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
<Observation xmlns="http://hl7.org/fhir">
<id value="CoreNeedleBiopsyNottinghamGrade"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation CoreNeedleBiopsyNottinghamGrade</b></p><a name="CoreNeedleBiopsyNottinghamGrade"> </a><a name="hcCoreNeedleBiopsyNottinghamGrade"> </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-finding">MII PR Patho Finding</a> version: 2026.0.0</p></div><p><b>basedOn</b>: <a href="ServiceRequest-CoreNeedleBiopsyReportRequest.html">ServiceRequest Breast Pathology biopsy 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 44648-4}">Histologischer Tumorgrad (Elston-Ellis-Grad)</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>: 2025-01-17</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 1155703007}">Nottingham Grad 2 (Score 6)</span></p><p><b>specimen</b>: <a href="Specimen-CoreNeedleBiopsySpecimenSlideHE01.html">Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_105_A_1_1_HE_01; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_105; status = available; type = Tissue section (specimen)</a></p><p><b>derivedFrom</b>: </p><ul><li><a href="QuestionnaireResponse-QuestionnaireResponseCoreNeedleBiopsy.html">Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/Core-Needle-Biopsy' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'</a></li><li><a href="Observation-CoreNeedleBiopsyNottinghamSummaryScore.html">Observation Nottingham total score of primary malignant neoplasm of breast (observable entity)</a></li></ul></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/CoreNeedleBiopsyReportRequest"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="22637-3"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="44648-4"/>
<display
value="Histologic grade [Score] in Breast cancer specimen by Nottingham"/>
</coding>
<text value="Histologischer Tumorgrad (Elston-Ellis-Grad)"/>
</code>
<subject>🔗
<reference value="Patient/Patient4"/>
</subject>
<effectiveDateTime value="2025-01-17"/>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1155703007"/>
<display
value="G2: Moderately differentiated histologic grade (qualifier value)"/>
</coding>
<text value="Nottingham Grad 2 (Score 6)"/>
</valueCodeableConcept>
<specimen>🔗
<reference value="Specimen/CoreNeedleBiopsySpecimenSlideHE01"/>
</specimen>
<derivedFrom>🔗
<reference
value="QuestionnaireResponse/QuestionnaireResponseCoreNeedleBiopsy"/>
</derivedFrom>
<derivedFrom>🔗
<reference value="Observation/CoreNeedleBiopsyNottinghamSummaryScore"/>
</derivedFrom>
</Observation>