{
  "resourceType" : "ServiceRequest",
  "id" : "IntegratedReportRequest",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest IntegratedReportRequest</b></p><a name=\"IntegratedReportRequest\"> </a><a name=\"hcIntegratedReportRequest\"> </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-service-request\">MII PR Patho Service Request</a> version: 2026.0.0</p></div><p><b>identifier</b>: Placer Identifier/PATH-RPT-2025-300</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 726007}\">Pathology consultation, comprehensive, records and specimen with report (procedure)</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 60568-3}\">Pathology synoptic report</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>encounter</b>: <a href=\"Encounter-IntegratedEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_25_300; status = finished; class = IMP (IMP)</a></p><p><b>requester</b>: <a href=\"Practitioner-BreastSurgeonPractitioner.html\">Practitioner Thomas Richter </a></p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Elisabeth Hoffmann </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 254837009}\">Malignant neoplasm of breast (disorder)</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Condition-IntegratedDiagnosisConfirmed.html\">Condition Bösartige Neubildung: Unterer äußerer Quadrant der Brustdrüse</a></li><li><a href=\"DiagnosticReport-IntegratedImagingReport.html\">Diagnostic Report for 'MG Breast Screening' for '-&gt;Sabine Becker  Female, DoB: 1971-03-15 ( http://example.hospital.de/patient-ids#PAT-2025-105)'</a></li><li><a href=\"Observation-IntegratedCancerHistory.html\">Observation Personal history of primary malignant neoplasm of breast (situation)</a></li><li><a href=\"Observation-IntegratedPriorTherapy.html\">Observation Cancer treatment --preoperative</a></li><li><a href=\"Observation-IntegratedRadiologicalExtent.html\">Observation Lesion size, largest dimension (observable entity)</a></li><li><a href=\"Observation-IntegratedSpecimenMarking.html\">Observation Insertion of marker into breast using X-ray guidance (procedure)</a></li><li><a href=\"Observation-IntegratedSpecimenRadiographyClinical.html\">Observation 80865008|Specimen mammography|:363702006|Has focus|=185008008|Medical reports sent|</a></li><li><a href=\"Observation-IntegratedGeneticPredisposition.html\">Observation Diathesis, function (observable entity)</a></li></ul><p><b>specimen</b>: </p><ul><li><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></li><li><a href=\"Specimen-IntegratedSLNSpecimenPart.html\">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.</a></li></ul></div>"
  },
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "PLAC",
        "display" : "Placer Identifier"
      }]
    },
    "system" : "http://example.hospital.de/serviceRequest",
    "value" : "PATH-RPT-2025-300"
  }],
  "status" : "completed",
  "intent" : "order",
  "category" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "726007",
      "display" : "Pathology consultation, comprehensive, records and specimen with report (procedure)"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "60568-3",
      "display" : "Pathology synoptic report"
    }]
  },
  "subject" : {
    "reference" : "Patient/Patient4"
  },
  "encounter" : {
    "reference" : "Encounter/IntegratedEncounter"
  },
  "requester" : {
    "reference" : "Practitioner/BreastSurgeonPractitioner"
  },
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
  }],
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "254837009",
      "display" : "Malignant neoplasm of breast (disorder)"
    }]
  }],
  "supportingInfo" : [{
    "reference" : "Condition/IntegratedDiagnosisConfirmed"
  },
  {
    "reference" : "DiagnosticReport/IntegratedImagingReport"
  },
  {
    "reference" : "Observation/IntegratedCancerHistory"
  },
  {
    "reference" : "Observation/IntegratedPriorTherapy"
  },
  {
    "reference" : "Observation/IntegratedRadiologicalExtent"
  },
  {
    "reference" : "Observation/IntegratedSpecimenMarking"
  },
  {
    "reference" : "Observation/IntegratedSpecimenRadiographyClinical"
  },
  {
    "reference" : "Observation/IntegratedGeneticPredisposition"
  }],
  "specimen" : [{
    "reference" : "Specimen/IntegratedBETSpecimenPart"
  },
  {
    "reference" : "Specimen/IntegratedSLNSpecimenPart"
  }]
}