LymphNodeDocument
type: Bundle
node role: treeRoot
id:
  v: LymphNodeDocument
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_003
type:
  v: document
timestamp:
  v: 2025-02-10T17:00:00+01:00
entry:
  full url:
    v: http://breastcancerspec.org/Composition/LymphNodeComposition
    l: LymphNodeComposition
  resource: LymphNodeComposition
entry:
  full url:
    v: http://breastcancerspec.org/Patient/Patient4
    l: Patient4
  resource: Patient4
entry:
  full url:
    v: http://breastcancerspec.org/Organization/PathologyLabOrganization
    l: PathologyLabOrganization
  resource: PathologyLabOrganization
entry:
  full url:
    v: http://breastcancerspec.org/Practitioner/PathologistPractitioner
    l: PathologistPractitioner
  resource: PathologistPractitioner
entry:
  full url:
    v: http://breastcancerspec.org/Practitioner/BreastSurgeonPractitioner
    l: BreastSurgeonPractitioner
  resource: BreastSurgeonPractitioner
entry:
  full url:
    v: http://breastcancerspec.org/Encounter/LymphNodeEncounter
    l: LymphNodeEncounter
  resource: LymphNodeEncounter
entry:
  full url:
    v: http://breastcancerspec.org/Condition/LymphNodeDiagnosisConfirmed
    l: LymphNodeDiagnosisConfirmed
  resource: LymphNodeDiagnosisConfirmed
entry:
  full url:
    v: http://breastcancerspec.org/ServiceRequest/LymphNodeReportRequest
    l: LymphNodeReportRequest
  resource: LymphNodeReportRequest
entry:
  full url:
    v: http://breastcancerspec.org/DiagnosticReport/LymphNodeImagingReport
    l: LymphNodeImagingReport
  resource: LymphNodeImagingReport
entry:
  full url:
    v: http://breastcancerspec.org/DiagnosticReport/LymphNodeReport
    l: LymphNodeReport
  resource: LymphNodeReport
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenPart
    l: LymphNodeSpecimenPart
  resource: LymphNodeSpecimenPart
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenBlock01
    l: LymphNodeSpecimenBlock01
  resource: LymphNodeSpecimenBlock01
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenBlock02
    l: LymphNodeSpecimenBlock02
  resource: LymphNodeSpecimenBlock02
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE01
    l: LymphNodeSpecimenSlideHE01
  resource: LymphNodeSpecimenSlideHE01
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE02
    l: LymphNodeSpecimenSlideHE02
  resource: LymphNodeSpecimenSlideHE02
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE03
    l: LymphNodeSpecimenSlideHE03
  resource: LymphNodeSpecimenSlideHE03
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE04
    l: LymphNodeSpecimenSlideHE04
  resource: LymphNodeSpecimenSlideHE04
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE05
    l: LymphNodeSpecimenSlideHE05
  resource: LymphNodeSpecimenSlideHE05
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE06
    l: LymphNodeSpecimenSlideHE06
  resource: LymphNodeSpecimenSlideHE06
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE07
    l: LymphNodeSpecimenSlideHE07
  resource: LymphNodeSpecimenSlideHE07
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE08
    l: LymphNodeSpecimenSlideHE08
  resource: LymphNodeSpecimenSlideHE08
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE09
    l: LymphNodeSpecimenSlideHE09
  resource: LymphNodeSpecimenSlideHE09
entry:
  full url:
    v: http://breastcancerspec.org/Specimen/LymphNodeSpecimenSlideHE10
    l: LymphNodeSpecimenSlideHE10
  resource: LymphNodeSpecimenSlideHE10
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroscopicGrouper
    l: LymphNodeMacroscopicGrouper
  resource: LymphNodeMacroscopicGrouper
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroSLNExamined
    l: LymphNodeMacroSLNExamined
  resource: LymphNodeMacroSLNExamined
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroTotalExamined
    l: LymphNodeMacroTotalExamined
  resource: LymphNodeMacroTotalExamined
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroSLN1Size
    l: LymphNodeMacroSLN1Size
  resource: LymphNodeMacroSLN1Size
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroSLN2Size
    l: LymphNodeMacroSLN2Size
  resource: LymphNodeMacroSLN2Size
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeDiagnosticConclusionGrouper
    l: LymphNodeDiagnosticConclusionGrouper
  resource: LymphNodeDiagnosticConclusionGrouper
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeProcedure
    l: LymphNodeProcedure
  resource: LymphNodeProcedure
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeLaterality
    l: LymphNodeLaterality
  resource: LymphNodeLaterality
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeNonSLNExamined
    l: LymphNodeNonSLNExamined
  resource: LymphNodeNonSLNExamined
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeNonSLNPositive
    l: LymphNodeNonSLNPositive
  resource: LymphNodeNonSLNPositive
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeSLNExamined
    l: LymphNodeSLNExamined
  resource: LymphNodeSLNExamined
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeSLNPositive
    l: LymphNodeSLNPositive
  resource: LymphNodeSLNPositive
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeTotalExamined
    l: LymphNodeTotalExamined
  resource: LymphNodeTotalExamined
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeTotalPositive
    l: LymphNodeTotalPositive
  resource: LymphNodeTotalPositive
entry:
  full url:
    v: http://breastcancerspec.org/Observation/LymphNodeMacroMetCount
    l: LymphNodeMacroMetCount
  resource: LymphNodeMacroMetCount

