{
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    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation BreastResectionDiagnosticConclusionGrouper</b></p><a name=\"BreastResectionDiagnosticConclusionGrouper\"> </a><a name=\"hcBreastResectionDiagnosticConclusionGrouper\"> </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&amp;canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper\">MII PR Patho Diagnostic Conclusion Grouper</a> version: 2026.0.0</p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-BreastResectionReportRequest.html\">ServiceRequest Pathology synoptic report</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></p><p><b>subject</b>: <a href=\"Patient-Patient4.html\">Sabine Becker  Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)</a></p><p><b>effective</b>: 2025-02-10</p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Elisabeth Hoffmann </a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-BreastResectionOperativeProcedure.html\">Observation Surgery procedure</a></li><li><a href=\"Observation-BreastResectionMaterialType.html\">Observation Specimen type</a></li><li><a href=\"Observation-BreastResectionLaterality.html\">Observation Specimen laterality (observable entity)</a></li><li><a href=\"Observation-BreastResectionAttachedTissue.html\">Observation Body structure included in specimen [Anatomy] in Specimen</a></li><li><a href=\"Observation-BreastResectionFocality.html\">Observation Qualitative distribution of primary malignant neoplasm of breast in excised breast specimen (observable entity)</a></li><li><a href=\"Observation-BreastResectionMaxDiameterInvasive.html\">Observation Inv comp size max dim BT</a></li><li><a href=\"Observation-BreastResectionMaxOverallDiameter.html\">Observation Size.maximum dimension in Tumor</a></li><li><a href=\"Observation-BreastResectionHistologicalType.html\">Observation Histo type BT</a></li><li><a href=\"Observation-BreastResectionMorphologyFreeText.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-BreastResectionNottinghamGrade.html\">Observation Nottingham combined grade of primary malignant neoplasm of breast (observable entity)</a></li><li><a href=\"Observation-BreastResectionNottinghamSummaryScore.html\">Observation Nottingham total score of primary malignant neoplasm of breast (observable entity)</a></li><li><a href=\"Observation-BreastResectionMitosisCount.html\">Observation Number of mitoses per 10 high power fields (observable entity)</a></li><li><a href=\"Observation-BreastResectionAssociatedDCIS.html\">Observation DCIS intraduct ext Br ca spec Ql Micro</a></li><li><a href=\"Observation-BreastResectionDCISGrade.html\">Observation Nuclear grade of ductal carcinoma in situ of breast (observable entity)</a></li><li><a href=\"Observation-BreastResectionDCISArchitecture.html\">Observation Growth pattern of DCIS [Type] in Breast cancer specimen by Light microscopy</a></li><li><a href=\"Observation-BreastResectionDCISNecrosis.html\">Observation DCIS necrosis [Type] in Breast cancer specimen by Light microscopy</a></li><li><a href=\"Observation-BreastResectionTumorExtent.html\">Observation Adjacent structure invaded by tumor [Anatomy] in Breast cancer specimen by Light microscopy</a></li><li><a href=\"Observation-BreastResectionMarginStatusInvasive.html\">Observation Margin involved BT</a></li><li><a href=\"Observation-BreastResectionClosestMargin.html\">Observation IC uninv marg closest BT</a></li><li><a href=\"Observation-BreastResectionMinDistanceInvasive.html\">Observation IC uninv marg dist closest BT</a></li><li><a href=\"Observation-BreastResectionMarginStatusNonInvasive.html\">Observation Surgical margin DCIS involvement [Presence] in Breast cancer specimen by Light microscopy</a></li><li><a href=\"Observation-BreastResectionMinDistanceNonInvasive.html\">Observation DCIS.uninv marg dist.closest BT</a></li><li><a href=\"Observation-BreastResectionLVI.html\">Observation Lymph-vascular invasion Ca spec</a></li><li><a href=\"Observation-BreastResectionMicrocalcification.html\">Observation Presence of microcalcification in excised breast specimen (observable entity)</a></li><li><a href=\"Observation-BreastResectionERStatus.html\">Observation Estrogen receptor [Interpretation] in Tissue</a></li><li><a href=\"Observation-BreastResectionERPercentage.html\">Observation Cells.estrogen receptor/cells in Breast cancer specimen by Immune stain</a></li><li><a href=\"Observation-BreastResectionERIntensity.html\">Observation Estrogen receptor fluorescence intensity [Type] in Breast cancer specimen by Immune stain</a></li><li><a href=\"Observation-BreastResectionPRStatus.html\">Observation Progesterone receptor [Interpretation] in Tissue</a></li><li><a href=\"Observation-BreastResectionPRPercentage.html\">Observation Cells.progesterone receptor/cells in Breast cancer specimen by Immune stain</a></li><li><a href=\"Observation-BreastResectionPRIntensity.html\">Observation Intensity of stain of progesterone receptor in primary malignant