Breast Cancer Specification
0.1.0 - ci-build

Breast Cancer Specification - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Document Bundle - SLN-Biopsie Axilla

Document Details

Document Subject

Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

Document Content

Pathologiebefundbericht

Klinische Angaben

Invasives Mammakarzinom NST links, G2. Klinisch unauffällige Axilla (cN0). SLN-Biopsie indiziert. Keine neoadjuvante Therapie.

Material

Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert)

Makroskopie

Zwei, 12 × 8 × 6 mm (A_1) bzw. 10 × 7 × 5 mm (A_2) durchmessende Sentinellymphknoten werden jeweils halbiert und separat eingebettet (je 1 Paraffinblock). Makroskopisch zeigen sich leicht fleckige rötlich-weiße Schnittflächen ohne Herdbefund.

Mikroskopie

Nach Anfertigung von jeweils 5, im Abstand von 1 mm zueinander liegenden HE-gefärbten Schnittstufen der Lymphknotenhälften zeigt sich eine ausgeprägte Sinushistiozytose und mäßiggradige Follikelhyperplasie. Im Sentinellymphknoten A_1 findet sich in Schnittstufe 3 eine 1,3 mm große metastatische Absiedlung des bekannten Mammakarzinoms ohne Kapselbeziehung. Im Sentinellymphknoten A_2 sind alle Schnittstufen tumorfrei. Kein Anhalt für isolierte Tumorzellen (ITC).

Diagnostische Schlussfolgerung

ProzedurSentinel-Lymphknoten-Biopsie
SeitenlokalisationLinks
Untersuchte SLN2
Befallene SLN1
Untersuchte Non-SLN0
Befallene Non-SLN0
Gesamtzahl untersuchter LK2
Gesamtzahl befallener LK1
Makrometastasen0
Mikrometastasen1
ITC0
Größte Metastasenausdehnung1,2 mm
Extranodale InfiltrationNicht vorhanden

pN-Staging

pN1mi(sn) — Mikrometastase in Sentinel-Lymphknoten

Kommentar: In SLN #1 Nachweis einer Mikrometastase (1,2 mm) im Randsinus. SLN #2 tumorfrei in allen Schnittstufen. Keine extranodale Infiltration. Empfehlung: Besprechung in Tumorkonferenz bzgl. weiterer axillärer Therapie.

Additional Resources Included in Document

Entry 2 - fullUrl = http://breastcancerspec.org/Patient/Patient4

Resource Patient:

Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

Entry 3 - fullUrl = http://breastcancerspec.org/Organization/PathologyLabOrganization

Resource Organization:

identifier: http://example.hospital.de/organization-ids/ORG-PATH-001

name: Institut für Pathologie

Entry 4 - fullUrl = http://breastcancerspec.org/Practitioner/PathologistPractitioner

Resource Practitioner:

identifier: http://example.hospital.de/practitioner-ids/PATH-001

name: Elisabeth Hoffmann

Qualifications

-Code
*Pathology

Entry 5 - fullUrl = http://breastcancerspec.org/Practitioner/BreastSurgeonPractitioner

Resource Practitioner:

identifier: http://example.hospital.de/practitioner-ids/GYN-001

name: Thomas Richter

Qualifications

-Code
*Gynecology

Entry 6 - fullUrl = http://breastcancerspec.org/Encounter/LymphNodeEncounter

Resource Encounter:

identifier: http://example.hospital.de/encounters/E_25_211

status: completed

class: IMP

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

Entry 7 - fullUrl = http://breastcancerspec.org/Condition/LymphNodeDiagnosisConfirmed

Resource Condition:

Profile: MII PR Diagnose Condition version: 2026.0.0

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

encounter: Encounter: identifier = http://example.hospital.de/encounters#E_25_211; status = finished; class = IMP (IMP)

onset: 2025-01-15

recordedDate: 2025-02-05

note:

Invasives Mammakarzinom NST links, G2. SLN-Biopsie indiziert bei klinisch unauffälliger Axilla (cN0).