LymphNodeComposition
type: Composition
id:
  v: LymphNodeComposition
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Composition LymphNodeComposition identifier: Accession ID/PATH-COMP-2025-211 status: Final type: Pathology report (record artifact) encounter: Encounter: identifier = http://example.hospital.de/encounters#E_25_211; status = finished; class = IMP (IMP) date: 2025-02-10 17:00:00+0100 author: Institut für Pathologie title: Histopathologischer Befundbericht - SLN-Biopsie Axilla links Attesters - Mode Party * Legal Organization Institut für Pathologie custodian: Organization Institut für Pathologie Events - Code Detail * pathology report entry task ServiceRequest Pathology synoptic report
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: ACSN
      display:
        v: Accession ID
  system:
    v: http://example.hospital.de/pathology-reports
    l: pathology-reports
  value:
    v: PATH-COMP-2025-211
status:
  v: final
type:
  coding:
    system:
      v: http://ihe-d.de/CodeSystems/IHEXDStypeCode
      l: IHEXDStypeCode
    code:
      v: PATH
  coding: http://snomed.info/id/371528001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371528001
    display:
      v: Pathology report (record artifact)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
  display:
    v: Sabine Becker, geb. 15.03.1971 (PAT-2025-105)
encounter:
  l: LymphNodeEncounter
  reference:
    v: Encounter/LymphNodeEncounter
date:
  v: 2025-02-10T17:00:00+01:00
author:
  l: PathologyLabOrganization
  reference:
    v: Organization/PathologyLabOrganization
  display:
    v: Institut für Pathologie
title:
  v: Histopathologischer Befundbericht - SLN-Biopsie Axilla links
attester:
  mode:
    v: legal
  party:
    l: PathologyLabOrganization
    reference:
      v: Organization/PathologyLabOrganization
custodian:
  l: PathologyLabOrganization
  reference:
    v: Organization/PathologyLabOrganization
event:
  code:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActCode
        l: v3-ActCode
      code:
        v: PATREPE
  detail:
    l: LymphNodeReportRequest
    reference:
      v: ServiceRequest/LymphNodeReportRequest
section:
  title:
    v: Pathologiebefundbericht
  code:
    coding: https://loinc.org/rdf/11526-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11526-1
      display:
        v: Pathology study
  text:
    status:
      v: additional
    div:
      v: 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 Prozedur Sentinel-Lymphknoten-Biopsie Seitenlokalisation Links Untersuchte SLN 2 Befallene SLN 1 Untersuchte Non-SLN 0 Befallene Non-SLN 0 Gesamtzahl untersuchter LK 2 Gesamtzahl befallener LK 1 Makrometastasen 0 Mikrometastasen 1 ITC 0 Größte Metastasenausdehnung 1,2 mm Extranodale Infiltration Nicht 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.
  entry:
    l: LymphNodeReport
    reference:
      v: DiagnosticReport/LymphNodeReport

Patient4
type: Patient
id:
  v: Patient4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient Patient4 Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)
identifier:
  system:
    v: http://example.hospital.de/patient-ids
    l: patient-ids
  value:
    v: PAT-2025-105
name:
  family:
    v: Becker
  given:
    v: Sabine
gender:
  v: female
birth date:
  v: 1971-03-15

PathologyLabOrganization
type: Organization
id:
  v: PathologyLabOrganization
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization PathologyLabOrganization identifier: http://example.hospital.de/organization-ids/ORG-PATH-001 name: Institut für Pathologie
identifier:
  system:
    v: http://example.hospital.de/organization-ids
    l: organization-ids
  value:
    v: ORG-PATH-001
name:
  v: Institut für Pathologie

PathologistPractitioner
type: Practitioner
id:
  v: PathologistPractitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner PathologistPractitioner identifier: http://example.hospital.de/practitioner-ids/PATH-001 name: Elisabeth Hoffmann Qualifications - Code * Pathology
identifier:
  system:
    v: http://example.hospital.de/practitioner-ids
    l: practitioner-ids
  value:
    v: PATH-001
name:
  family:
    v: Hoffmann
  given:
    v: Elisabeth
  prefix:
    v: Dr.
qualification:
  code:
    coding: http://snomed.info/id/394595002
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 394595002
      display:
        v: Pathology

BreastSurgeonPractitioner
type: Practitioner
id:
  v: BreastSurgeonPractitioner
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner BreastSurgeonPractitioner identifier: http://example.hospital.de/practitioner-ids/GYN-001 name: Thomas Richter Qualifications - Code * Gynecology
identifier:
  system:
    v: http://example.hospital.de/practitioner-ids
    l: practitioner-ids
  value:
    v: GYN-001
name:
  family:
    v: Richter
  given:
    v: Thomas
  prefix:
    v: Prof. Dr.
qualification:
  code:
    coding: http://snomed.info/id/394586005
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 394586005
      display:
        v: Gynecology

LymphNodeEncounter
type: Encounter
id:
  v: LymphNodeEncounter
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter LymphNodeEncounter identifier: http://example.hospital.de/encounters/E_25_211 status: Finished class: [not stated]: IMP (IMP) subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)
identifier:
  system:
    v: http://example.hospital.de/encounters
    l: encounters
  value:
    v: E_25_211
status:
  v: finished
class:
  code:
    v: IMP
subject:
  l: Patient4
  reference:
    v: Patient/Patient4

LymphNodeDiagnosisConfirmed
type: Condition
id:
  v: LymphNodeDiagnosisConfirmed
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition LymphNodeDiagnosisConfirmed 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).
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-category
      l: condition-category
    code:
      v: encounter-diagnosis
code:
  coding:
    system:
      v: http://fhir.de/CodeSystem/bfarm/icd-10-gm
      l: icd-10-gm
    version:
      v: 2025
    code:
      v: C50.5
    display:
      v: Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
encounter:
  l: LymphNodeEncounter
  reference:
    v: Encounter/LymphNodeEncounter
onset: DateTime
  v: 2025-01-15
recorded date:
  v: 2025-02-05
note:
  text:
    v: Invasives Mammakarzinom NST links, G2. SLN-Biopsie indiziert bei klinisch unauffälliger Axilla (cN0).

