Prostate Cancer Specification
0.1.0 - ci-build
Prostate Cancer Specification
0.1.0 - ci-build
Prostate Cancer Specification - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
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"id" : "CoreNeedleBiopsyDocument",
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"system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
"value" : "E_24_001"
},
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"timestamp" : "2024-01-20T15:30:00+01:00",
"entry" : [
{
"fullUrl" : "http://prostatecancerspec.org/Composition/CoreNeedleBiopsyComposition",
"resource" : {
"resourceType" : "Composition",
"id" : "CoreNeedleBiopsyComposition",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_CoreNeedleBiopsyComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition CoreNeedleBiopsyComposition</b></p><a name=\"CoreNeedleBiopsyComposition\"> </a><a name=\"hcCoreNeedleBiopsyComposition\"> </a><p><b>identifier</b>: Accession ID/PATH-COMP-2024-001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11526-1}, {http://ihe-d.de/CodeSystems/IHEXDStypeCode PATH}, {http://snomed.info/sct 721967005}\">Pathology study</span></p><p><b>encounter</b>: <a href=\"Encounter-CoreNeedleBiopsyEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_001; status = finished; class = IMB (IMB)</a></p><p><b>date</b>: 2024-01-20 15:30:00+0100</p><p><b>author</b>: <a href=\"Organization-PathologyLabOrganization.html\">Pathologisches Institut</a></p><p><b>title</b>: Histopathologischer Befundbericht - Prostatabiopsie</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Legal</td><td><a href=\"Organization-PathologyLabOrganization.html\">Organization Pathologielabor</a></td></tr></table><p><b>custodian</b>: <a href=\"Organization-PathologyLabOrganization.html\">Organization Pathologielabor</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PATREPE}\">pathology report entry task</span></td><td><a href=\"ServiceRequest-CoreNeedleBiopsyReportRequest.html\">ServiceRequest Prostate Pathology biopsy report</a></td></tr></table></div>"
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{
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"code" : "PATH"
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{
"system" : "http://snomed.info/sct",
"code" : "721967005",
"display" : "Tissue pathology biopsy report"
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"subject" : {
🔗 "reference" : "Patient/Patient1",
"display" : "Hans Mueller, geb. 15.08.1955 (PAT-2024-001)"
},
"encounter" : {
🔗 "reference" : "Encounter/CoreNeedleBiopsyEncounter"
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"date" : "2024-01-20T15:30:00+01:00",
"author" : [
{
🔗 "reference" : "Organization/PathologyLabOrganization",
"display" : "Pathologisches Institut"
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"title" : "Histopathologischer Befundbericht - Prostatabiopsie",
"attester" : [
{
"mode" : "legal",
"party" : {
🔗 "reference" : "Organization/PathologyLabOrganization"
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🔗 "reference" : "Organization/PathologyLabOrganization"
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"detail" : [
{
🔗 "reference" : "ServiceRequest/CoreNeedleBiopsyReportRequest"
}
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}
],
"section" : [
{
"title" : "Pathologiebefundbericht",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60567-5",
"display" : "Comprehensive pathology report panel"
}
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"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Klinische Angaben</h3><p>Erhöhter PSA-Wert (8,5 ng/ml). V.a. Prostatakarzinom. Bitte histologische Abklärung.</p><h3>Makroskopie</h3><p>Makroskopische Messungen für alle 12 Prostatastanzen: Längen 1,3–1,9 cm, je 1 Zylinder pro Specimen. Stanzen 01–06 aus rechter Prostataregion (lateral basal/mid/apikal, medial basal/mid/apikal), Stanzen 07–12 aus linker Prostataregion (lateral basal/mid/apikal, medial basal/mid/apikal).