neoplasm of breast by immunohistochemistry (observable entity)</a></li><li><a href=\"Observation-BreastResectionHER2IHC.html\">Observation HER2 [Presence] in Breast cancer specimen by Immune stain</a></li><li><a href=\"Observation-BreastResectionHER2ISH.html\">Observation Presence of receptor tyrosine-protein kinase erbB-2 in primary malignant neoplasm of breast by in situ hybridization (observable entity)</a></li><li><a href=\"Observation-BreastResectionHER2Overall.html\">Observation HER2 [Interpretation] in Tissue</a></li><li><a href=\"Observation-BreastResectionKi67.html\">Observation Cells.Ki-67 nuclear Ag/cells in Breast cancer specimen by Immune stain</a></li><li><a href=\"Observation-BreastResectionPT.html\">Observation pT category (observable entity)</a></li><li><a href=\"Observation-BreastResectionComment.html\">Observation Pathology report comments [Interpretation] Narrative</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseBreastResection.html\">Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP-Mamma' about '-&gt;Sabine Becker  Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'</a></p></div>"
  },
  "basedOn" : [{
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      "code" : "laboratory"
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  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22637-3"
    }]
  },
  "subject" : {
    "reference" : "Patient/Patient4"
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  "effectiveDateTime" : "2025-02-10",
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
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  "hasMember" : [{
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  {
    "reference" : "Observation/BreastResectionMaterialType"
  },
  {
    "reference" : "Observation/BreastResectionLaterality"
  },
  {
    "reference" : "Observation/BreastResectionAttachedTissue"
  },
  {
    "reference" : "Observation/BreastResectionFocality"
  },
  {
    "reference" : "Observation/BreastResectionMaxDiameterInvasive"
  },
  {
    "reference" : "Observation/BreastResectionMaxOverallDiameter"
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  {
    "reference" : "Observation/BreastResectionHistologicalType"
  },
  {
    "reference" : "Observation/BreastResectionMorphologyFreeText"
  },
  {
    "reference" : "Observation/BreastResectionNottinghamGrade"
  },
  {
    "reference" : "Observation/BreastResectionNottinghamSummaryScore"
  },
  {
    "reference" : "Observation/BreastResectionMitosisCount"
  },
  {
    "reference" : "Observation/BreastResectionAssociatedDCIS"
  },
  {
    "reference" : "Observation/BreastResectionDCISGrade"
  },
  {
    "reference" : "Observation/BreastResectionDCISArchitecture"
  },
  {
    "reference" : "Observation/BreastResectionDCISNecrosis"
  },
  {
    "reference" : "Observation/BreastResectionTumorExtent"
  },
  {
    "reference" : "Observation/BreastResectionMarginStatusInvasive"
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  {
    "reference" : "Observation/BreastResectionClosestMargin"
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  {
    "reference" : "Observation/BreastResectionMinDistanceInvasive"
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  {
    "reference" : "Observation/BreastResectionMarginStatusNonInvasive"
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  {
    "reference" : "Observation/BreastResectionMinDistanceNonInvasive"
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  {
    "reference" : "Observation/BreastResectionLVI"
  },
  {
    "reference" : "Observation/BreastResectionMicrocalcification"
  },
  {
    "reference" : "Observation/BreastResectionERStatus"
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  {
    "reference" : "Observation/BreastResectionERPercentage"
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  {
    "reference" : "Observation/BreastResectionERIntensity"
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    "reference" : "Observation/BreastResectionPRStatus"
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    "reference" : "Observation/BreastResectionPRPercentage"
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    "reference" : "Observation/BreastResectionPRIntensity"
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    "reference" : "Observation/BreastResectionHER2IHC"
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    "reference" : "Observation/BreastResectionHER2ISH"
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    "reference" : "Observation/BreastResectionHER2Overall"
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    "reference" : "Observation/BreastResectionKi67"
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    "reference" : "Observation/BreastResectionPT"
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  "derivedFrom" : [{
    "reference" : "QuestionnaireResponse/QuestionnaireResponseBreastResection"
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}