LymphNodeReportRequest
type: ServiceRequest
id:
  v: LymphNodeReportRequest
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ServiceRequest LymphNodeReportRequest 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: 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 reasonCode: Carcinoma of breast (disorder) supportingInfo: Condition Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse 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.
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
      display:
        v: Placer Identifier
  system:
    v: http://example.hospital.de/serviceRequest
    l: serviceRequest
  value:
    v: PATH-RPT-2025-211
status:
  v: completed
intent:
  v: order
category:
  coding: http://snomed.info/id/726007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 726007
    display:
      v: Pathology consultation, comprehensive, records and specimen with report (procedure)
code:
  coding: https://loinc.org/rdf/60568-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 60568-3
    display:
      v: Pathology synoptic report
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
encounter:
  l: LymphNodeEncounter
  reference:
    v: Encounter/LymphNodeEncounter
requester:
  l: BreastSurgeonPractitioner
  reference:
    v: Practitioner/BreastSurgeonPractitioner
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
reason code:
  coding: http://snomed.info/id/254838004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 254838004
    display:
      v: Carcinoma of breast (disorder)
supporting info:
  l: LymphNodeDiagnosisConfirmed
  reference:
    v: Condition/LymphNodeDiagnosisConfirmed
supporting info:
  l: LymphNodeImagingReport
  reference:
    v: DiagnosticReport/LymphNodeImagingReport
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart

LymphNodeImagingReport
type: DiagnosticReport
id:
  v: LymphNodeImagingReport
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DiagnosticReport LymphNodeImagingReport MG Breast Screening (Radiology) Subject Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105) When For 2025-01-08 Report Details Mammografie und Sonographie: Klinisch unauffällige Axilla links (cN0). Kein Hinweis auf pathologische axilläre Lymphknoten.
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: RAD
    display:
      v: Radiology
code:
  coding: https://loinc.org/rdf/24606-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 24606-6
    display:
      v: MG Breast Screening
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-01-08
conclusion:
  v: Mammografie und Sonographie: Klinisch unauffällige Axilla links (cN0). Kein Hinweis auf pathologische axilläre Lymphknoten.

LymphNodeReport
type: DiagnosticReport
id:
  v: LymphNodeReport
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DiagnosticReport LymphNodeReport Profile: MII PR Patho Report version: 2026.0.0 Pathology Synoptic report (Surgical Pathology) Subject Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105) When For 2025-02-10 14:00:00+0100 Reported 2025-02-10 17:00:00+0100 Performer Practitioner Elisabeth Hoffmann Identifier Accession ID/E_25_211 Report Details Code Value Flags When For Pathology report gross observation Narrative (Axillary lymph node structure (body structure)) Final 2025-02-06 08:30:00+0100 Pathology report final diagnosis Narrative Final 2025-02-10 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).
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: ACSN
      display:
        v: Accession ID
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0074
      l: v2-0074
    code:
      v: SP
    display:
      v: Surgical Pathology
code:
  coding: https://loinc.org/rdf/60568-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 60568-3
    display:
      v: Pathology Synoptic report
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10T14:00:00+01:00
issued:
  v: 2025-02-10T17:00:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
specimen:
  l: LymphNodeSpecimenBlock01
  reference:
    v: Specimen/LymphNodeSpecimenBlock01
specimen:
  l: LymphNodeSpecimenBlock02
  reference:
    v: Specimen/LymphNodeSpecimenBlock02
specimen:
  l: LymphNodeSpecimenSlideHE01
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE01
specimen:
  l: LymphNodeSpecimenSlideHE02
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE02
specimen:
  l: LymphNodeSpecimenSlideHE03
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE03
specimen:
  l: LymphNodeSpecimenSlideHE04
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE04
specimen:
  l: LymphNodeSpecimenSlideHE05
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE05
specimen:
  l: LymphNodeSpecimenSlideHE06
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE06
specimen:
  l: LymphNodeSpecimenSlideHE07
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE07
specimen:
  l: LymphNodeSpecimenSlideHE08
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE08
specimen:
  l: LymphNodeSpecimenSlideHE09
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE09
specimen:
  l: LymphNodeSpecimenSlideHE10
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE10
result:
  l: LymphNodeMacroscopicGrouper
  reference:
    v: Observation/LymphNodeMacroscopicGrouper
result:
  l: LymphNodeDiagnosticConclusionGrouper
  reference:
    v: Observation/LymphNodeDiagnosticConclusionGrouper
conclusion:
  v: 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).

LymphNodeSpecimenPart
type: Specimen
id:
  v: LymphNodeSpecimenPart
meta:
  profile:
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    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
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    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenPart 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 - Collector Collected[x] Method BodySite * Practitioner Thomas Richter 2025-02-05 10:30:00+0100 Sentinel lymph node biopsy (procedure) Lymph node group of left axilla (body structure) Containers - Type Additive[x] * Specimen vial (physical object) Neutral buffered formalin (substance) 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.
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PLAC
  system:
    v: https://senologie.example-hospital.de/fhir/specimen/placer
    l: placer
  value:
    v: OP25_211_A
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: FILL
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/16235301000119101
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 16235301000119101
    display:
      v: Specimen from sentinel lymph node of breast (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
request:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
collection:
  collector:
    l: BreastSurgeonPractitioner
    reference:
      v: Practitioner/BreastSurgeonPractitioner
  collected: DateTime
    v: 2025-02-05T10:30:00+01:00
  method:
    coding: http://snomed.info/id/396487001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 396487001
      display:
        v: Sentinel lymph node biopsy (procedure)
  body site:
    coding: http://snomed.info/id/739020002
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 739020002
      display:
        v: Lymph node group of left axilla (body structure)
container:
  type:
    coding: http://snomed.info/id/434746001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434746001
      display:
        v: Specimen vial (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/434162003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434162003
      display:
        v: Neutral buffered formalin (substance)
note:
  text:
    v: 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.

LymphNodeSpecimenBlock01
type: Specimen
id:
  v: LymphNodeSpecimenBlock01
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
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    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenBlock01 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+0100 Gross examination and sampling of tissue specimen (procedure) Processings - Extension Description Procedure Time[x] * Zuschnitt und Paraffineinbettung - SLN #1 (halbiert) Preparation of formalin fixed paraffin embedded tissue specimen (procedure) 2025-02-06 08:00:00+0100 Containers - Type Additive[x] * General specimen container (physical object) Paraffin wax (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_1
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/1201985008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1201985008
    display:
      v: Tissue block specimen (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
collection:
  collected: DateTime
    v: 2025-02-06T08:00:00+01:00
  method:
    coding: http://snomed.info/id/787377000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 787377000
      display:
        v: Gross examination and sampling of tissue specimen (procedure)
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Zuschnitt und Paraffineinbettung - SLN #1 (halbiert)
  procedure:
    coding: http://snomed.info/id/787376009
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 787376009
      display:
        v: Preparation of formalin fixed paraffin embedded tissue specimen (procedure)
  time: DateTime
    v: 2025-02-06T08:00:00+01:00
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/311731000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 311731000
      display:
        v: Paraffin wax (substance)

