0.9.0 - ci-build

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

: Ejemplo Historia 1 - Registro Estudio Biopsia - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ejHistoria1RegistroEstudioBiopsia"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/RegistroEstudioPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/RegistroEstudioPY>     ]
  ]; # 
  fhir:Resource.language [ fhir:value "es"]; # 
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "http://vigicanpy.gob.py/registro_estudio" ];
     fhir:Identifier.value [ fhir:value "20200115" ]
  ]; # 
  fhir:Bundle.type [ fhir:value "collection"]; # 
  fhir:Bundle.timestamp [ fhir:value "2022-09-05T10:30:00Z"^^xsd:dateTime]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:065c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:065c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:015c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:085c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:085c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:025c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:075c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:075c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:035c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:035c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:135c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:135c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:145c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:145c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:155c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:155c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:165c6f50-28de-4224-b950-a764396d4a25" ];
     fhir:Bundle.entry.resource <urn:uuid:165c6f50-28de-4224-b950-a764396d4a25>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7" ];
     fhir:Bundle.entry.resource <urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7>
  ]. # 

<urn:uuid:065c6f50-28de-4224-b950-a764396d4a25> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "ejHistoria1Estudio"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstudioPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstudioPY>     ]
  ]; # 
  fhir:Resource.language [ fhir:value "es"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://labmsbps.gov.py/estudios" ];
     fhir:Identifier.value [ fhir:value "19-1508" ]
  ]; # 
  fhir:DiagnosticReport.status [ fhir:value "final"]; # 
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinEstudioOncologicoCS" ];
       fhir:Coding.code [ fhir:value "BIO" ];
       fhir:Coding.display [ fhir:value "BIOPSIA" ]     ]
  ]; # 
  fhir:DiagnosticReport.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:DiagnosticReport.encounter [
     fhir:Reference.reference [ fhir:value "urn:uuid:085c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:DiagnosticReport.issued [ fhir:value "2019-04-19T00:00:00Z"^^xsd:dateTime]; # 
  fhir:DiagnosticReport.performer [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:075c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:uuid:135c6f50-28de-4224-b950-a764396d4a25" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "urn:uuid:145c6f50-28de-4224-b950-a764396d4a25" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "urn:uuid:155c6f50-28de-4224-b950-a764396d4a25" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "urn:uuid:165c6f50-28de-4224-b950-a764396d4a25" ]
  ]. # 

<urn:uuid:015c6f50-28de-4224-b950-a764396d4a25> a fhir:Patient;
  fhir:Resource.id [ fhir:value "ejHistoria1Paciente"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosPacientePY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "CodigoPais" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
         fhir:Coding.code [ fhir:value "PY" ];
         fhir:Coding.display [ fhir:value "Paraguay" ]       ]     ];
     fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/LugarNacimientoPy" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/Nacionalidad" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "PY" ];
       fhir:Coding.display [ fhir:value "Paraguay" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/PuebloIndigenaPy" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoPuebloIndigenaPYCS" ];
       fhir:Coding.code [ fhir:value "45" ];
       fhir:Coding.display [ fhir:value "GUARANÍ OCCIDENTAL" ]     ]
  ]; # 
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/RegTipoDocumentoCS" ];
         fhir:Coding.code [ fhir:value "1" ];
         fhir:Coding.display [ fhir:value "documento" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://vigicanpy.gov.py/documentopaciente" ];
     fhir:Identifier.value [ fhir:value "1186807" ]
  ]; # 
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [
       fhir:value "Ruiz";
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/humanname-mothers-family" ];
         fhir:Extension.valueString [ fhir:value "Perez" ]       ]     ];
     fhir:HumanName.given [
       fhir:value "Alejandra";
       fhir:index 0     ]
  ]; # 
  fhir:Patient.gender [ fhir:value "female"]; # 
  fhir:Patient.birthDate [ fhir:value "1978-12-29"^^xsd:date]; # 
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean]; # 
  fhir:Patient.address [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioDepartamentoCodigo" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoDepartamentosPYCS" ];
         fhir:Coding.code [ fhir:value "14" ];
         fhir:Coding.display [ fhir:value "CANINDEYU" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioCiudadCodigo" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoCiudadesPYCS" ];
         fhir:Coding.code [ fhir:value "1405" ];
         fhir:Coding.display [ fhir:value "ITANARA" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DomicilioBarrioCodigo" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/GeoBarriosPYCS" ];
         fhir:Coding.code [ fhir:value "1405220" ];
         fhir:Coding.display [ fhir:value "COM. INDIG. PARIRI" ]       ]     ];
     fhir:Address.line [
       fhir:value "COM. INDIG. PARIRI";
       fhir:index 0     ]
  ]. # 

<urn:uuid:085c6f50-28de-4224-b950-a764396d4a25> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ejHistoria1Encuentro"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosHistoriaPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Encounter.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hmisanpablo.gov.py/historias" ];
     fhir:Identifier.value [ fhir:value "88888888" ]
  ]; # 
  fhir:Encounter.status [ fhir:value "finished"]; # 
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "Ambulatory" ]
  ]; # 
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25" ]
  ]. # 

<urn:uuid:025c6f50-28de-4224-b950-a764396d4a25> a fhir:Organization;
  fhir:Resource.id [ fhir:value "ejHistoria1Laboratorio"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstablecimientoPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosEstablecimientoPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEstablecimientoCodigoCS" ];
     fhir:Identifier.value [ fhir:value "19010016" ]
  ]; # 
  fhir:Organization.name [ fhir:value "Laboratorio Central (MSPBS)"]. # 

