VIGICANPY\Ejemplo Historia 1 - Registro de Tratamiento

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Example Bundle: Ejemplo Historia 1 - Registro de Tratamiento

Alejandra Ruiz (OFFICIAL) Female, DoB: 1978-12-29 ( documento: 1186807 (use: OFFICIAL))

Generated Narrative: Composition

Resource Composition "ejHistoria1Tratamiento" (Language "es")

Profile: Tratamiento

Texts

-

Div

*

<div/>

identifier: id: 20190516-0128

status: FINAL

type: Oncology Progress Note (LOINC#78482-7)

date: 2022-09-05 10:30:00+0000

author: See above (urn:uuid:045c6f50-28de-4224-b950-a764396d4a25)

title: Informe de Tratamiento Oncologico: Quimioterapia / Perez Ruiz A.

Attesters

-

Mode

Party

*

Official (CompositionAttestationMode#official)

See above (urn:uuid:035c6f50-28de-4224-b950-a764396d4a25)

custodian: See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)

Events

-

Code

Period

*

Quimioterapia (Tratamiento Oncológico (codes)#QUI)

2019-05-16 --> (ongoing)

Medicación Administrada / Quimioterapia

Quimioterapia

Additional Document Content

2. urn:uuid:025c6f50-28de-4224-b950-a764396d4a25 (Organization/ejHistoria1Establecimiento)

Generated Narrative: Organization
Resource Organization "ejHistoria1Establecimiento"
Profile: Establecimiento
Texts
- Div
* <div/>
identifier: id: 18030204
name: HGMI- SAN PABLO

3. urn:uuid:035c6f50-28de-4224-b950-a764396d4a25 (Organization/ejHistoria1Servicio)

Generated Narrative: Organization
Resource Organization "ejHistoria1Servicio"
Profile: Servicio
Texts
- Div
* <div/>
identifier: id: 9
name: HOSPITAL DE DIA
partOf: See above (urn:uuid:025c6f50-28de-4224-b950-a764396d4a25)

4. urn:uuid:085c6f50-28de-4224-b950-a764396d4a25 (Encounter/ejHistoria1Encuentro)

Not done yet

5. urn:uuid:015c6f50-28de-4224-b950-a764396d4a25 (Patient/ejHistoria1Paciente)

Alejandra Ruiz (OFFICIAL) Female, DoB: 1978-12-29 ( documento: 1186807 (use: OFFICIAL))

6. urn:uuid:055c6f50-28de-4224-b950-a764396d4a25 (Condition/ejHistoria1Tumor)

Generated Narrative: Condition
Resource Condition "ejHistoria1Tumor" (Language "es")
Profile: Tumor (registro)
Texts
- Div
* <div/>
Fecha Diagnostico: 2019-04-12
Grado Diferenciación Histologica: Pobremente Diferenciado (Details: http://vigicanpy.mspbs.gov.py/CodeSystem/ClinGradoDiferenciacionHistologicaCS code 3 = 'Pobremente diferenciado', stated as 'Pobremente Diferenciado')
Clasificación CIE-O Morfología: Carcinoma ductal infiltrante mixto (C50_) (Details: http://terminology.hl7.org/CodeSystem/icd-o code 8523 = '8523', stated as 'Carcinoma ductal infiltrante mixto (C50_)')
code: Mama (ICD-10#C50.9 "Mama, SAI")
bodySite: Mama, SAI (ICD-10#C50.9)
subject: See above (urn:uuid:015c6f50-28de-4224-b950-a764396d4a25)
onset: 46 a (Details: UCUM code a = 'a')
Stages
- Summary Type
* Stage III (Estadio Clinico (codes)#3) Stage group.clinical Cancer (LOINC#21908-9)

7. urn:uuid:045c6f50-28de-4224-b950-a764396d4a25 (Practitioner/ejHistoria1Informante)

Generated Narrative: Practitioner
Resource Practitioner "ejHistoria1Informante"
Profile: Profesional
Texts
- Div
* <div/>
identifier: id: 12345
name: MELISSA SEGOVIA
Qualifications
- Code
* ONCOLOGIA MEDICA (Especialidades Profesionales Paraguay (codes)#88)

8. urn:uuid:f4e99798-971f-4c33-a63a-da3682e9b7e7 (Provenance/EjemploOrigenDatosPY)

Provenance for : Caso #NUMERO
Summary
Recorded Jun 26, 2023, 7:39:24 PM
Agents
Type who
device : SICAP