LymphNodeSpecimenBlock02
type: Specimen
id:
  v: LymphNodeSpecimenBlock02
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
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    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenBlock02 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+0100 Gross examination and sampling of tissue specimen (procedure) Processings - Extension Description Procedure Time[x] * Zuschnitt und Paraffineinbettung - SLN #2 (halbiert) Preparation of formalin fixed paraffin embedded tissue specimen (procedure) 2025-02-06 08:10:00+0100 Containers - Type Additive[x] * General specimen container (physical object) Paraffin wax (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_2
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/1201985008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1201985008
    display:
      v: Tissue block specimen (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
collection:
  collected: DateTime
    v: 2025-02-06T08:10:00+01:00
  method:
    coding: http://snomed.info/id/787377000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 787377000
      display:
        v: Gross examination and sampling of tissue specimen (procedure)
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Zuschnitt und Paraffineinbettung - SLN #2 (halbiert)
  procedure:
    coding: http://snomed.info/id/787376009
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 787376009
      display:
        v: Preparation of formalin fixed paraffin embedded tissue specimen (procedure)
  time: DateTime
    v: 2025-02-06T08:10:00+01:00
container:
  type:
    coding: http://snomed.info/id/706053007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 706053007
      display:
        v: General specimen container (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/311731000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 311731000
      display:
        v: Paraffin wax (substance)

LymphNodeSpecimenSlideHE01
type: Specimen
id:
  v: LymphNodeSpecimenSlideHE01
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenSlideHE01 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+0100 Tissue processing technique (procedure) processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: Schnittherstellung (Schnittstufe 1) procedure: Sectioning of tissue block (procedure) time: 2025-02-06 09:00:00+0100 processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: HE-Färbung procedure: Hematoxylin and eosin stain method (procedure) time: 2025-02-06 09:15:00+0100 Containers - Type Additive[x] * Microscope slide (physical object) Microscope slide mounting medium (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_1_1_HE_01
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/430856003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 430856003
    display:
      v: Tissue section (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenBlock01
  reference:
    v: Specimen/LymphNodeSpecimenBlock01
collection:
  collected: DateTime
    v: 2025-02-06T09:00:00+01:00
  method:
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      system:
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        l: sct
      code:
        v: 13283003
      display:
        v: Tissue processing technique (procedure)
processing:
  extension:
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      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Schnittherstellung (Schnittstufe 1)
  procedure:
    coding: http://snomed.info/id/434472006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434472006
      display:
        v: Sectioning of tissue block (procedure)
  time: DateTime
    v: 2025-02-06T09:00:00+01:00
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: HE-Färbung
  procedure:
    coding: http://snomed.info/id/104210008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 104210008
      display:
        v: Hematoxylin and eosin stain method (procedure)
  time: DateTime
    v: 2025-02-06T09:15:00+01:00
container:
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    coding: http://snomed.info/id/433466003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
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      display:
        v: Microscope slide (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/430862008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 430862008
      display:
        v: Microscope slide mounting medium (substance)

LymphNodeSpecimenSlideHE02
type: Specimen
id:
  v: LymphNodeSpecimenSlideHE02
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
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    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenSlideHE02 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+0100 Tissue processing technique (procedure) processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: Schnittherstellung (Schnittstufe 2) procedure: Sectioning of tissue block (procedure) time: 2025-02-06 09:05:00+0100 processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: HE-Färbung procedure: Hematoxylin and eosin stain method (procedure) time: 2025-02-06 09:20:00+0100 Containers - Type Additive[x] * Microscope slide (physical object) Microscope slide mounting medium (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_1_1_HE_02
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/430856003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 430856003
    display:
      v: Tissue section (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenBlock01
  reference:
    v: Specimen/LymphNodeSpecimenBlock01
collection:
  collected: DateTime
    v: 2025-02-06T09:05:00+01:00
  method:
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      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 13283003
      display:
        v: Tissue processing technique (procedure)
processing:
  extension:
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      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Schnittherstellung (Schnittstufe 2)
  procedure:
    coding: http://snomed.info/id/434472006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434472006
      display:
        v: Sectioning of tissue block (procedure)
  time: DateTime
    v: 2025-02-06T09:05:00+01:00
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: HE-Färbung
  procedure:
    coding: http://snomed.info/id/104210008
      system:
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        l: sct
      code:
        v: 104210008
      display:
        v: Hematoxylin and eosin stain method (procedure)
  time: DateTime
    v: 2025-02-06T09:20:00+01:00
container:
  type:
    coding: http://snomed.info/id/433466003
      system:
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LymphNodeSpecimenSlideHE03
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LymphNodeSpecimenSlideHE04
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LymphNodeSpecimenSlideHE05
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text:
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LymphNodeSpecimenSlideHE06
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text:
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LymphNodeSpecimenSlideHE07
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text:
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      display:
        v: Microscope slide (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/430862008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 430862008
      display:
        v: Microscope slide mounting medium (substance)

LymphNodeSpecimenSlideHE08
type: Specimen
id:
  v: LymphNodeSpecimenSlideHE08
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenSlideHE08 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+0100 Tissue processing technique (procedure) processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: Schnittherstellung (Schnittstufe 3) procedure: Sectioning of tissue block (procedure) time: 2025-02-06 09:20:00+0100 processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: HE-Färbung procedure: Hematoxylin and eosin stain method (procedure) time: 2025-02-06 09:35:00+0100 Containers - Type Additive[x] * Microscope slide (physical object) Microscope slide mounting medium (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_2_1_HE_03
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/430856003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 430856003
    display:
      v: Tissue section (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenBlock02
  reference:
    v: Specimen/LymphNodeSpecimenBlock02
collection:
  collected: DateTime
    v: 2025-02-06T09:20:00+01:00
  method:
    coding: http://snomed.info/id/13283003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 13283003
      display:
        v: Tissue processing technique (procedure)
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Schnittherstellung (Schnittstufe 3)
  procedure:
    coding: http://snomed.info/id/434472006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434472006
      display:
        v: Sectioning of tissue block (procedure)
  time: DateTime
    v: 2025-02-06T09:20:00+01:00
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: HE-Färbung
  procedure:
    coding: http://snomed.info/id/104210008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 104210008
      display:
        v: Hematoxylin and eosin stain method (procedure)
  time: DateTime
    v: 2025-02-06T09:35:00+01:00
container:
  type:
    coding: http://snomed.info/id/433466003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 433466003
      display:
        v: Microscope slide (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/430862008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 430862008
      display:
        v: Microscope slide mounting medium (substance)

