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="IntegratedDiagnosticConclusionGrouper"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|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 IntegratedDiagnosticConclusionGrouper</b></p><a name="IntegratedDiagnosticConclusionGrouper"> </a><a name="hcIntegratedDiagnosticConclusionGrouper"> </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-diagnostic-conclusion-grouper">MII PR Patho Diagnostic Conclusion Grouper</a> version: 2026.0.0</p></div><p><b>basedOn</b>: <a href="ServiceRequest-IntegratedReportRequest.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-IntegratedOperativeProcedure.html">Observation Surgery procedure</a></li><li><a href="Observation-IntegratedMaterialType.html">Observation Specimen type</a></li><li><a href="Observation-IntegratedLaterality.html">Observation Specimen laterality (observable entity)</a></li><li><a href="Observation-IntegratedAttachedTissue.html">Observation Body structure included in specimen [Anatomy] in Specimen</a></li><li><a href="Observation-IntegratedFocality.html">Observation Qualitative distribution of primary malignant neoplasm of breast in excised breast specimen (observable entity)</a></li><li><a href="Observation-IntegratedMaxDiameterInvasive.html">Observation Inv comp size max dim BT</a></li><li><a href="Observation-IntegratedMaxOverallDiameter.html">Observation Size.maximum dimension in Tumor</a></li><li><a href="Observation-IntegratedHistologicalType.html">Observation Histo type BT</a></li><li><a href="Observation-IntegratedMorphologyFreeText.html">Observation Histology type in Cancer specimen Narrative</a></li><li><a href="Observation-IntegratedNottinghamGrade.html">Observation Histologic grade [Score] in Breast cancer specimen by Nottingham</a></li><li><a href="Observation-IntegratedTubuleScore.html">Observation Glandular differentiation [Score] in Breast cancer specimen by Nottingham</a></li><li><a href="Observation-IntegratedNuclearPleomorphism.html">Observation Nuclear pleomorphism in Breast tumor by Nottingham</a></li><li><a href="Observation-IntegratedMitosisCount.html">Observation Number of mitoses per 10 high power fields (observable entity)</a></li><li><a href="Observation-IntegratedMitoticRateScore.html">Observation Mitotic rate [Score] in Breast cancer specimen by Nottingham</a></li><li><a href="Observation-IntegratedElstonEllisScore.html">Observation Nottingham total score of primary malignant neoplasm of breast (observable entity)</a></li><li><a href="Observation-IntegratedAssociatedDCIS.html">Observation DCIS intraduct ext Br ca spec Ql Micro</a></li><li><a href="Observation-IntegratedDCISGrade.html">Observation Nuclear grade of ductal carcinoma in situ of breast (observable entity)</a></li><li><a href="Observation-IntegratedDCISArchitecture.html">Observation Growth pattern of DCIS [Type] in Breast cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedDCISNecrosis.html">Observation DCIS necrosis [Type] in Breast cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedTumorExtent.html">Observation Adjacent structure invaded by tumor [Anatomy] in Breast cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedMarginStatusInvasive.html">Observation Margin involved BT</a></li><li><a href="Observation-IntegratedClosestMargin.html">Observation IC uninv marg closest BT</a></li><li><a href="Observation-IntegratedMinDistanceInvasive.html">Observation IC uninv marg dist closest BT</a></li><li><a href="Observation-IntegratedMarginStatusNonInvasive.html">Observation Surgical margin DCIS involvement [Presence] in Breast cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedMinDistanceNonInvasive.html">Observation DCIS.uninv marg dist.closest BT</a></li><li><a href="Observation-IntegratedLVI.html">Observation Lymph-vascular invasion Ca spec</a></li><li><a href="Observation-IntegratedMicrocalcification.html">Observation Presence of microcalcification in excised breast specimen (observable entity)</a></li><li><a href="Observation-IntegratedERStatus.html">Observation Estrogen receptor [Interpretation] in Tissue</a></li><li><a href="Observation-IntegratedERPercentage.html">Observation Cells.estrogen receptor/cells in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedERIntensity.html">Observation Estrogen receptor fluorescence intensity [Type] in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedPRStatus.html">Observation Progesterone receptor [Interpretation] in Tissue</a></li><li><a href="Observation-IntegratedPRPercentage.html">Observation Cells.progesterone receptor/cells in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedPRIntensity.html">Observation Progesterone receptor fluorescence intensity [Type] in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedHER2IHC.html">Observation HER2 [Presence] in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedHER2ISH.html">Observation ERBB2 gene duplication [Presence] in Breast cancer specimen by FISH</a></li><li><a href="Observation-IntegratedHER2Overall.html">Observation HER2 [Interpretation] in Tissue</a></li><li><a href="Observation-IntegratedKi67.html">Observation Cells.Ki-67 nuclear Ag/cells in Breast cancer specimen by Immune stain</a></li><li><a href="Observation-IntegratedPT.html">Observation pT category (observable entity)</a></li><li><a href="Observation-IntegratedBETComment.html">Observation Pathology report comments [Interpretation] Narrative</a></li><li><a href="Observation-IntegratedLymphNodeProcedure.html">Observation Surgery procedure for regional nodes at facility.YYY Cancer</a></li><li><a href="Observation-IntegratedLymphNodeLaterality.html">Observation Anatomic part Laterality</a></li><li><a href="Observation-IntegratedNonSLNExamined.html">Observation Regional lymph nodes examined [#] Specimen</a></li><li><a href="Observation-IntegratedNonSLNPositive.html">Observation Regional lymph nodes positive [#] Specimen</a></li><li><a href="Observation-IntegratedSLNExamined.html">Observation