tumour involvement of regional lymph nodes Observation Stage of distant metastasis of tumour
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/399588009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 399588009
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
has member:
  l: r2bo-tnm-categoria-tumor-primario-ex
  reference:
    v: Observation/r2bo-tnm-categoria-tumor-primario-ex
has member:
  l: r2bo-tnm-categoria-nodo-regional-ex
  reference:
    v: Observation/r2bo-tnm-categoria-nodo-regional-ex
has member:
  l: r2bo-tnm-categoria-metastasis-distantel-ex
  reference:
    v: Observation/r2bo-tnm-categoria-metastasis-distantel-ex

r2bo-tnm-categoria-tumor-primario-ex
type: Observation
id:
  v: r2bo-tnm-categoria-tumor-primario-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tnm-categoria-tumor-primario
    l: r2bo-tnm-categoria-tumor-primario
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-tnm-categoria-tumor-primario-ex Profile: Perfil de Categoria TNM Tumor Primario basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: pT category (observable entity) 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: American Joint Committee on Cancer pT2 (qualifier value) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/384625004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 384625004
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/1229852009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1229852009
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-tnm-categoria-nodo-regional-ex
type: Observation
id:
  v: r2bo-tnm-categoria-nodo-regional-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tnm-categoria-nodo-regional
    l: r2bo-tnm-categoria-nodo-regional
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-tnm-categoria-nodo-regional-ex Profile: Perfil de Categoria TNM Nodos Regional basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Stage of tumour involvement of regional lymph nodes 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: American Joint Committee on Cancer pN2 specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/371494008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371494008
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/1229957002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1229957002
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-tnm-categoria-metastasis-distantel-ex
type: Observation
id:
  v: r2bo-tnm-categoria-metastasis-distantel-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tnm-categoria-metastasis-distante
    l: r2bo-tnm-categoria-metastasis-distante
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-tnm-categoria-metastasis-distantel-ex Profile: Perfil de Categoria TNM de Metástasis Distante basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Stage of distant metastasis of tumour 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: American Joint Committee on Cancer pM1 (qualifier value) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/371497001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371497001
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/1229916009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1229916009
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-infiltracion-perineural-ex
type: Observation
id:
  v: r2bo-observacion-infiltracion-perineural-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-perineural
    l: r2bo-observacion-infiltracion-perineural
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-infiltracion-perineural-ex Profile: Perfil de Observación Infiltración Perineural basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Status of tumour perineural invasion 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: Perineural invasion by tumor not identified (finding) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/371513001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371513001
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/385001000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 385001000
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-ganglios-linfaticos-ex
type: Observation
id:
  v: r2bo-observacion-ganglios-linfaticos-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-ganglios-linfaticos
    l: r2bo-observacion-ganglios-linfaticos
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-ganglios-linfaticos-ex Profile: Perfil de Observación Ganglios Linfáticos basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Lymph nodes with metastasis [#] in Cancer 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: true specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma Components - Code Value[x] * Number (attribute) 4
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/92831-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 92831-7
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: Boolean
  v: true
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
component:
  code:
    coding: http://snomed.info/id/410680006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 410680006
  value: Integer
    v: 4

r2bo-observacion-infiltracion-peritumoral-ex
type: Observation
id:
  v: r2bo-observacion-infiltracion-peritumoral-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-infiltracion-peritumoral
    l: r2bo-observacion-infiltracion-peritumoral
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-infiltracion-peritumoral-ex Profile: Perfil de Observación Infiltración Peritumoral basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Status of peritumoral lymphocyte response (observable entity) 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: Marked peritumoral lymphocytic response specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/371509008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371509008
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/369762001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 369762001
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-invasion-linfatica-ex
type: Observation
id:
  v: r2bo-observacion-invasion-linfatica-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-linfatica
    l: r2bo-observacion-invasion-linfatica
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-invasion-linfatica-ex Profile: Perfil de Observación Invasión Linfatica basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Lymphatic.small vessel.invasion [Identifier] in Specimen by CAP cancer protocols 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: Present specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/33739-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 33739-4
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 52101004
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-invasion-vascular-ex
type: Observation
id:
  v: r2bo-observacion-invasion-vascular-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-invasion-vascular
    l: r2bo-observacion-invasion-vascular
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-invasion-vascular-ex Profile: Perfil de Observación Invasión Vascular basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Venous.large vessel.invasion [Identifier] in Specimen by CAP cancer protocols 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: Present specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/33740-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 33740-2
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 52101004
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-margen-quirurgico-ex
type: Observation
id:
  v: r2bo-observacion-margen-quirurgico-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-margen-quirurgico
    l: r2bo-observacion-margen-quirurgico
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-margen-quirurgico-ex Profile: Perfil de Observación Margen Quirúrgico basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Surgical margin observable (observable entity) 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: Deep margin specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma component code: Surgical margin site involved by tumour value: Positive component code: Distance of tumor from closest margin value: 1.5 Millimeter (Details: UCUM codemm = 'mm')
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/396631001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 396631001
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: CodeableConcept
  coding: LA27146-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA27146-2
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
component:
  code:
    coding: http://snomed.info/id/396324006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 396324006
  value: CodeableConcept
    coding: http://snomed.info/id/10828004
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 10828004
component:
  code:
    coding: https://loinc.org/rdf/33737-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 33737-8
  value: Quantity
    value:
      v: 1.5
    unit:
      v: Millimeter
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm

r2bo-observacion-centricidad-ex
type: Observation
id:
  v: r2bo-observacion-centricidad-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-multicentricidad
    l: r2bo-observacion-multicentricidad
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-centricidad-ex Profile: Perfil de Observación Multicentricidad basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Multiple tumors reported as single primary Cancer 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: true specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma Components - Code Value[x] * Number (attribute) 2
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/42030-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 42030-7
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: Boolean
  v: true
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
component:
  code:
    coding: http://snomed.info/id/410680006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 410680006
  value: Integer
    v: 2