LymphNodeSpecimenSlideHE09
type: Specimen
id:
  v: LymphNodeSpecimenSlideHE09
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenSlideHE09 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+0100 Tissue processing technique (procedure) processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: Schnittherstellung (Schnittstufe 4) procedure: Sectioning of tissue block (procedure) time: 2025-02-06 09:25:00+0100 processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: HE-Färbung procedure: Hematoxylin and eosin stain method (procedure) time: 2025-02-06 09:40:00+0100 Containers - Type Additive[x] * Microscope slide (physical object) Microscope slide mounting medium (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_2_1_HE_04
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/430856003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 430856003
    display:
      v: Tissue section (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenBlock02
  reference:
    v: Specimen/LymphNodeSpecimenBlock02
collection:
  collected: DateTime
    v: 2025-02-06T09:25:00+01:00
  method:
    coding: http://snomed.info/id/13283003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 13283003
      display:
        v: Tissue processing technique (procedure)
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Schnittherstellung (Schnittstufe 4)
  procedure:
    coding: http://snomed.info/id/434472006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434472006
      display:
        v: Sectioning of tissue block (procedure)
  time: DateTime
    v: 2025-02-06T09:25:00+01:00
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: HE-Färbung
  procedure:
    coding: http://snomed.info/id/104210008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 104210008
      display:
        v: Hematoxylin and eosin stain method (procedure)
  time: DateTime
    v: 2025-02-06T09:40:00+01:00
container:
  type:
    coding: http://snomed.info/id/433466003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 433466003
      display:
        v: Microscope slide (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/430862008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 430862008
      display:
        v: Microscope slide mounting medium (substance)

LymphNodeSpecimenSlideHE10
type: Specimen
id:
  v: LymphNodeSpecimenSlideHE10
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Specimen LymphNodeSpecimenSlideHE10 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+0100 Tissue processing technique (procedure) processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: Schnittherstellung (Schnittstufe 5) procedure: Sectioning of tissue block (procedure) time: 2025-02-06 09:30:00+0100 processing MII EX Biobank Temperaturbedingungen: 20-25 °C description: HE-Färbung procedure: Hematoxylin and eosin stain method (procedure) time: 2025-02-06 09:45:00+0100 Containers - Type Additive[x] * Microscope slide (physical object) Microscope slide mounting medium (substance)
identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211_A_2_1_HE_05
accession identifier:
  system:
    v: https://pathologie.example-hospital.de/fhir/fn/befundbericht
    l: befundbericht
  value:
    v: E_25_211
status:
  v: available
type:
  coding: http://snomed.info/id/430856003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 430856003
    display:
      v: Tissue section (specimen)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
parent:
  l: LymphNodeSpecimenBlock02
  reference:
    v: Specimen/LymphNodeSpecimenBlock02
collection:
  collected: DateTime
    v: 2025-02-06T09:30:00+01:00
  method:
    coding: http://snomed.info/id/13283003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 13283003
      display:
        v: Tissue processing technique (procedure)
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: Schnittherstellung (Schnittstufe 5)
  procedure:
    coding: http://snomed.info/id/434472006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 434472006
      display:
        v: Sectioning of tissue block (procedure)
  time: DateTime
    v: 2025-02-06T09:30:00+01:00
processing:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
      l: Temperaturbedingungen
    value: Range
  description:
    v: HE-Färbung
  procedure:
    coding: http://snomed.info/id/104210008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 104210008
      display:
        v: Hematoxylin and eosin stain method (procedure)
  time: DateTime
    v: 2025-02-06T09:45:00+01:00
container:
  type:
    coding: http://snomed.info/id/433466003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 433466003
      display:
        v: Microscope slide (physical object)
  additive: CodeableConcept
    coding: http://snomed.info/id/430862008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 430862008
      display:
        v: Microscope slide mounting medium (substance)