</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><thead><tr><th>Stanze</th><th>Lokalisation</th><th>Stanzenlänge (cm)</th><th>Zylinderanzahl im Gefäß</th></tr></thead><tbody><tr><td>01</td><td>Rechts lateral basal</td><td>1.8</td><td>1</td></tr><tr><td>02</td><td>Rechts lateral mid</td><td>1.6</td><td>1</td></tr><tr><td>03</td><td>Rechts lateral apikal</td><td>1.5</td><td>1</td></tr><tr><td>04</td><td>Rechts medial basal</td><td>1.9</td><td>1</td></tr><tr><td>05</td><td>Rechts medial mid</td><td>1.4</td><td>1</td></tr><tr><td>06</td><td>Rechts medial apikal</td><td>1.7</td><td>1</td></tr><tr><td>07</td><td>Links lateral basal</td><td>1.6</td><td>1</td></tr><tr><td>08</td><td>Links lateral mid</td><td>1.5</td><td>1</td></tr><tr><td>09</td><td>Links lateral apikal</td><td>1.8</td><td>1</td></tr><tr><td>10</td><td>Links medial basal</td><td>1.3</td><td>1</td></tr><tr><td>11</td><td>Links medial mid</td><td>1.7</td><td>1</td></tr><tr><td>12</td><td>Links medial apikal</td><td>1.4</td><td>1</td></tr></tbody></table><h3>Mikroskopie</h3><p>Adenokarzinom in 7 von 12 Stanzen nachgewiesen (01, 02, 04, 06, 07, 09, 11). Gleason-Scores: Stanze 01 (3+4=7), Stanze 02 (4+3=7), Stanze 04 (4+4=8), Stanze 06 (3+3=6), Stanze 07 (4+5=9), Stanze 09 (3+4=7), Stanze 11 (3+4=7). Höchster Gleason-Score 4+5=9, ISUP-Gradgruppe 5. Benigne Befunde in Stanzen 03, 05, 08, 10, 12.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><thead><tr><th>Stanze</th><th>Befund</th><th>Gleason-Score</th><th>Tumoranteil</th></tr></thead><tbody><tr><td>01</td><td>Adenokarzinom</td><td>3+4=7</td><td>40%</td></tr><tr><td>02</td><td>Adenokarzinom</td><td>4+3=7</td><td>60%</td></tr><tr><td>03</td><td>Benigne</td><td>-</td><td>-</td></tr><tr><td>04</td><td>Adenokarzinom</td><td>4+4=8</td><td>80%</td></tr><tr><td>05</td><td>Benigne</td><td>-</td><td>-</td></tr><tr><td>06</td><td>Adenokarzinom</td><td>3+3=6</td><td>20%</td></tr><tr><td>07</td><td>Adenokarzinom</td><td>4+5=9</td><td>95%</td></tr><tr><td>08</td><td>Benigne</td><td>-</td><td>-</td></tr><tr><td>09</td><td>Adenokarzinom</td><td>3+4=7</td><td>35%</td></tr><tr><td>10</td><td>Benigne</td><td>-</td><td>-</td></tr><tr><td>11</td><td>Adenokarzinom</td><td>3+4=7</td><td>25%</td></tr><tr><td>12</td><td>Benigne</td><td>-</td><td>-</td></tr></tbody></table><h3>Diagnostische Schlussfolgerung</h3><p>7 von 12 Stanzen tumorbefallen (4 rechts: 01, 02, 04, 06; 3 links: 07, 09, 11). Prozentualer Tumoranteil 51%, Tumorlänge gesamt 52,7 mm. Perineurale Infiltration und Infiltration des periprostatischen Fettgewebes apikal nachgewiesen. Samenblaseninfiltration, lymphovaskuläre Invasion, intraduktales Karzinom, ASAP, High-grade-PIN und granulomatöse Prostatitis nicht nachgewiesen.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Histologischer Typ</td><td>Azinäres Adenokarzinom (8140/3)</td></tr><tr><td>Gleason-Score</td><td>4+5=9 (höchster Score)</td></tr><tr><td>ISUP-Gradgruppe</td><td>5 (WHO 2016)</td></tr><tr><td>Positive Stanzen</td><td>7 von 12 (4 rechts, 3 links)</td></tr><tr><td>Tumoranteil gesamt</td><td>51%</td></tr><tr><td>Tumorlänge gesamt</td><td>52,7 mm</td></tr><tr><td>Anteil Gleason 4/5</td><td>77%</td></tr><tr><td>Perineurale Infiltration</td><td>Nachgewiesen</td></tr><tr><td>Periprostatische Fettinvasion</td><td>Nachgewiesen (apikal)</td></tr><tr><td>Samenblaseninfiltration</td><td>Nicht nachgewiesen</td></tr><tr><td>Lymphovaskuläre Invasion</td><td>Nicht nachgewiesen</td></tr><tr><td>Intraduktales Karzinom</td><td>Nicht nachgewiesen</td></tr><tr><td>ASAP</td><td>Nicht nachgewiesen</td></tr><tr><td>High-grade-PIN</td><td>Nicht nachgewiesen</td></tr></tbody></table><p><b>Diagnose:</b> Azinäres Adenokarzinom der Prostata (ICD-O 8140/3)</p></div>"
},
"entry" : [
{
🔗 "reference" : "DiagnosticReport/CoreNeedleBiopsyReport"
}
]
}
]
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Patient/Patient1",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient1</b></p><a name=\"Patient1\"> </a><a name=\"hcPatient1\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</p><hr/></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/patient-ids",
"value" : "PAT-2024-001"
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"name" : [
{
"family" : "Mueller",
"given" : [
"Hans"
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}
],
"gender" : "male",
"birthDate" : "1955-08-15"
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Organization/PathologyLabOrganization",
"resource" : {
"resourceType" : "Organization",
"id" : "PathologyLabOrganization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_PathologyLabOrganization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization PathologyLabOrganization</b></p><a name=\"PathologyLabOrganization\"> </a><a name=\"hcPathologyLabOrganization\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/organization-ids</code>/ORG-PATH-001</p><p><b>name</b>: Pathologielabor</p></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/organization-ids",
"value" : "ORG-PATH-001"
}
],
"name" : "Pathologielabor"
}
},
{