Entry 8 - fullUrl = http://breastcancerspec.org/ServiceRequest/LymphNodeReportRequest

Resource ServiceRequest:

Profile: MII PR Patho Service Request version: 2026.0.0

identifier: Placer Identifier/PATH-RPT-2025-211

status: Completed

intent: Order

category: Pathology consultation, comprehensive, records and specimen with report (procedure)

code: No display for ServiceRequest.code (concept: Pathology synoptic report)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

encounter: Encounter: identifier = http://example.hospital.de/encounters#E_25_211; status = finished; class = IMP (IMP)

requester: Practitioner Thomas Richter

performer: Practitioner Elisabeth Hoffmann

supportingInfo:

  • No display for ServiceRequest.supportingInfo (reference: ->Condition Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse)
  • No display for ServiceRequest.supportingInfo (reference: ->Diagnostic Report for 'MG Breast Screening' for '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

Entry 9 - fullUrl = http://breastcancerspec.org/DiagnosticReport/LymphNodeImagingReport

Resource DiagnosticReport:

MG Breast Screening (Radiology)

SubjectSabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)
When For2025-01-08

Report Details

Mammografie und Sonographie: Klinisch unauffällige Axilla links (cN0). Kein Hinweis auf pathologische axilläre Lymphknoten.

Entry 10 - fullUrl = http://breastcancerspec.org/DiagnosticReport/LymphNodeReport

Resource DiagnosticReport:

Profile: MII PR Patho Report version: 2026.0.0

Pathology Synoptic report (Surgical Pathology)

SubjectSabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)
When For2025-02-10 14:00:00+0100
Reported2025-02-10 17:00:00+0100
Performer Practitioner Elisabeth Hoffmann
Identifier Accession ID/E_25_211

Report Details

CodeValueFlagsWhen For
Pathology report gross observation Narrative (Axillary lymph node structure (body structure))Final2025-02-06 08:30:00+0100
Pathology report final diagnosis NarrativeFinal2025-02-10

Sentinel-Lymphknoten-Biopsie linke Axilla: 2 SLN untersucht, 1x Mikrometastase (1,2 mm) in SLN #1, 1x tumorfrei (SLN #2). Keine extranodale Infiltration. pN1mi(sn).

Entry 11 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenPart

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: Placer Identifier/OP25_211_A, Filler Identifier/E_25_211_A

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Specimen from sentinel lymph node of breast (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

request: ServiceRequest Pathology synoptic report

Collections

-CollectorCollected[x]MethodBodySite
*Practitioner Thomas Richter 2025-02-05 10:30:00+0100Sentinel lymph node biopsy (procedure)No display for Specimen.collection.bodySite (concept: Lymph node group of left axilla (body structure))

container

note:

Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

Entry 12 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenBlock01

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue block specimen (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

Collections

-Collected[x]Method
*2025-02-06 08:00:00+0100Gross examination and sampling of tissue specimen (procedure)

Processings

-ExtensionDescriptionTime[x]
*Zuschnitt und Paraffineinbettung - SLN #1 (halbiert)2025-02-06 08:00:00+0100

container

Entry 13 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenBlock02

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue block specimen (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

Collections

-Collected[x]Method
*2025-02-06 08:10:00+0100Gross examination and sampling of tissue specimen (procedure)

Processings

-ExtensionDescriptionTime[x]
*Zuschnitt und Paraffineinbettung - SLN #2 (halbiert)2025-02-06 08:10:00+0100

container

Entry 14 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE01

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1_1_HE_01

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:00:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 1)

time: 2025-02-06 09:00:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:15:00+0100

container

Entry 15 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE02

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1_1_HE_02

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:05:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 2)

time: 2025-02-06 09:05:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:20:00+0100

container

Entry 16 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE03

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1_1_HE_03

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:10:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 3)

time: 2025-02-06 09:10:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:25:00+0100

container

Entry 17 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE04

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1_1_HE_04

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:15:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 4)

time: 2025-02-06 09:15:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:30:00+0100

container

Entry 18 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE05

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_1_1_HE_05

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:20:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 5)

time: 2025-02-06 09:20:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:35:00+0100

container

Entry 19 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE06

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2_1_HE_01

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:10:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 1)

time: 2025-02-06 09:10:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:25:00+0100

container

Entry 20 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE07

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2_1_HE_02

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:15:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 2)

time: 2025-02-06 09:15:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:30:00+0100

container

Entry 21 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE08

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2_1_HE_03

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:20:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 3)

time: 2025-02-06 09:20:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:35:00+0100

container

Entry 22 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE09

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2_1_HE_04

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:25:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 4)

time: 2025-02-06 09:25:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:40:00+0100

container

Entry 23 - fullUrl = http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE10