LymphNodeMacroscopicGrouper
type: Observation
id:
  v: LymphNodeMacroscopicGrouper
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroscopicGrouper 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: Observation Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy Observation Lymph nodes examined [#] in Cancer specimen by Light microscopy Observation Length of lymph node in excised specimen (observable entity) Observation Length of lymph node in excised specimen (observable entity) 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)'
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/22634-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22634-0
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-06T08:30:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
body site:
  coding: http://snomed.info/id/68171009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 68171009
    display:
      v: Axillary lymph node structure (body structure)
has member:
  l: LymphNodeMacroSLNExamined
  reference:
    v: Observation/LymphNodeMacroSLNExamined
has member:
  l: LymphNodeMacroTotalExamined
  reference:
    v: Observation/LymphNodeMacroTotalExamined
has member:
  l: LymphNodeMacroSLN1Size
  reference:
    v: Observation/LymphNodeMacroSLN1Size
has member:
  l: LymphNodeMacroSLN2Size
  reference:
    v: Observation/LymphNodeMacroSLN2Size
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMacroSLNExamined
type: Observation
id:
  v: LymphNodeMacroSLNExamined
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroSLNExamined 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)'
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22634-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22634-0
code:
  coding: https://loinc.org/rdf/85347-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85347-3
    display:
      v: Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-06T08:30:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 2
  unit:
    v: nodes
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {nodes}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMacroTotalExamined
type: Observation
id:
  v: LymphNodeMacroTotalExamined
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroTotalExamined 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)'
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22634-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22634-0
code:
  coding: https://loinc.org/rdf/92833-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 92833-3
    display:
      v: Lymph nodes examined [#] in Cancer specimen by Light microscopy
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-06T08:30:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 2
  unit:
    v: nodes
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {nodes}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMacroSLN1Size
type: Observation
id:
  v: LymphNodeMacroSLN1Size
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroSLN1Size 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)'
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22634-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22634-0
code:
  coding: http://snomed.info/id/364109001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 364109001
    display:
      v: Length of lymph node in excised specimen (observable entity)
  text:
    v: SLN #1 Größe
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-06T08:30:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: String
  v: 12 x 8 x 6 mm, Patentblau-markiert
body site:
  coding: http://snomed.info/id/68171009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 68171009
    display:
      v: Axillary lymph node structure (body structure)
specimen:
  l: LymphNodeSpecimenBlock01
  reference:
    v: Specimen/LymphNodeSpecimenBlock01
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMacroSLN2Size
type: Observation
id:
  v: LymphNodeMacroSLN2Size
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroSLN2Size 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)'
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22634-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22634-0
code:
  coding: http://snomed.info/id/364109001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 364109001
    display:
      v: Length of lymph node in excised specimen (observable entity)
  text:
    v: SLN #2 Größe
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-06T08:30:00+01:00
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: String
  v: 10 x 7 x 5 mm, Patentblau-markiert
body site:
  coding: http://snomed.info/id/68171009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 68171009
    display:
      v: Axillary lymph node structure (body structure)
specimen:
  l: LymphNodeSpecimenBlock02
  reference:
    v: Specimen/LymphNodeSpecimenBlock02
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeDiagnosticConclusionGrouper
type: Observation
id:
  v: LymphNodeDiagnosticConclusionGrouper
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeDiagnosticConclusionGrouper Profile: MII PR Patho Diagnostic Conclusion Grouper version: 2026.0.0 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: Observation Surgery procedure for regional nodes at facility.YYY Cancer Observation Anatomic part Laterality Observation Regional lymph nodes examined [#] Specimen Observation Regional lymph nodes positive [#] Specimen Observation Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy Observation Number of sentinel lymph nodes containing metastatic neoplasm in excised specimen (observable entity) Observation Lymph nodes examined [#] in Cancer specimen by Light microscopy Observation Lymph nodes with metastasis [#] in Cancer specimen Observation Lymph nodes with macrometastases [#] in Cancer specimen by Light microscopy Observation Lymph nodes with micrometastases [#] in Cancer specimen by Light microscopy Observation Lymph nodes with isolated tumor cells [#] in Cancer specimen by Light microscopy Observation Lymph node metastatic deposit.max dimension [Length] in Cancer specimen by Light microscopy Observation Extranodal extension of carcinoma [Presence] in Cancer specimen by Light microscopy Observation pN category (observable entity) Observation Pathology report comments [Interpretation] Narrative 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
code:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
has member:
  l: LymphNodeProcedure
  reference:
    v: Observation/LymphNodeProcedure
has member:
  l: LymphNodeLaterality
  reference:
    v: Observation/LymphNodeLaterality
has member:
  l: LymphNodeNonSLNExamined
  reference:
    v: Observation/LymphNodeNonSLNExamined
has member:
  l: LymphNodeNonSLNPositive
  reference:
    v: Observation/LymphNodeNonSLNPositive
has member:
  l: LymphNodeSLNExamined
  reference:
    v: Observation/LymphNodeSLNExamined
has member:
  l: LymphNodeSLNPositive
  reference:
    v: Observation/LymphNodeSLNPositive
has member:
  l: LymphNodeTotalExamined
  reference:
    v: Observation/LymphNodeTotalExamined
has member:
  l: LymphNodeTotalPositive
  reference:
    v: Observation/LymphNodeTotalPositive
has member:
  l: LymphNodeMacroMetCount
  reference:
    v: Observation/LymphNodeMacroMetCount
has member:
  l: LymphNodeMicroMetCount
  reference:
    v: Observation/LymphNodeMicroMetCount
has member:
  l: LymphNodeITCCount
  reference:
    v: Observation/LymphNodeITCCount
has member:
  l: LymphNodeLargestMetSize
  reference:
    v: Observation/LymphNodeLargestMetSize
has member:
  l: LymphNodeExtranodalExtension
  reference:
    v: Observation/LymphNodeExtranodalExtension
has member:
  l: LymphNodePN
  reference:
    v: Observation/LymphNodePN
has member:
  l: LymphNodeComment
  reference:
    v: Observation/LymphNodeComment
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeProcedure
type: Observation
id:
  v: LymphNodeProcedure
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeProcedure 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/21877-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21877-6
    display:
      v: Surgery procedure for regional nodes at facility.YYY Cancer
  text:
    v: LK OP Prozedur
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: CodeableConcept
  coding: http://snomed.info/id/396487001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 396487001
    display:
      v: Sentinel lymph node biopsy (procedure)
  text:
    v: Sentinel-Lymphknoten-Biopsie
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeLaterality
type: Observation
id:
  v: LymphNodeLaterality
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeLaterality 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/20228-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 20228-3
    display:
      v: Anatomic part Laterality
  text:
    v: Seitenangabe
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: CodeableConcept
  coding: http://snomed.info/id/7771000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 7771000
    display:
      v: Left (qualifier value)
  text:
    v: Links
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeNonSLNExamined
type: Observation
id:
  v: LymphNodeNonSLNExamined
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeNonSLNExamined 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/21894-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21894-1
    display:
      v: Regional lymph nodes examined [#] Specimen
  text:
    v: Anzahl untersuchter Non-SLN-axillärer LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 0
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeNonSLNPositive
type: Observation
id:
  v: LymphNodeNonSLNPositive
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeNonSLNPositive 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/21893-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 21893-3
    display:
      v: Regional lymph nodes positive [#] Specimen
  text:
    v: Anzahl befallener Non-SLN-axillärer LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 0
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeSLNExamined
type: Observation
id:
  v: LymphNodeSLNExamined
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeSLNExamined 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85347-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85347-3
    display:
      v: Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy
  text:
    v: Anzahl untersuchter Sentinel-LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 2
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeSLNPositive
type: Observation
id:
  v: LymphNodeSLNPositive
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeSLNPositive 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: http://snomed.info/id/1264491009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1264491009
    display:
      v: Number of sentinel lymph nodes containing metastatic neoplasm in excised specimen (observable entity)
  text:
    v: Anzahl befallener Sentinel-LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 1
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeTotalExamined
type: Observation
id:
  v: LymphNodeTotalExamined
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeTotalExamined 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/92833-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 92833-3
    display:
      v: Lymph nodes examined [#] in Cancer specimen by Light microscopy
  text:
    v: Gesamtzahl untersuchter Lymphknoten
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 2
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeTotalPositive
type: Observation
id:
  v: LymphNodeTotalPositive
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeTotalPositive 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/92831-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 92831-7
    display:
      v: Lymph nodes with metastasis [#] in Cancer specimen
  text:
    v: Gesamtzahl befallener Lymphknoten
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 1
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMacroMetCount
type: Observation
id:
  v: LymphNodeMacroMetCount
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMacroMetCount 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85343-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85343-2
    display:
      v: Lymph nodes with macrometastases [#] in Cancer specimen by Light microscopy
  text:
    v: Gesamtzahl makrometastatisch befallener LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 0
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeMicroMetCount
type: Observation
id:
  v: LymphNodeMicroMetCount
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeMicroMetCount 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85344-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85344-0
    display:
      v: Lymph nodes with micrometastases [#] in Cancer specimen by Light microscopy
  text:
    v: Gesamtzahl mikrometastatisch befallener LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 1
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeITCCount
type: Observation
id:
  v: LymphNodeITCCount
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeITCCount 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85352-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85352-3
    display:
      v: Lymph nodes with isolated tumor cells [#] in Cancer specimen by Light microscopy
  text:
    v: Gesamtzahl ausschließlich ITC-befallener LK
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 0
  unit:
    v: {count}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {count}
specimen:
  l: LymphNodeSpecimenPart
  reference:
    v: Specimen/LymphNodeSpecimenPart
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeLargestMetSize
type: Observation
id:
  v: LymphNodeLargestMetSize
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeLargestMetSize 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85351-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85351-5
    display:
      v: Lymph node metastatic deposit.max dimension [Length] in Cancer specimen by Light microscopy
  text:
    v: Ausdehnung der größten metastatischen Infiltration
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: Quantity
  value:
    v: 1.2
  unit:
    v: mm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: mm
specimen:
  l: LymphNodeSpecimenSlideHE01
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE01
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodeExtranodalExtension
type: Observation
id:
  v: LymphNodeExtranodalExtension
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeExtranodalExtension 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/85350-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85350-7
    display:
      v: Extranodal extension of carcinoma [Presence] in Cancer specimen by Light microscopy
  text:
    v: Extranodale Infiltration durch LK-Metastase
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: CodeableConcept
  coding: http://snomed.info/id/2667000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 2667000
    display:
      v: Absent (qualifier value)
  text:
    v: Nicht vorhanden
specimen:
  l: LymphNodeSpecimenSlideHE01
  reference:
    v: Specimen/LymphNodeSpecimenSlideHE01
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

