{
  "resourceType" : "Observation",
  "id" : "IntegratedMacroDistanceNipple",
  "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 IntegratedMacroDistanceNipple</b></p><a name=\"IntegratedMacroDistanceNipple\"> </a><a name=\"hcIntegratedMacroDistanceNipple\"> </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://snomed.info/sct 1240401000}\">Abstand von der Mamille</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>: 50 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</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>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  },
  {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22634-0"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1240401000",
      "display" : "Distance of primary malignant neoplasm of breast to nipple in excised breast specimen (observable entity)"
    }],
    "text" : "Abstand von der Mamille"
  },
  "subject" : {
    "reference" : "Patient/Patient4"
  },
  "effectiveDateTime" : "2025-02-06T08:30:00+01:00",
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
  }],
  "valueQuantity" : {
    "value" : 50,
    "unit" : "mm",
    "system" : "http://unitsofmeasure.org",
    "code" : "mm"
  },
  "specimen" : {
    "reference" : "Specimen/IntegratedBETSpecimenPart"
  },
  "derivedFrom" : [{
    "reference" : "QuestionnaireResponse/IntegratedQRBreastResection"
  }]
}