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: 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
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
Avenida Las Torres 3456, Departamento 702
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
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
Generated Narrative: Location r2bo-localizacion-MedicinaGeneral Profile: Servicio Solicitante del Informe name: Medicina General
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
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
Generated Narrative: Organization hospital-collector Profile: Prestador Institucional identifier: 121109 name: Hospital Dr. Hernán Henríquez Aravena (Temuco)
Hospital Dr. Hernán Henríquez Aravena (Temuco)
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 structure note: Resección completa de tejido mamario, posible carcinoma
Resección completa de tejido mamario, posible carcinoma
Generated Narrative: DiagnosticReport r2bo-informe-biopsia-ex Profile: Perfil del Reporte de Anatomía Patológica Informe de Biopsia de Mama (Pathology (gross & histopath, not surgical)) Subject Javiera Castilla (official) Female, DoB: 1995-12-12 ( PPN: ACL123456789876 (use: official, )) Reported 2021-08-01 10:00:00-0400 Performer PractitionerRole MÉDICO CIRUJANO Identifier r2bo-2020-0001 Report Details Code Value Flags Relevant Time Pathologic TNM stage grouping Final 2021-06-01 12:00:00-0400 Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral Coded Conclusions: Carcinoma ductal infiltrante Mama
Pathology (gross & histopath, not surgical)
Carcinoma ductal infiltrante de mama, grado histológico 2, estadio pT2N2M1, con márgenes quirúrgicos positivos y con evidencia de necrosis tumoral
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 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 Observation pN category Observation pM category
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 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: pT2 (AJCC) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
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: pN category 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: pN2 (AJCC) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma
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: pM category 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: pM1 (AJCC) specimen: Specimen: identifier = 110101101; status = available; type = Tissue; receivedTime = 2021-06-01 00:00:00+0000; note = Resección completa de tejido mamario, posible carcinoma