LymphNodePN
type: Observation
id:
  v: LymphNodePN
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tnm-n-kategorie
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodePN 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
status:
  v: final
code:
  extension:
    url:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-tnm-cp-praefix
      l: mii-ex-onko-tnm-cp-praefix
    value: CodeableConcept
  coding: http://snomed.info/id/371494008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 371494008
    display:
      v: pN category (observable entity)
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
value: CodeableConcept
  coding:
    system:
      v: https://www.uicc.org/resources/tnm
      l: tnm
    code:
      v: N1mi(sn)
    display:
      v: N1mi(sn)
method:
  coding:
    system:
      v: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-tnm-version
      l: mii-cs-onko-tnm-version
    code:
      v: 8
    display:
      v: 8. Auflage

LymphNodeComment
type: Observation
id:
  v: LymphNodeComment
meta:
  profile:
    v: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0
    l: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation LymphNodeComment 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)'
based on:
  l: LymphNodeReportRequest
  reference:
    v: ServiceRequest/LymphNodeReportRequest
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/22637-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22637-3
code:
  coding: https://loinc.org/rdf/22638-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 22638-1
    display:
      v: Pathology report comments [Interpretation] Narrative
  text:
    v: Kommentar
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
effective: DateTime
  v: 2025-02-10
performer:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
value: String
  v: 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.
derived from:
  l: QuestionnaireResponseLymphNode
  reference:
    v: QuestionnaireResponse/QuestionnaireResponseLymphNode

