Breast Cancer Specification
0.1.0 - ci-build
Breast Cancer Specification
0.1.0 - ci-build
Breast Cancer Specification - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "DiagnosticReport",
"id" : "BreastResectionReport",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport BreastResectionReport</b></p><a name=\"BreastResectionReport\"> </a><a name=\"hcBreastResectionReport\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.patho@2026.0.0&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report\">MII PR Patho Report</a> version: 2026.0.0</p></div><h2><span title=\"Codes:{http://loinc.org 60568-3}\">Pathology Synoptic report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 SP}\">Surgical Pathology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)</td></tr><tr><td>When For</td><td>2025-02-10 14:00:00+0100</td></tr><tr><td>Reported</td><td>2025-02-10 17:00:00+0100</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Elisabeth Hoffmann </a></td></tr><tr><td>Identifier</td><td> Accession ID/E_25_210</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-BreastResectionMacroscopicGrouper.html\"><span title=\"Codes:{http://loinc.org 22634-0}\">Pathology report gross observation Narrative</span></a> (<span title=\"Codes:{http://snomed.info/sct 76752008}\">Breast structure (body structure)</span>)</td><td/><td>Final</td><td>2025-02-06 08:30:00+0100</td></tr><tr><td><a href=\"Observation-BreastResectionDiagnosticConclusionGrouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2025-02-10</td></tr></table><p>Invasives Mammakarzinom NST (ICD-O 8500/3), pT1c, Nottingham Grad 2 (Score 6: Tubuli 3, Kernpleomorphie 2, Mitosen 1). Begleitendes DCIS, intermediärer Kerngrad, kribriform, fokale Komedo-Nekrosen. Alle Resektionsränder tumorfrei (invasiv 5 mm, DCIS 3 mm). Keine LVI. ER+ (90%), PR+ (60%), HER2 1+ (nicht amplifiziert), Ki-67 15%.</p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN",
"display" : "Accession ID"
}
]
},
"system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
"value" : "E_25_210"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/BreastResectionReportRequest"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "SP",
"display" : "Surgical Pathology"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60568-3",
"display" : "Pathology Synoptic report"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient4"
},
"effectiveDateTime" : "2025-02-10T14:00:00+01:00",
"issued" : "2025-02-10T17:00:00+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/BreastResectionSpecimenPart"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock02"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock03"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock04"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock05"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenBlock06"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideHE01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideHE02"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideER01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlidePR01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideHER2IHC01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideKi67-01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideCK18-01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlidep40-01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideECad-01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideBlock02-HE01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideBlock02-HE02"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideRR-Superior-HE01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideRR-Inferior-HE01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideRR-Medial-HE01"
},
{
🔗 "reference" : "Specimen/BreastResectionSpecimenSlideRR-Lateral-HE01"
}
],
"result" : [
{
🔗 "reference" : "Observation/BreastResectionMacroscopicGrouper"
},
{
🔗 "reference" : "Observation/BreastResectionDiagnosticConclusionGrouper"
}
],
"conclusion" : "Invasives Mammakarzinom NST (ICD-O 8500/3), pT1c, Nottingham Grad 2 (Score 6: Tubuli 3, Kernpleomorphie 2, Mitosen 1). Begleitendes DCIS, intermediärer Kerngrad, kribriform, fokale Komedo-Nekrosen. Alle Resektionsränder tumorfrei (invasiv 5 mm, DCIS 3 mm). Keine LVI. ER+ (90%), PR+ (60%), HER2 1+ (nicht amplifiziert), Ki-67 15%."
}