"fullUrl" : "http://prostatecancerspec.org/DiagnosticReport/CoreNeedleBiopsyReport",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "CoreNeedleBiopsyReport",
"meta" : {
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🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0"
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_CoreNeedleBiopsyReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport CoreNeedleBiopsyReport</b></p><a name=\"CoreNeedleBiopsyReport\"> </a><a name=\"hcCoreNeedleBiopsyReport\"> </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&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report\">MII PR Patho Report</a> version: 2026.0.0</p></div><h2><span title=\"Codes:{http://loinc.org 60568-3}\">Pathology Synoptic report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 SP}\">Surgical Pathology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</td></tr><tr><td>Relevant Time</td><td>2024-01-20 15:00:00+0100</td></tr><tr><td>Reported</td><td>2024-01-20 15:30:00+0100</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></td></tr><tr><td>Identifier</td><td> Accession ID/E_24_001</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Relevant Time</b></td></tr><tr><td><a href=\"Observation-CoreNeedleBiopsyMacroscopicGrouper.html\"><span title=\"Codes:{http://loinc.org 22634-0}\">Pathology report gross observation Narrative</span></a> (<span title=\"Codes:{http://snomed.info/sct 41216001}\">Prostate</span>)</td><td>Makroskopische Messungen aller 12 Prostatastanzen</td><td>Final</td><td>2024-01-15 14:00:00+0100</td></tr><tr><td><a href=\"Observation-CoreNeedleBiopsyMicroscopicGrouper.html\"><span title=\"Codes:{http://loinc.org 22635-7}\">Pathology report microscopic observation Narrative Other stain</span></a> (<span title=\"Codes:{http://snomed.info/sct 41216001}\">Prostate</span>)</td><td>Mikroskopische Befunde aller 12 Prostatastanzen</td><td>Final</td><td>2024-01-17 10:00:00+0100</td></tr><tr><td><a href=\"Observation-CoreNeedleBiopsyDiagnosticConclusionGrouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2023-03-15</td></tr></table><p>Adenokarzinom der Prostata, Gleason-Score 7a (3+4) in 7 von 12 Stanzen, mit perineuralem Befall.</p></div>"
},
"identifier" : [
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"system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
"value" : "E_24_001"
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"basedOn" : [
{
🔗 "reference" : "ServiceRequest/CoreNeedleBiopsyReportRequest"
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"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "SP",
"display" : "Surgical Pathology"
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}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60568-3",
"display" : "Pathology Synoptic report"
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"subject" : {
🔗 "reference" : "Patient/Patient1"
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"effectiveDateTime" : "2024-01-20T15:00:00+01:00",
"issued" : "2024-01-20T15:30:00+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen01Part"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen01Block"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen01Slide"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen09Part"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen09Slide"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen10Part"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen10Block"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen10Slide"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen11Part"
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🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen11Block"
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🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen11Slide"
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🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen12Part"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen12Block"
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{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen12Slide"
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],
"result" : [
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicGrouper"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMicroscopicGrouper"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyDiagnosticConclusionGrouper"
}
],
"conclusion" : "Adenokarzinom der Prostata, Gleason-Score 7a (3+4) in 7 von 12 Stanzen, mit perineuralem Befall."
