{
  "resourceType" : "Observation",
  "id" : "BreastResectionLVI",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation BreastResectionLVI</b></p><a name=\"BreastResectionLVI\"> </a><a name=\"hcBreastResectionLVI\"> </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-finding\">MII PR Patho Finding</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>, <span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 59544-7}, {http://snomed.info/sct 371512006}\">Peritumorale Gefäßinvasion</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>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Nicht nachgewiesen</span></p><p><b>specimen</b>: <a href=\"Specimen-BreastResectionSpecimenPart.html\">Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_210; status = available; type = Specimen from breast obtained by excision (specimen); note = BET-Exzisionspräparat Mamma links, unterer äußerer Quadrant, 5 Uhr, 50 mm von Mamille. Mit Haut, Drahthäkchen in situ.</a></p><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" : [{
    "reference" : "ServiceRequest/BreastResectionReportRequest"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  },
  {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22637-3"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "59544-7",
      "display" : "Lymph-vascular invasion Ca spec"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "371512006",
      "display" : "Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)"
    }],
    "text" : "Peritumorale Gefäßinvasion"
  },
  "subject" : {
    "reference" : "Patient/Patient4"
  },
  "effectiveDateTime" : "2025-02-10",
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "2667000",
      "display" : "Absent (qualifier value)"
    }],
    "text" : "Nicht nachgewiesen"
  },
  "specimen" : {
    "reference" : "Specimen/BreastResectionSpecimenPart"
  },
  "derivedFrom" : [{
    "reference" : "QuestionnaireResponse/QuestionnaireResponseBreastResection"
  }]
}