0.9.0 - ci-build

VigiCanPY - Local Development build (v0.9.0). See the Directory of published versions

: Ejemplo Historia 1 - Registro Estudio Biopsia - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "ejHistoria1RegistroEstudioBiopsia",
  "meta" : {
    "profile" : [
      "http://vigicanpy.mspbs.gov.py/StructureDefinition/RegistroEstudioPY"
    ]
  },
  "language" : "es",
  "identifier" : {
    "system" : "http://vigicanpy.gob.py/registro_estudio",
    "value" : "20200115"
  },
  "type" : "collection",
  "timestamp" : "2022-09-05T10:30:00Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:065c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "ejHistoria1Estudio",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstudioPY"
          ]
        },
        "language" : "es",
        "text" : {
          "status" : "generated",
          "div" : "<div lang=\"es\" xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><td>Localizacion Primaria</td><td>Mama</td></tr><tr><td>Lateralidad</td><td>Derecha</td></tr><tr><td>Morfologia</td><td>Carcinoma ductal infiltrante</td></tr><tr><td>Diferenciacion</td><td>Pobremente Diferenciado</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://labmsbps.gov.py/estudios",
            "value" : "19-1508"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinEstudioOncologicoCS",
              "code" : "BIO",
              "display" : "BIOPSIA"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "encounter" : {
          "reference" : "urn:uuid:085c6f50-28de-4224-b950-a764396d4a25"
        },
        "issued" : "2019-04-19T00:00:00Z",
        "performer" : [
          {
            "reference" : "urn:uuid:075c6f50-28de-4224-b950-a764396d4a25"
          }
        ],
        "result" : [
          {
            "reference" : "urn:uuid:135c6f50-28de-4224-b950-a764396d4a25"
          },
          {
            "reference" : "urn:uuid:145c6f50-28de-4224-b950-a764396d4a25"
          },
          {
            "reference" : "urn:uuid:155c6f50-28de-4224-b950-a764396d4a25"
          },
          {
            "reference" : "urn:uuid:165c6f50-28de-4224-b950-a764396d4a25"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "ejHistoria1Paciente",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"ejHistoria1Paciente\"> </a></p><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\">Resource Patient &quot;ejHistoria1Paciente&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosPacientePY.html\">Paciente</a></p></div><blockquote><p><b>Lugar de Nacimiento</b></p><p><b>value</b>: Paraguay (Details: urn:iso:std:iso:3166 code PY = 'Paraguay', stated as 'Paraguay')</p></blockquote><p><b>Nacionalidad</b>: Paraguay (Details: urn:iso:std:iso:3166 code PY = 'Paraguay', stated as 'Paraguay')</p><p><b>Pueblo Indigena</b>: GUARANÍ OCCIDENTAL (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/GeoPuebloIndigenaPYCS code 45 = 'GUARANÍ OCCIDENTAL', stated as 'GUARANÍ OCCIDENTAL')</p><p><b>identifier</b>: documento: 1186807 (use: OFFICIAL)</p><p><b>name</b>: Alejandra Ruiz (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1978-12-29</p><p><b>deceased</b>: false</p><p><b>address</b>: COM. INDIG. PARIRI </p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "CodigoPais",
                "valueCoding" : {
                  "system" : "urn:iso:std:iso:3166",
                  "code" : "PY",
                  "display" : "Paraguay"
                }
              }
            ],
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/LugarNacimientoPy"
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/Nacionalidad",
            "valueCoding" : {
              "system" : "urn:iso:std:iso:3166",
              "code" : "PY",
              "display" : "Paraguay"
            }
          },
          {
            "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/PuebloIndigenaPy",
            "valueCoding" : {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoPuebloIndigenaPYCS",
              "code" : "45",
              "display" : "GUARANÍ OCCIDENTAL"
            }
          }
        ],
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegTipoDocumentoCS",
                  "code" : "1",
                  "display" : "documento"
                }
              ]
            },
            "system" : "http://vigicanpy.gov.py/documentopaciente",
            "value" : "1186807"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Ruiz",
            "_family" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/humanname-mothers-family",
                  "valueString" : "Perez"
                }
              ]
            },
            "given" : [
              "Alejandra"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "1978-12-29",
        "deceasedBoolean" : false,
        "address" : [
          {
            "extension" : [
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioDepartamentoCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoDepartamentosPYCS",
                  "code" : "14",
                  "display" : "CANINDEYU"
                }
              },
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioCiudadCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoCiudadesPYCS",
                  "code" : "1405",
                  "display" : "ITANARA"
                }
              },
              {
                "url" : "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioBarrioCodigo",
                "valueCoding" : {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoBarriosPYCS",
