{ "resourceType" : "QuestionnaireResponse", "id" : "QuestionnaireResponseLymphNode", "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse QuestionnaireResponseLymphNode

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\".\"\".\" QuestionnaireResponseLymphNodeQuestionnaire:http://breastcancerspec.org/Questionnaire/OP_LN-Mamma
\".\"\".\"\".\" sln.rootSLN-Biopsie Axilla
\".\"\".\"\".\"\".\" sln.clinicalKlinische Angaben
\".\"\".\"\".\"\".\"\".\" 11951Proben limitiert auswertbarSNOMED CT: 373067005 (No (qualifier value))
\".\"\".\"\".\"\".\"\".\" 11950LK-Biopsie veranlassende klinische/bildgebende BefundeInvasives Mammakarzinom NST links, cN0
\".\"\".\"\".\"\".\"\".\" 11148Bildgebende BefundeMammografie, Sonographie: Axilla klinisch unauffällig
\".\"\".\"\".\"\".\"\".\" 10210Neoadjuvante TherapieSNOMED CT: 373067005 (No (qualifier value))
\".\"\".\"\".\"\".\" sln.macroMakroskopie
\".\"\".\"\".\"\".\"\".\" sln.macro.sln1SLN #1 Größe12 x 8 x 6 mm, Patentblau-markiert
\".\"\".\"\".\"\".\"\".\" sln.macro.sln2SLN #2 Größe10 x 7 x 5 mm, Patentblau-markiert
\".\"\".\"\".\"\".\" sln.findingsAxilläre Lymphknotenpräparate
\".\"\".\"\".\"\".\"\".\" 11540LK OP ProzedurSNOMED CT: 396487001 (Sentinel lymph node biopsy (procedure))
\".\"\".\"\".\"\".\"\".\" 11620SeitenangabeSNOMED CT: 7771000 (Left (qualifier value))
\".\"\".\"\".\"\".\"\".\" 11630Anzahl der untersuchten (nonSLN)-axillären LK0
\".\"\".\"\".\"\".\"\".\" 11640Anzahl der befallenen (nonSLN)-axillären LK0
\".\"\".\"\".\"\".\"\".\" 11650Anzahl der untersuchten Sentinel-LK2
\".\"\".\"\".\"\".\"\".\" 11660Anzahl der befallenen Sentinel-LK1
\".\"\".\"\".\"\".\"\".\" 11944Gesamtzahl untersuchter Lymphknoten2
\".\"\".\"\".\"\".\"\".\" 11945Gesamtzahl befallener Lymphknoten1
\".\"\".\"\".\"\".\"\".\" 11947Gesamtzahl makrometastatisch befallener Lymphknoten0
\".\"\".\"\".\"\".\"\".\" 11948Gesamtzahl mikrometastatisch befallener Lymphknoten1
\".\"\".\"\".\"\".\"\".\" 11946Gesamtzahl ausschließlich ITC-befallener Lymphknoten0
\".\"\".\"\".\"\".\"\".\" 11690Ausdehnung der größten metastatischen Infiltration1.2 mm (Details: UCUM codemm = 'mm')
\".\"\".\"\".\"\".\"\".\" 11700Extranodale Infiltration durch LK-MetastaseSNOMED CT: 2667000 (Absent (qualifier value))
\".\"\".\"\".\"\".\" sln.tnmPathologisches TNM-Staging
\".\"\".\"\".\"\".\"\".\" 175Regionäre Lymphknoten (pN-Kategorie)pN1mi(sn)

\"doco\" Documentation for this format
" }, "questionnaire" : "http://breastcancerspec.org/Questionnaire/OP_LN-Mamma", "status" : "completed", "subject" : { "reference" : "Patient/Patient4" }, "authored" : "2025-02-10T14:30:00+01:00", "author" : { "reference" : "Practitioner/PathologistPractitioner" }, "item" : [{ "linkId" : "sln.root", "text" : "SLN-Biopsie Axilla", "item" : [{ "linkId" : "sln.clinical", "text" : "Klinische Angaben", "item" : [{ "linkId" : "11951", "text" : "Proben limitiert auswertbar", "answer" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "373067005", "display" : "No (qualifier value)" } }] }, { "linkId" : "11950", "text" : "LK-Biopsie veranlassende klinische/bildgebende Befunde", "answer" : [{ "valueString" : "Invasives Mammakarzinom NST links, cN0" }] }, { "linkId" : "11148", "text" : "Bildgebende Befunde", "answer" : [{ "valueString" : "Mammografie, Sonographie: Axilla klinisch unauffällig" }] }, { "linkId" : "10210", "text" : "Neoadjuvante Therapie", "answer" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "373067005", "display" : "No (qualifier value)" } }] }] }, { "linkId" : "sln.macro", "text" : "Makroskopie", "item" : [{ "linkId" : "sln.macro.sln1", "text" : "SLN #1 Größe", "answer" : [{ "valueString" : "12 x 8 x 6 mm, Patentblau-markiert" }] }, { "linkId" : "sln.macro.sln2", "text" : "SLN #2 Größe", "answer" : [{ "valueString" : "10 x 7 x 5 mm, Patentblau-markiert" }] }] }, { "linkId" : "sln.findings", "text" : "Axilläre Lymphknotenpräparate", "item" : [{ "linkId" : "11540", "text" : "LK OP Prozedur", "answer" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "396487001", "display" : "Sentinel lymph node biopsy (procedure)" } }] }, { "linkId" : "11620", "text" : "Seitenangabe", "answer" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "7771000", "display" : "Left (qualifier value)" } }] }, { "linkId" : "11630", "text" : "Anzahl der untersuchten (nonSLN)-axillären LK", "answer" : [{ "valueInteger" : 0 }] }, { "linkId" : "11640", "text" : "Anzahl der befallenen (nonSLN)-axillären LK", "answer" : [{ "valueInteger" : 0 }] }, { "linkId" : "11650", "text" : "Anzahl der untersuchten Sentinel-LK", "answer" : [{ "valueInteger" : 2 }] }, { "linkId" : "11660", "text" : "Anzahl der befallenen Sentinel-LK", "answer" : [{ "valueInteger" : 1 }] }, { "linkId" : "11944", "text" : "Gesamtzahl untersuchter Lymphknoten", "answer" : [{ "valueInteger" : 2 }] }, { "linkId" : "11945", "text" : "Gesamtzahl befallener Lymphknoten", "answer" : [{ "valueInteger" : 1 }] }, { "linkId" : "11947", "text" : "Gesamtzahl makrometastatisch befallener Lymphknoten", "answer" : [{ "valueInteger" : 0 }] }, { "linkId" : "11948", "text" : "Gesamtzahl mikrometastatisch befallener Lymphknoten", "answer" : [{ "valueInteger" : 1 }] }, { "linkId" : "11946", "text" : "Gesamtzahl ausschließlich ITC-befallener Lymphknoten", "answer" : [{ "valueInteger" : 0 }] }, { "linkId" : "11690", "text" : "Ausdehnung der größten metastatischen Infiltration", "answer" : [{ "valueQuantity" : { "value" : 1.2, "unit" : "mm", "system" : "http://unitsofmeasure.org", "code" : "mm" } }] }, { "linkId" : "11700", "text" : "Extranodale Infiltration durch LK-Metastase", "answer" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "2667000", "display" : "Absent (qualifier value)" } }] }] }, { "linkId" : "sln.tnm", "text" : "Pathologisches TNM-Staging", "item" : [{ "linkId" : "175", "text" : "Regionäre Lymphknoten (pN-Kategorie)", "answer" : [{ "valueString" : "pN1mi(sn)" }] }] }] }] }