BET + SLN Anforderung (integriert) - Breast Cancer Specification v0.1.0

Breast Cancer Specification - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example ServiceRequest: BET + SLN Anforderung (integriert)

Profile: MII PR Patho Service Request version: 2026.0.0

identifier: Placer Identifier/PATH-RPT-2025-300

status: Completed

intent: Order

category: Pathology consultation, comprehensive, records and specimen with report (procedure)

code: Pathology synoptic report

subject: Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)

encounter: Encounter: identifier = http://example.hospital.de/encounters#E_25_300; status = finished; class = IMP (IMP)

requester: Practitioner Thomas Richter

performer: Practitioner Elisabeth Hoffmann

reasonCode: Malignant neoplasm of breast (disorder)

supportingInfo:

Condition Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse
Diagnostic Report for 'MG Breast Screening' for '->Sabine Becker Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'
Observation Personal history of primary malignant neoplasm of breast (situation)
Observation Cancer treatment --preoperative
Observation Lesion size, largest dimension (observable entity)
Observation Insertion of marker into breast using X-ray guidance (procedure)
Observation 80865008|Specimen mammography|:363702006|Has focus|=185008008|Medical reports sent|
Observation Diathesis, function (observable entity)

specimen:

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.
Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_25_300; status = available; type = Lymph node specimen (specimen); note = Sentinel-Lymphknoten-Exzisat linke Axilla, 2 SLN identifiziert (Patentblau-markiert). SLN #1: 12 x 8 x 6 mm, SLN #2: 10 x 7 x 5 mm. Beide halbiert und vollständig eingebettet.