🔬 EMA Health Pathology Implementation Guide
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: Ejemplo Informe — Anatomía patológica de mama - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="EjemploPatologiaReport"/>
  <meta>
    <profile
             value="https://emahealth.io/fhir/pathology/StructureDefinition/ema-pathology-report"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport EjemploPatologiaReport</b></p><a name="EjemploPatologiaReport"> </a><a name="hcEjemploPatologiaReport"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ema-pathology-report.html">EMA Pathology Report</a></p></div><h2><span title="Codes:{http://loinc.org 60568-3}">Informe de anatomía patológica — biopsia de mama</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 SP}">Surgical Pathology</span>) </h2><table class="grid"><tr><td>Subject</td><td>Valentina Rojas Castillo (official) Female, DoB: 1974-09-12 ( http://regcivil.cl/Validacion/RUN#13456789-0 (use: official, ))</td></tr><tr><td>Relevant Time</td><td>2026-04-08 15:45:00-0400</td></tr><tr><td>Reported</td><td>2026-04-10 12:00:00-0400</td></tr><tr><td>Performer</td><td> <a href="Practitioner-EjemploPatologiaPractitioner.html">Practitioner Paulina Herrera Donoso (official)</a></td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href="Observation-EjemploPatologiaDiagnostico.html"><span title="Codes:{http://loinc.org 22637-3}">Diagnóstico anatomopatológico final</span></a> (<span title="Codes:{http://snomed.info/sct 76752008}">Mama derecha</span>)</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/icd-o-3 8500/3}, {http://snomed.info/sct 82711006}">Carcinoma ductal infiltrante (NOS), morfología ICD-O-3 8500/3</span></td><td>Final</td><td>2026-04-10 11:00:00-0400</td></tr><tr><td><a href="Observation-EjemploPatologiaSinopticoSeccion.html"><span title="Codes:{http://loinc.org 60568-3}">Informe sinóptico — Carcinoma invasor de mama (CAP eCP)</span></a></td><td/><td>Final</td><td>2026-04-10 11:00:00-0400</td></tr></table><p>Carcinoma ductal infiltrante (NOS) de mama derecha, grado histológico 2 (Nottingham 6/9). Morfología ICD-O-3 8500/3.</p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://terminology.hl7.org/CodeSystem/icd-o-3 8500/3}">Infiltrating duct carcinoma, NOS</span></li></ul></div>
  </text>
  <basedOn>🔗 
    <reference value="ServiceRequest/EjemploPatologiaServiceRequest"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="SP"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60568-3"/>
    </coding>
    <text value="Informe de anatomía patológica — biopsia de mama"/>
  </code>
  <subject>🔗 
    <reference value="Patient/EjemploPatologiaPatient"/>
  </subject>
  <effectiveDateTime value="2026-04-08T15:45:00-04:00"/>
  <issued value="2026-04-10T12:00:00-04:00"/>
  <performer>🔗 
    <reference value="Practitioner/EjemploPatologiaPractitioner"/>
  </performer>
  <specimen>🔗 
    <reference value="Specimen/EjemploPatologiaSpecimen"/>
  </specimen>
  <result>🔗 
    <reference value="Observation/EjemploPatologiaDiagnostico"/>
  </result>
  <result>🔗 
    <reference value="Observation/EjemploPatologiaSinopticoSeccion"/>
  </result>
  <conclusion
              value="Carcinoma ductal infiltrante (NOS) de mama derecha, grado histológico 2 (Nottingham 6/9). Morfología ICD-O-3 8500/3."/>
  <conclusionCode>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
      <code value="8500/3"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>