                  "code" : "1405220",
                  "display" : "COM. INDIG. PARIRI"
                }
              }
            ],
            "line" : [
              "COM. INDIG. PARIRI"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:085c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "ejHistoria1Encuentro",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"ejHistoria1Encuentro\"> </a></p><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\">Resource Encounter &quot;ejHistoria1Encuentro&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosHistoriaPY.html\">Historia Clínica</a></p></div><p><b>identifier</b>: id: 88888888</p><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>subject</b>: <a href=\"#Patient_ejHistoria1Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>serviceProvider</b>: <a href=\"#Organization_ejHistoria1Laboratorio\">See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hmisanpablo.gov.py/historias",
            "value" : "88888888"
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "Ambulatory"
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "serviceProvider" : {
          "reference" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ejHistoria1Laboratorio",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstablecimientoPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"ejHistoria1Laboratorio\"> </a></p><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\">Resource Organization &quot;ejHistoria1Laboratorio&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosEstablecimientoPY.html\">Establecimiento</a></p></div><p><b>identifier</b>: id: 19010016</p><p><b>name</b>: Laboratorio Central (MSPBS)</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEstablecimientoCodigoCS",
            "value" : "19010016"
          }
        ],
        "name" : "Laboratorio Central (MSPBS)"
      }
    },
    {
      "fullUrl" : "urn:uuid:075c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "ejHistoria1Patologo",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"ejHistoria1Patologo\"> </a></p><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\">Resource Practitioner &quot;ejHistoria1Patologo&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosProfesionalPY.html\">Profesional</a></p></div><p><b>identifier</b>: id: 54321</p><p><b>name</b>: Alfredo Perez </p><h3>Qualifications</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td></tr><tr><td>*</td><td>ANATOMIA PATOLOGICA <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-RegEspecialidadProfesionalCS.html\">Especialidades Profesionales Paraguay (codes)</a>#3)</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "http://www.paraguay.gov.py/oee/mspbs",
            "value" : "54321"
          }
        ],
        "name" : [
          {
            "family" : "Perez",
            "given" : [
              "Alfredo"
            ]
          }
        ],
        "qualification" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEspecialidadProfesionalCS",
                  "code" : "3",
                  "display" : "ANATOMIA PATOLOGICA"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:035c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "ejHistoria1ServicioLab",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosServicioPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"ejHistoria1ServicioLab\"> </a></p><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\">Resource Organization &quot;ejHistoria1ServicioLab&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DatosServicioPY.html\">Servicio</a></p></div><p><b>identifier</b>: id: 6</p><p><b>name</b>: Laboratorio de Citologia</p><p><b>partOf</b>: <a href=\"#Organization_ejHistoria1Laboratorio\">See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegServicioDepartamentoCS",
            "value" : "6"
          }
        ],
        "name" : "Laboratorio de Citologia",
        "partOf" : {
          "reference" : "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:135c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ejHistoria1LocalizacionPrimaria",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLocalizacionPrimariaPY"
          ]
        },
        "language" : "es",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"es\" lang=\"es\"><p><b>Generated Narrative: Observation</b><a name=\"ejHistoria1LocalizacionPrimaria\"> </a></p><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\">Resource Observation &quot;ejHistoria1LocalizacionPrimaria&quot;  (Language &quot;es&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TumorLocalizacionPrimariaPY.html\">Localizacion Primaria del Tumor</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Primary site Cancer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21855-2)</span></p><p><b>subject</b>: <a href=\"#Patient_ejHistoria1Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>effective</b>: 2019-04-19</p><p><b>value</b>: Mama, SAI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10.html\">ICD-10</a>#C50.9)</span></p><p><b>note</b>: Mama</p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "21855-2",
              "display" : "Primary site Cancer"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "effectiveDateTime" : "2019-04-19",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "C50.9",
              "display" : "Mama, SAI"
            }
          ]
        },
        "note" : [
          {