Resource Specimen:

Profiles: MII PR Patho Specimen version: 2026.0.0, MII PR Biobank Specimen Bioprobe Core version: 2026.0.0

identifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211_A_2_1_HE_05

accessionIdentifier: https://pathologie.example-hospital.de/fhir/fn/befundbericht/E_25_211

status: Available

type: Tissue section (specimen)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

parent: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

Collections

-Collected[x]Method
*2025-02-06 09:30:00+0100Tissue processing technique (procedure)

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: Schnittherstellung (Schnittstufe 5)

time: 2025-02-06 09:30:00+0100

processing

MII EX Biobank Temperaturbedingungen: 20-25 °C

description: HE-Färbung

time: 2025-02-06 09:45:00+0100

container

Entry 24 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroscopicGrouper

Resource Observation:

Profile: MII PR Patho Macroscopic Grouper version: 2026.0.0

status: Final

category: Laboratory

code: Pathology report gross observation Narrative

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-06 08:30:00+0100

performer: Practitioner Elisabeth Hoffmann

bodySite: Axillary lymph node structure (body structure)

hasMember:

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 25 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroSLNExamined

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

status: Final

category: Laboratory, Pathology report gross observation Narrative

code: Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-06 08:30:00+0100

performer: Practitioner Elisabeth Hoffmann

value: 2 nodes (Details: UCUM code{nodes} = '{nodes}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 26 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroTotalExamined

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

status: Final

category: Laboratory, Pathology report gross observation Narrative

code: Lymph nodes examined [#] in Cancer specimen by Light microscopy

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-06 08:30:00+0100

performer: Practitioner Elisabeth Hoffmann

value: 2 nodes (Details: UCUM code{nodes} = '{nodes}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 27 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroSLN1Size

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

status: Final

category: Laboratory, Pathology report gross observation Narrative

code: SLN #1 Größe

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-06 08:30:00+0100

performer: Practitioner Elisabeth Hoffmann

value: 12 x 8 x 6 mm, Patentblau-markiert

bodySite: Axillary lymph node structure (body structure)

specimen: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 28 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroSLN2Size

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

status: Final

category: Laboratory, Pathology report gross observation Narrative

code: SLN #2 Größe

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-06 08:30:00+0100

performer: Practitioner Elisabeth Hoffmann

value: 10 x 7 x 5 mm, Patentblau-markiert

bodySite: Axillary lymph node structure (body structure)

specimen: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_2; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue block specimen (specimen)

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 29 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeDiagnosticConclusionGrouper

Resource Observation:

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory

code: Pathology report final diagnosis Narrative

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

hasMember:

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 30 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeProcedure

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: LK OP Prozedur

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: Sentinel-Lymphknoten-Biopsie

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 31 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeLaterality

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Seitenangabe

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: Links

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 32 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeNonSLNExamined

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Anzahl untersuchter Non-SLN-axillärer LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 0 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 33 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeNonSLNPositive

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Anzahl befallener Non-SLN-axillärer LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 0 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 34 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeSLNExamined

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Anzahl untersuchter Sentinel-LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 2 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 35 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeSLNPositive

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Anzahl befallener Sentinel-LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 1 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 36 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeTotalExamined

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Gesamtzahl untersuchter Lymphknoten

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 2 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 37 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeTotalPositive

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Gesamtzahl befallener Lymphknoten

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 1 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 38 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMacroMetCount

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Gesamtzahl makrometastatisch befallener LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 0 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 39 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeMicroMetCount

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Gesamtzahl mikrometastatisch befallener LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 1 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 40 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeITCCount

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Gesamtzahl ausschließlich ITC-befallener LK

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 0 {count} (Details: UCUM code{count} = '{count}')

specimen: Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Specimen from sentinel lymph node of breast (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 41 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeLargestMetSize

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Ausdehnung der größten metastatischen Infiltration

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: 1.2 mm (Details: UCUM codemm = 'mm')

specimen: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1_1_HE_01; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue section (specimen)

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 42 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeExtranodalExtension

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Extranodale Infiltration durch LK-Metastase

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: Nicht vorhanden

specimen: Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211_A_1_1_HE_01; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_211; status = available; type = Tissue section (specimen)

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 43 - fullUrl = http://breastcancerspec.org/Observation/LymphNodePN

Resource Observation:

Profile: MII PR Onkologie TNM N-Kategorie version: 2026.0.0

status: Final

code: pN category (observable entity)

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

value: N1mi(sn)

method: 8. Auflage

Entry 44 - fullUrl = http://breastcancerspec.org/Observation/LymphNodeComment

Resource Observation:

Profile: MII PR Patho Finding version: 2026.0.0

basedOn: ServiceRequest Pathology synoptic report

status: Final

category: Laboratory, Pathology report final diagnosis Narrative

code: Kommentar

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

effective: 2025-02-10

performer: Practitioner Elisabeth Hoffmann

value: In SLN #1 Nachweis einer Mikrometastase (1,2 mm) im Randsinus. SLN #2 tumorfrei in allen Schnittstufen. Keine extranodale Infiltration. Klassifikation: pN1mi(sn). Empfehlung: Besprechung in Tumorkonferenz bzgl. weiterer axillärer Therapie.

derivedFrom: Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_LN-Mamma' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'

Entry 45 - fullUrl = http://breastcancerspec.org/QuestionnaireResponse/QuestionnaireResponseLymphNode

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
.. QuestionnaireResponseLymphNodeQuestionnaire:http://breastcancerspec.org/Questionnaire/OP_LN-Mamma
... sln.rootSLN-Biopsie Axilla
.... sln.clinicalKlinische Angaben
..... 11951Proben limitiert auswertbarSNOMED CT: 373067005 (No (qualifier value))
..... 11950LK-Biopsie veranlassende klinische/bildgebende BefundeInvasives Mammakarzinom NST links, cN0
..... 11148Bildgebende BefundeMammografie, Sonographie: Axilla klinisch unauffällig
..... 10210Neoadjuvante TherapieSNOMED CT: 373067005 (No (qualifier value))
.... sln.macroMakroskopie
..... sln.macro.sln1SLN #1 Größe12 x 8 x 6 mm, Patentblau-markiert
..... sln.macro.sln2SLN #2 Größe10 x 7 x 5 mm, Patentblau-markiert
.... sln.findingsAxilläre Lymphknotenpräparate
..... 11540LK OP ProzedurSNOMED CT: 396487001 (Sentinel lymph node biopsy (procedure))
..... 11620SeitenangabeSNOMED CT: 7771000 (Left (qualifier value))
..... 11630Anzahl der untersuchten (nonSLN)-axillären LK0
..... 11640Anzahl der befallenen (nonSLN)-axillären LK0
..... 11650Anzahl der untersuchten Sentinel-LK2
..... 11660Anzahl der befallenen Sentinel-LK1
..... 11944Gesamtzahl untersuchter Lymphknoten2
..... 11945Gesamtzahl befallener Lymphknoten1
..... 11947Gesamtzahl makrometastatisch befallener Lymphknoten0
..... 11948Gesamtzahl mikrometastatisch befallener Lymphknoten1
..... 11946Gesamtzahl ausschließlich ITC-befallener Lymphknoten0
..... 11690Ausdehnung der größten metastatischen Infiltration1.2 mm (Details: UCUM codemm = 'mm')
..... 11700Extranodale Infiltration durch LK-MetastaseSNOMED CT: 2667000 (Absent (qualifier value))
.... sln.tnmPathologisches TNM-Staging
..... 175Regionäre Lymphknoten (pN-Kategorie)pN1mi(sn)

doco Documentation for this format