<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="IntegratedMacroClock"/>
  <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 IntegratedMacroClock</b></p><a name="IntegratedMacroClock"> </a><a name="hcIntegratedMacroClock"> </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>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 22634-0}">Pathology report gross observation Narrative</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 85332-5}, {http://snomed.info/sct 3980001000004105}">Zifferblattlokalisation</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>: 2025-02-06 08:30:00+0100</p><p><b>performer</b>: <a href="Practitioner-PathologistPractitioner.html">Practitioner Elisabeth Hoffmann </a></p><p><b>value</b>: 5 o'clock<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{clock position} = '{clock position}')</span></p><p><b>specimen</b>: <a href="Specimen-IntegratedBETSpecimenPart.html">Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_300; status = available; type = Specimen from breast obtained by excision (specimen); note = BET-Exzisionspräparat Mamma links, unterer äußerer Quadrant, 5 Uhr, 50 mm von Mamille. 42 × 35 × 18 mm, 10 g. Haut anhängend, Drahthäkchen in situ. Lamellierung in 8 Scheiben à 5 mm. Schnittfläche: grau-weißlicher Herdbefund zentral in Scheibe III–V, ca. 18 mm.</a></p><p><b>derivedFrom</b>: <a href="QuestionnaireResponse-IntegratedQRBreastResection.html">Response to Questionnaire 'http://breastcancerspec.org/Questionnaire/OP_Mamma_GH' about '-&gt;Sabine Becker  Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'</a></p></div>
  </text>
  <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="22634-0"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="85332-5"/>
      <display value="Radial position in breast [Angle] in Breast cancer specimen"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="3980001000004105"/>
      <display value="Radial location of primary malignant neoplasm in excised breast specimen (observable entity)"/>
    </coding>
    <text value="Zifferblattlokalisation"/>
  </code>
  <subject>
    <reference value="Patient/Patient4"/>
  </subject>
  <effectiveDateTime value="2025-02-06T08:30:00+01:00"/>
  <performer>
    <reference value="Practitioner/PathologistPractitioner"/>
  </performer>
  <valueQuantity>
    <value value="5"/>
    <unit value="o'clock"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{clock position}"/>
  </valueQuantity>
  <specimen>
    <reference value="Specimen/IntegratedBETSpecimenPart"/>
  </specimen>
  <derivedFrom>
    <reference value="QuestionnaireResponse/IntegratedQRBreastResection"/>
  </derivedFrom>
</Observation>