            "text" : "Mama"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:145c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ejHistoria1LateralidadDerecha",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLateralidadPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ejHistoria1LateralidadDerecha\"> </a></p><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\">Resource Observation &quot;ejHistoria1LateralidadDerecha&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TumorLateralidadPY.html\">Lateralidad</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Anatomic part Laterality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#20228-3)</span></p><p><b>subject</b>: <a href=\"#Patient_ejHistoria1Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>effective</b>: 2019-04-19 00:00:00+0000</p><p><b>value</b>: Derecha <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ClinLateralidadCS.html\">Lateralidad (codes)</a>#D)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "20228-3",
              "display" : "Anatomic part Laterality"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "effectiveDateTime" : "2019-04-19T00:00:00Z",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinLateralidadCS",
              "code" : "D",
              "display" : "Derecha"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:155c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ejHistoria1GradoDiferenciacion",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorGradoDiferenciacionPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ejHistoria1GradoDiferenciacion\"> </a></p><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\">Resource Observation &quot;ejHistoria1GradoDiferenciacion&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TumorGradoDiferenciacionPY.html\">Grado de Diferenciacion Histológica</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Histology grade [Identifier] in Cancer specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33732-9)</span></p><p><b>subject</b>: <a href=\"#Patient_ejHistoria1Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>effective</b>: 2019-04-19 00:00:00+0000</p><p><b>value</b>: Pobremente Diferenciado <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ClinGradoDiferenciacionHistologicaCS.html\">Grado de Diferenciacion Histologica (codes)</a>#3)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "33732-9",
              "display" : "Histology grade [Identifier] in Cancer specimen"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "effectiveDateTime" : "2019-04-19T00:00:00Z",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS",
              "code" : "3",
              "display" : "Pobremente Diferenciado"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:165c6f50-28de-4224-b950-a764396d4a25",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "ejHistoria1Morfologia",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorMorfologiaPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ejHistoria1Morfologia\"> </a></p><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\">Resource Observation &quot;ejHistoria1Morfologia&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-TumorMorfologiaPY.html\">Morfología del Tumor</a></p></div><p><b>status</b>: final</p><p><b>code</b>: Morfología del Tumor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#21860-2)</span></p><p><b>subject</b>: <a href=\"#Patient_ejHistoria1Paciente\">See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)</a></p><p><b>effective</b>: 2019-04-19 00:00:00+0000</p><p><b>value</b>: Carcinoma ductal infiltrante <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd-o.html\">International Classification of Diseases for Oncology</a>#8523)</span></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "21860-2",
              "display" : "Morfología del Tumor"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25"
        },
        "effectiveDateTime" : "2019-04-19T00:00:00Z",
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/icd-o",
              "code" : "8523"
            }
          ],
          "text" : "Carcinoma ductal infiltrante"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "EjemploOrigenDatosPY",
        "meta" : {
          "profile" : [
            "http://vigicanpy.mspbs.gov.py/StructureDefinition/OrigenDatosPY"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"EjemploOrigenDatosPY\"> </a></p><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\">Resource Provenance &quot;EjemploOrigenDatosPY&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-OrigenDatosPY.html\">Origen de los Datos Enviados</a></p></div><p><b>target</b>: <span>: Caso #NUMERO</span></p><p><b>recorded</b>: Jun 26, 2023, 7:39:24 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>device <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#DEV)</span></td><td><span>: SICAP</span></td></tr></table></div>"
        },
        "target" : [
          {
            "identifier" : {
              "system" : "http://miservicio.com/casos",
              "value" : "NUMERO"
            },
            "display" : "Caso #NUMERO"
          }
        ],
        "recorded" : "2023-06-27T08:39:24+10:00",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "DEV"
                }
              ]
            },
            "who" : {
              "identifier" : {
                "system" : "http://vigicanpy.mspbs.gov.py/CodeSystem/RegSistemaOrigenCS",
                "value" : "SICAP"
              },
              "display" : "SICAP"
            }
          }
        ]
      }
    }
  ]
}