QuestionnaireResponseLymphNode
type: QuestionnaireResponse
id:
  v: QuestionnaireResponseLymphNode
text:
  status:
    v: generated
  div:
    v: Generated Narrative: QuestionnaireResponse QuestionnaireResponseLymphNode LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> QuestionnaireResponseLymphNode Questionnaire:http://breastcancerspec.org/Questionnaire/OP_LN-Mamma #xD; sln.root SLN-Biopsie Axilla #xD; sln.clinical Klinische Angaben #xD; 11951 Proben limitiert auswertbar SNOMED CT: 373067005 (No (qualifier value)) #xD; 11950 LK-Biopsie veranlassende klinische/bildgebende Befunde Invasives Mammakarzinom NST links, cN0 #xD; 11148 Bildgebende Befunde Mammografie, Sonographie: Axilla klinisch unauffällig #xD; 10210 Neoadjuvante Therapie SNOMED CT: 373067005 (No (qualifier value)) #xD; sln.macro Makroskopie #xD; sln.macro.sln1 SLN #1 Größe 12 x 8 x 6 mm, Patentblau-markiert #xD; sln.macro.sln2 SLN #2 Größe 10 x 7 x 5 mm, Patentblau-markiert #xD; sln.findings Axilläre Lymphknotenpräparate #xD; 11540 LK OP Prozedur SNOMED CT: 396487001 (Sentinel lymph node biopsy (procedure)) #xD; 11620 Seitenangabe SNOMED CT: 7771000 (Left (qualifier value)) #xD; 11630 Anzahl der untersuchten (nonSLN)-axillären LK 0 #xD; 11640 Anzahl der befallenen (nonSLN)-axillären LK 0 #xD; 11650 Anzahl der untersuchten Sentinel-LK 2 #xD; 11660 Anzahl der befallenen Sentinel-LK 1 #xD; 11944 Gesamtzahl untersuchter Lymphknoten 2 #xD; 11945 Gesamtzahl befallener Lymphknoten 1 #xD; 11947 Gesamtzahl makrometastatisch befallener Lymphknoten 0 #xD; 11948 Gesamtzahl mikrometastatisch befallener Lymphknoten 1 #xD; 11946 Gesamtzahl ausschließlich ITC-befallener Lymphknoten 0 #xD; 11690 Ausdehnung der größten metastatischen Infiltration 1.2 mm (Details: UCUM codemm = 'mm') #xD; 11700 Extranodale Infiltration durch LK-Metastase SNOMED CT: 2667000 (Absent (qualifier value)) #xD; sln.tnm Pathologisches TNM-Staging #xD; 175 Regionäre Lymphknoten (pN-Kategorie) pN1mi(sn) #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
questionnaire:
  v: http://breastcancerspec.org/Questionnaire/OP_LN-Mamma
  l: OP LN-Mamma
status:
  v: completed
subject:
  l: Patient4
  reference:
    v: Patient/Patient4
authored:
  v: 2025-02-10T14:30:00+01:00
author:
  l: PathologistPractitioner
  reference:
    v: Practitioner/PathologistPractitioner
item:
  link id:
    v: sln.root
  text:
    v: SLN-Biopsie Axilla
  item:
    link id:
      v: sln.clinical
    text:
      v: Klinische Angaben
    item:
      link id:
        v: 11951
      text:
        v: Proben limitiert auswertbar
      answer:
        value: Coding
    item:
      link id:
        v: 11950
      text:
        v: LK-Biopsie veranlassende klinische/bildgebende Befunde
      answer:
        value: String
    item:
      link id:
        v: 11148
      text:
        v: Bildgebende Befunde
      answer:
        value: String
    item:
      link id:
        v: 10210
      text:
        v: Neoadjuvante Therapie
      answer:
        value: Coding
  item:
    link id:
      v: sln.macro
    text:
      v: Makroskopie
    item:
      link id:
        v: sln.macro.sln1
      text:
        v: SLN #1 Größe
      answer:
        value: String
    item:
      link id:
        v: sln.macro.sln2
      text:
        v: SLN #2 Größe
      answer:
        value: String
  item:
    link id:
      v: sln.findings
    text:
      v: Axilläre Lymphknotenpräparate
    item:
      link id:
        v: 11540
      text:
        v: LK OP Prozedur
      answer:
        value: Coding
    item:
      link id:
        v: 11620
      text:
        v: Seitenangabe
      answer:
        value: Coding
    item:
      link id:
        v: 11630
      text:
        v: Anzahl der untersuchten (nonSLN)-axillären LK
      answer:
        value: Integer
    item:
      link id:
        v: 11640
      text:
        v: Anzahl der befallenen (nonSLN)-axillären LK
      answer:
        value: Integer
    item:
      link id:
        v: 11650
      text:
        v: Anzahl der untersuchten Sentinel-LK
      answer:
        value: Integer
    item:
      link id:
        v: 11660
      text:
        v: Anzahl der befallenen Sentinel-LK
      answer:
        value: Integer
    item:
      link id:
        v: 11944
      text:
        v: Gesamtzahl untersuchter Lymphknoten
      answer:
        value: Integer
    item:
      link id:
        v: 11945
      text:
        v: Gesamtzahl befallener Lymphknoten
      answer:
        value: Integer
    item:
      link id:
        v: 11947
      text:
        v: Gesamtzahl makrometastatisch befallener Lymphknoten
      answer:
        value: Integer
    item:
      link id:
        v: 11948
      text:
        v: Gesamtzahl mikrometastatisch befallener Lymphknoten
      answer:
        value: Integer
    item:
      link id:
        v: 11946
      text:
        v: Gesamtzahl ausschließlich ITC-befallener Lymphknoten
      answer:
        value: Integer
    item:
      link id:
        v: 11690
      text:
        v: Ausdehnung der größten metastatischen Infiltration
      answer:
        value: Quantity
    item:
      link id:
        v: 11700
      text:
        v: Extranodale Infiltration durch LK-Metastase
      answer:
        value: Coding
  item:
    link id:
      v: sln.tnm
    text:
      v: Pathologisches TNM-Staging
    item:
      link id:
        v: 175
      text:
        v: Regionäre Lymphknoten (pN-Kategorie)
      answer:
        value: String

v: 2

v: °C

v: Cel

v: 8

v: °C

v: Cel

v: 2

v: °C

v: Cel

v: 8

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: 20

v: °C

v: Cel

v: 25

v: °C

v: Cel

v: p

v: p

Coding
type: http://snomed.info/id/373067005
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 373067005
display:
  v: No (qualifier value)

String
v: Invasives Mammakarzinom NST links, cN0

String
v: Mammografie, Sonographie: Axilla klinisch unauffällig

Coding
type: http://snomed.info/id/373067005
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 373067005
display:
  v: No (qualifier value)

String
v: 12 x 8 x 6 mm, Patentblau-markiert

String
v: 10 x 7 x 5 mm, Patentblau-markiert

Coding
type: http://snomed.info/id/396487001
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 396487001
display:
  v: Sentinel lymph node biopsy (procedure)

Coding
type: http://snomed.info/id/7771000
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 7771000
display:
  v: Left (qualifier value)

Integer
v: 0

Integer
v: 0

Integer
v: 2

Integer
v: 1

Integer
v: 2

Integer
v: 1

Integer
v: 0

Integer
v: 1

Integer
v: 0

Quantity
value:
  v: 1.2
unit:
  v: mm
system:
  v: http://unitsofmeasure.org
  l: unitsofmeasure.org
code:
  v: mm

Coding
type: http://snomed.info/id/2667000
system:
  v: http://snomed.info/sct
  l: sct
code:
  v: 2667000
display:
  v: Absent (qualifier value)

String
v: pN1mi(sn)