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Observation/CoreNeedleBiopsyDiagnosticConclusionGrouper",
"resource" : {
"resourceType" : "Observation",
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CoreNeedleBiopsyDiagnosticConclusionGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CoreNeedleBiopsyDiagnosticConclusionGrouper</b></p><a name=\"CoreNeedleBiopsyDiagnosticConclusionGrouper\"> </a><a name=\"hcCoreNeedleBiopsyDiagnosticConclusionGrouper\"> </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&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper\">MII PR Patho Diagnostic Conclusion Grouper</a> version: 2026.0.0</p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-CoreNeedleBiopsyReportRequest.html\">ServiceRequest Prostate Pathology biopsy report</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></p><p><b>subject</b>: <a href=\"Patient-Patient1.html\">Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</a></p><p><b>effective</b>: 2023-03-15</p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-CoreNeedleBiopsyHistologicalTypeICDO3.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphologyFreeText.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyICDOVersion.html\">Observation World Health Organization tumor classification (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyPrimaryGleasonPattern.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySecondaryGleasonPattern.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonScoreTotal.html\">Observation Gleason score in Specimen Qualitative</a></li><li><a href=\"Observation-CoreNeedleBiopsyPercentageGleason45.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGradingGroupISUP.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistologicalGradeWHO.html\">Observation Grade Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyPositiveCoresRight.html\">Observation Tissue cores.positive.carcinoma in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyPositiveCoresLeft.html\">Observation Tissue cores.positive.carcinoma in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyRatioPositiveCores.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyPercentageTumorTotal.html\">Observation Tissue cores.positive.carcinoma in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorLengthTotal.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuralInfiltration.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsySeminalVesicleInvasion.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovascularInvasion.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyPeriprostataticFatInvasion.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyExtraprostaticExtensionLocation.html\">Observation Extraprostatic extension site [Anatomy] of Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraductalCarcinoma.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP.html\">Observation Atypical small acinar proliferation of prostate (disorder)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGranulomatousProstatiti.html\">Observation Granulomatous prostatitis [Presence] in Specimen by Microscopy</a></li></ul><p><b>derivedFrom</b>: </p><ul><li><a href=\"Observation-CoreNeedleBiopsyPrimaerGleason01.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason01.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyPrimaerGleason02.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason02.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason01.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason02.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading01.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading02.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen01.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen02.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil01.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil02.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge01.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge02.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration01.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration02.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN01.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li></ul></div>"
},
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{
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🔗 "reference" : "Observation/CoreNeedleBiopsyHistologicalTypeICDO3"
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🔗 "reference" : "Observation/CoreNeedleBiopsyMorphologyFreeText"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyICDOVersion"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaryGleasonPattern"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsySecondaryGleasonPattern"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonScoreTotal"
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🔗 "reference" : "Observation/CoreNeedleBiopsyPositiveCoresRight"
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{
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{
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyPercentageTumorTotal"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorLengthTotal"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuralInfiltration"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySeminalVesicleInvasion"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyLymphovascularInvasion"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPeriprostataticFatInvasion"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyExtraprostaticExtensionLocation"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyIntraductalCarcinoma"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyASAP"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyGranulomatousProstatiti"
}
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason01"
},
{
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},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySekundaerGleason02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason01"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading01"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen01"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil01"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge01"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration01"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN01"
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}
},