Sentinel lymph nodes examined [#] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedSLNPositive.html">Observation Number of sentinel lymph nodes containing metastatic neoplasm in excised specimen (observable entity)</a></li><li><a href="Observation-IntegratedTotalExamined.html">Observation Lymph nodes examined [#] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedTotalPositive.html">Observation Lymph nodes with metastasis [#] in Cancer specimen</a></li><li><a href="Observation-IntegratedMacroMetCount.html">Observation Lymph nodes with macrometastases [#] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedMicroMetCount.html">Observation Lymph nodes with micrometastases [#] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedITCCount.html">Observation Lymph nodes with isolated tumor cells [#] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedLargestMetSize.html">Observation Lymph node metastatic deposit.max dimension [Length] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedExtranodalExtension.html">Observation Extranodal extension of carcinoma [Presence] in Cancer specimen by Light microscopy</a></li><li><a href="Observation-IntegratedPN.html">Observation pN category (observable entity)</a></li><li><a href="Observation-IntegratedSLNComment.html">Observation Pathology report comments [Interpretation] Narrative</a></li></ul><p><b>derivedFrom</b>: </p><ul><li><a href="QuestionnaireResponse-IntegratedQRBreastResection.html">Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_Mamma_GH' about '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'</a></li><li><a href="QuestionnaireResponse-IntegratedQRLymphNode.html">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)'</a></li></ul></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/IntegratedReportRequest"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="22637-3"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient4"/>
</subject>
<effectiveDateTime value="2025-02-10"/>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
</performer>
<hasMember>🔗
<reference value="Observation/IntegratedOperativeProcedure"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMaterialType"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedLaterality"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedAttachedTissue"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedFocality"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMaxDiameterInvasive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMaxOverallDiameter"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedHistologicalType"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMorphologyFreeText"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedNottinghamGrade"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedTubuleScore"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedNuclearPleomorphism"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMitosisCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMitoticRateScore"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedElstonEllisScore"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedAssociatedDCIS"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedDCISGrade"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedDCISArchitecture"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedDCISNecrosis"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedTumorExtent"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMarginStatusInvasive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedClosestMargin"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMinDistanceInvasive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMarginStatusNonInvasive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMinDistanceNonInvasive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedLVI"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMicrocalcification"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedERStatus"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedERPercentage"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedERIntensity"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedPRStatus"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedPRPercentage"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedPRIntensity"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedHER2IHC"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedHER2ISH"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedHER2Overall"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedKi67"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedPT"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedBETComment"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedLymphNodeProcedure"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedLymphNodeLaterality"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedNonSLNExamined"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedNonSLNPositive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedSLNExamined"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedSLNPositive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedTotalExamined"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedTotalPositive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMacroMetCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedMicroMetCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedITCCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedLargestMetSize"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedExtranodalExtension"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedPN"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/IntegratedSLNComment"/>
</hasMember>
<derivedFrom>🔗
<reference value="QuestionnaireResponse/IntegratedQRBreastResection"/>
</derivedFrom>
<derivedFrom>🔗
<reference value="QuestionnaireResponse/IntegratedQRLymphNode"/>
</derivedFrom>
</Observation>