r2bo-observacion-multifocalidad-ex
type: Observation
id:
  v: r2bo-observacion-multifocalidad-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-focalidad
    l: r2bo-observacion-focalidad
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-multifocalidad-ex Profile: Perfil de Observación Focalidad basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Status of specimen involvement by multifocal invasion (observable entity) 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: true specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma Components - Code Value[x] * Number (attribute) 2
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/444696007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 444696007
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: Boolean
  v: true
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
component:
  code:
    coding: http://snomed.info/id/410680006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 410680006
  value: Integer
    v: 2

r2bo-observacion-porcentaje-necrosis-ex
type: Observation
id:
  v: r2bo-observacion-porcentaje-necrosis-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-porcentaje-necrosis
    l: r2bo-observacion-porcentaje-necrosis
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-porcentaje-necrosis-ex Profile: Perfil de Observación Porcentaje Necrosis basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Percentage of tumour involved by necrosis 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: 5 % (Details: UCUM code% = '%') specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: http://snomed.info/id/405921002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 405921002
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: Quantity
  value:
    v: 5
  unit:
    v: %
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-observacion-post-tratamiento-neoadjuvancia-ex
type: Observation
id:
  v: r2bo-observacion-post-tratamiento-neoadjuvancia-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-observacion-post-tratamiento-neoadjuvancia
    l: r2bo-observacion-post-tratamiento-neoadjuvancia
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-observacion-post-tratamiento-neoadjuvancia-ex Profile: Perfil de Observación Evaluación Post Neoadyuvancia basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Tumor response to neoadjuvant therapy 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: El tratamiento entregado no ha sido efectivo para reducir el tamaño del tumor, por lo que se recomienda un nuevo tratamiento. specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/84891-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 84891-1
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
value: String
  v: El tratamiento entregado no ha sido efectivo para reducir el tamaño del tumor, por lo que se recomienda un nuevo tratamiento.
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example

r2bo-tamano-tumor-ex
type: Observation
id:
  v: r2bo-tamano-tumor-ex
meta:
  profile:
    v: https://interoperabilidad.minsal.cl/fhir/ig/r2bo/StructureDefinition/r2bo-tamano-tumor
    l: r2bo-tamano-tumor
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation r2bo-tamano-tumor-ex Profile: Perfil de Tamaño del Tumor basedOn: ServiceRequest Pathologist report status: Final category: Laboratory code: Size Tumor 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 specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma component code: Size.maximum dimension in Tumor value: 1.5 cm (Details: UCUM codecm = 'cm') component code: Size additional dimension in Tumor value: 1.2 cm (Details: UCUM codecm = 'cm') component code: Size additional dimension in Tumor value: 0.7 cm (Details: UCUM codecm = 'cm')
based on:
  l: r2bo-solicitud-informe-apa-ej
  reference:
    v: ServiceRequest/r2bo-solicitud-informe-apa-ej
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/21889-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21889-1
subject:
  l: paciente-requiere-examen
  reference:
    v: Patient/paciente-requiere-examen
effective: DateTime
  v: 2021-06-01T12:00:00-04:00
performer:
  l: r2bo-anatopatologo-hospital
  reference:
    v: PractitionerRole/r2bo-anatopatologo-hospital
specimen:
  l: r2bo-specimen-example
  reference:
    v: Specimen/r2bo-specimen-example
component:
  code:
    coding: https://loinc.org/rdf/33728-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 33728-7
  value: Quantity
    value:
      v: 1.5
    unit:
      v: cm
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: cm
component:
  code:
    coding: https://loinc.org/rdf/33729-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 33729-5
  value: Quantity
    value:
      v: 1.2
    unit:
      v: cm
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: cm
component:
  code:
    coding: https://loinc.org/rdf/33729-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 33729-5
  value: Quantity
    value:
      v: 0.7
    unit:
      v: cm
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: cm

v: Conclusiones de Biopsia

status:
  v: generated
div:
  v: Conclusiones de Biopsia

l: r2bo-tumor-ex
reference:
  v: BodyStructure/r2bo-tumor-ex

code:
  coding: https://loinc.org/rdf/22638-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22638-1
  text:
    v: Notas del Informe de Biopsia
text:
  status:
    v: generated
  div:
    v: Notas del Informe de Biopsia: Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral

system:
  v: urn:iso:std:iso:3166
  l: 3166
code:
  v: 152
display:
  v: Chile

system:
  v: urn:iso:std:iso:3166
  l: 3166
code:
  v: 152
display:
  v: Chile

system:
  v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSCodComunasCL
  l: CSCodComunasCL
code:
  v: 13118
display:
  v: Macul

CodeableConcept
coding:
  system:
    v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSCodProvinciasCL
    l: CSCodProvinciasCL
  code:
    v: 131
  display:
    v: Santiago

extension:
  url:
    v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/RegionesCl
    l: RegionesCl
  value: CodeableConcept
    coding:
      system:
        v: https://hl7chile.cl/fhir/ig/clcore/CodeSystem/CSCodRegionCL
        l: CSCodRegionCL
      code:
        v: 13
      display:
        v: Metropolitana de Santiago

extension:
  url:
    v: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises
    l: CodigoPaises
  value: CodeableConcept
    coding:
      system:
        v: urn:iso:std:iso:3166
        l: 3166
      code:
        v: 152
      display:
        v: Chile

coding:
  system:
    v: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSEstadoCivil
    l: CSEstadoCivil
  code:
    v: 01
  display:
    v: Soltero(a)

http://snomed.info/id/8889005
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 8889005

http://snomed.info/id/7771000
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 7771000