<urn:uuid:075c6f50-28de-4224-b950-a764396d4a25> a fhir:Practitioner;
  fhir:Resource.id [ fhir:value "ejHistoria1Patologo"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosProfesionalPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Practitioner.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.paraguay.gov.py/oee/mspbs" ];
     fhir:Identifier.value [ fhir:value "54321" ]
  ]; # 
  fhir:Practitioner.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Perez" ];
     fhir:HumanName.given [
       fhir:value "Alfredo";
       fhir:index 0     ]
  ]; # 
  fhir:Practitioner.qualification [
     fhir:index 0;
     fhir:Practitioner.qualification.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/RegEspecialidadProfesionalCS" ];
         fhir:Coding.code [ fhir:value "3" ];
         fhir:Coding.display [ fhir:value "ANATOMIA PATOLOGICA" ]       ]     ]
  ]. # 

<urn:uuid:035c6f50-28de-4224-b950-a764396d4a25> a fhir:Organization;
  fhir:Resource.id [ fhir:value "ejHistoria1ServicioLab"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosServicioPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/DatosServicioPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/RegServicioDepartamentoCS" ];
     fhir:Identifier.value [ fhir:value "6" ]
  ]; # 
  fhir:Organization.name [ fhir:value "Laboratorio de Citologia"]; # 
  fhir:Organization.partOf [
     fhir:Reference.reference [ fhir:value "urn:uuid:025c6f50-28de-4224-b950-a764396d4a25" ]
  ]. # 

<urn:uuid:135c6f50-28de-4224-b950-a764396d4a25> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ejHistoria1LocalizacionPrimaria"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLocalizacionPrimariaPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLocalizacionPrimariaPY>     ]
  ]; # 
  fhir:Resource.language [ fhir:value "es"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Observation.status [ fhir:value "final"]; # 
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:21855-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "21855-2" ];
       fhir:Coding.display [ fhir:value "Primary site Cancer" ]     ]
  ]; # 
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2019-04-19"^^xsd:date]; # 
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ];
       fhir:Coding.code [ fhir:value "C50.9" ];
       fhir:Coding.display [ fhir:value "Mama, SAI" ]     ]
  ]; # 
  fhir:Observation.note [
     fhir:index 0;
     fhir:Annotation.text [ fhir:value "Mama" ]
  ]. # 

<urn:uuid:145c6f50-28de-4224-b950-a764396d4a25> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ejHistoria1LateralidadDerecha"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLateralidadPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorLateralidadPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Observation.status [ fhir:value "final"]; # 
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:20228-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "20228-3" ];
       fhir:Coding.display [ fhir:value "Anatomic part Laterality" ]     ]
  ]; # 
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2019-04-19T00:00:00Z"^^xsd:dateTime]; # 
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinLateralidadCS" ];
       fhir:Coding.code [ fhir:value "D" ];
       fhir:Coding.display [ fhir:value "Derecha" ]     ]
  ]. # 

<urn:uuid:155c6f50-28de-4224-b950-a764396d4a25> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ejHistoria1GradoDiferenciacion"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorGradoDiferenciacionPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorGradoDiferenciacionPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Observation.status [ fhir:value "final"]; # 
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:33732-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "33732-9" ];
       fhir:Coding.display [ fhir:value "Histology grade [Identifier] in Cancer specimen" ]     ]
  ]; # 
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2019-04-19T00:00:00Z"^^xsd:dateTime]; # 
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS" ];
       fhir:Coding.code [ fhir:value "3" ];
       fhir:Coding.display [ fhir:value "Pobremente Diferenciado" ]     ]
  ]. # 

<urn:uuid:165c6f50-28de-4224-b950-a764396d4a25> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ejHistoria1Morfologia"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorMorfologiaPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/TumorMorfologiaPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Observation.status [ fhir:value "final"]; # 
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:21860-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "21860-2" ];
       fhir:Coding.display [ fhir:value "Morfología del Tumor" ]     ]
  ]; # 
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:015c6f50-28de-4224-b950-a764396d4a25" ]
  ]; # 
  fhir:Observation.effectiveDateTime [ fhir:value "2019-04-19T00:00:00Z"^^xsd:dateTime]; # 
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/icd-o" ];
       fhir:Coding.code [ fhir:value "8523" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Carcinoma ductal infiltrante" ]
  ]. # 

<urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7> a fhir:Provenance;
  fhir:Resource.id [ fhir:value "EjemploOrigenDatosPY"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vigicanpy.mspbs.gov.py/StructureDefinition/OrigenDatosPY";
       fhir:index 0;
       fhir:link <http://vigicanpy.mspbs.gov.py/StructureDefinition/OrigenDatosPY>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ]; # 
  fhir:Provenance.target [
     fhir:index 0;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://miservicio.com/casos" ];
       fhir:Identifier.value [ fhir:value "NUMERO" ]     ];
     fhir:Reference.display [ fhir:value "Caso #NUMERO" ]
  ]; # 
  fhir:Provenance.recorded [ fhir:value "2023-06-27T08:39:24+10:00"^^xsd:dateTime]; # 
  fhir:Provenance.agent [
     fhir:index 0;
     fhir:Provenance.agent.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
         fhir:Coding.code [ fhir:value "DEV" ]       ]     ];
     fhir:Provenance.agent.who [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "http://vigicanpy.mspbs.gov.py/CodeSystem/RegSistemaOrigenCS" ];
         fhir:Identifier.value [ fhir:value "SICAP" ]       ];
       fhir:Reference.display [ fhir:value "SICAP" ]     ]
  ]. # 

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.