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CoreNeedleBiopsyMacroscopicGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CoreNeedleBiopsyMacroscopicGrouper</b></p><a name=\"CoreNeedleBiopsyMacroscopicGrouper\"> </a><a name=\"hcCoreNeedleBiopsyMacroscopicGrouper\"> </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&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper\">MII PR Patho Macroscopic Grouper</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></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 22634-0}\">Pathology report gross observation Narrative</span></p><p><b>subject</b>: <a href=\"Patient-Patient1.html\">Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</a></p><p><b>effective</b>: 2024-01-15 14:00:00+0100</p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></p><p><b>value</b>: Makroskopische Messungen aller 12 Prostatastanzen</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 41216001}\">Prostate</span></p><p><b>derivedFrom</b>: </p><ul><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength01.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength02.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength03.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength04.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength05.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength06.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength07.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength08.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength09.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength10.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength11.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLength12.html\">Observation Length of tissue core(s)</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount01.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount02.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount03.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount04.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount05.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount06.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount07.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount08.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount09.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount10.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount11.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicCylinderCount12.html\">Observation Total number of cores in Tissue core</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality01.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality02.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality03.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality04.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality05.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality06.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality07.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality08.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality09.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality10.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality11.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-CoreNeedleBiopsyMacroscopicLaterality12.html\">Observation Anatomic part Laterality</a></li></ul></div>"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength01"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength02"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength03"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength04"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength05"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength08"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength10"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength11"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLength12"
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{
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicCylinderCount02"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicCylinderCount03"
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyMacroscopicLaterality10"
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{
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{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_CoreNeedleBiopsyMicroscopicGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation CoreNeedleBiopsyMicroscopicGrouper</b></p><a name=\"CoreNeedleBiopsyMicroscopicGrouper\"> </a><a name=\"hcCoreNeedleBiopsyMicroscopicGrouper\"> </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&canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-microscopic-grouper\">MII PR Patho Microscopic Grouper</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 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Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason01.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason01.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading01.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen01.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil01.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge01.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration01.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisinSamenblase01.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovaskulaereInvasion01.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisInFettgewebe01.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraduktalesKarzinom01.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP01.html\">Observation 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Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading02.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen02.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil02.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge02.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration02.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisinSamenblase02.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovaskulaereInvasion02.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisInFettgewebe02.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraduktalesKarzinom02.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP02.html\">Observation Atypical small acinar proliferation of prostate (disorder)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN02.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li><li><a 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with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading06.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen06.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil06.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge06.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration06.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisinSamenblase06.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovaskulaereInvasion06.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisInFettgewebe06.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraduktalesKarzinom06.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP06.html\">Observation Atypical small acinar proliferation of prostate (disorder)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN06.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGranulomatoeseProstatitis06.html\">Observation Granulomatous prostatitis [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistoTyp07.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphText07.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyPrimaerGleason07.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason07.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason07.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading07.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen07.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil07.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge07.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration07.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisinSamenblase07.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovaskulaereInvasion07.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisInFettgewebe07.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraduktalesKarzinom07.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP07.html\">Observation Atypical small acinar proliferation of prostate (disorder)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN07.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGranulomatoeseProstatitis07.html\">Observation Granulomatous prostatitis [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistoTyp08.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphText08.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistoTyp09.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphText09.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyPrimaerGleason09.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason09.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason09.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading09.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological Pathology technique (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyVerhaeltnisPositiverStanzen09.html\">Observation Ratio of blocks with prostate tumor to total number of blocks obtained (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumoranteil09.html\">Observation Percentage of prostatic tissue, obtained by needle biopsy, involved by carcinoma (observable entity)</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumorbefallinLaenge09.html\">Observation Total linear mm of carcinoma</a></li><li><a href=\"Observation-CoreNeedleBiopsyPerineuraleInfiltration09.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisinSamenblase09.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyLymphovaskulaereInvasion09.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyTumornachweisInFettgewebe09.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-CoreNeedleBiopsyIntraduktalesKarzinom09.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-CoreNeedleBiopsyASAP09.html\">Observation Atypical small acinar proliferation of prostate (disorder)</a></li><li><a href=\"Observation-CoreNeedleBiopsyHighGradePIN09.html\">Observation High grade prostatic intraepithelial neoplasia [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGranulomatoeseProstatitis09.html\">Observation Granulomatous prostatitis [Presence] in Specimen by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistoTyp10.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphText10.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyHistoTyp11.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-CoreNeedleBiopsyMorphText11.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-CoreNeedleBiopsyPrimaerGleason11.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsySekundaerGleason11.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-CoreNeedleBiopsyProzentGleason11.html\">Observation Prostate tumor area with Gleason pattern 4+5/Total tumor area [Area Fraction] in Prostate tumor by Microscopy</a></li><li><a href=\"Observation-CoreNeedleBiopsyGleasonGrading11.html\">Observation Histologic grade of primary malignant neoplasm of prostate by International Society of Urological 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href=\"Observation-CoreNeedleBiopsyMorphText12.html\">Observation Histology type in Cancer specimen Narrative</a></li></ul></div>"
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{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp05"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText05"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySekundaerGleason06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisinSamenblase06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyLymphovaskulaereInvasion06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisInFettgewebe06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyIntraduktalesKarzinom06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyASAP06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGranulomatoeseProstatitis06"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySekundaerGleason07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisinSamenblase07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyLymphovaskulaereInvasion07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisInFettgewebe07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyIntraduktalesKarzinom07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyASAP07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGranulomatoeseProstatitis07"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp08"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText08"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySekundaerGleason09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisinSamenblase09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyLymphovaskulaereInvasion09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisInFettgewebe09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyIntraduktalesKarzinom09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyASAP09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGranulomatoeseProstatitis09"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp10"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText10"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPrimaerGleason11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsySekundaerGleason11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyProzentGleason11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGleasonGrading11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyVerhaeltnisPositiverStanzen11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumoranteil11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumorbefallinLaenge11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyPerineuraleInfiltration11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisinSamenblase11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyLymphovaskulaereInvasion11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyTumornachweisInFettgewebe11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyIntraduktalesKarzinom11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyASAP11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHighGradePIN11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyGranulomatoeseProstatitis11"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyHistoTyp12"
},
{
🔗 "reference" : "Observation/CoreNeedleBiopsyMorphText12"
}
]
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Encounter/CoreNeedleBiopsyEncounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "CoreNeedleBiopsyEncounter",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_CoreNeedleBiopsyEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter CoreNeedleBiopsyEncounter</b></p><a name=\"CoreNeedleBiopsyEncounter\"> </a><a name=\"hcCoreNeedleBiopsyEncounter\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/encounters</code>/E_24_001</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated]: IMB (IMB)</p><p><b>subject</b>: <a href=\"Patient-Patient1.html\">Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/encounters",
"value" : "E_24_001"
}
],
"status" : "finished",
"class" : {
"code" : "IMB"
},
"subject" : {
🔗 "reference" : "Patient/Patient1"
}
}
},
{
"fullUrl" : "http://prostatecancerspec.org/ServiceRequest/CoreNeedleBiopsyReportRequest",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "CoreNeedleBiopsyReportRequest",
"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\"><a name=\"ServiceRequest_CoreNeedleBiopsyReportRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest CoreNeedleBiopsyReportRequest</b></p><a name=\"CoreNeedleBiopsyReportRequest\"> </a><a name=\"hcCoreNeedleBiopsyReportRequest\"> </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&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-2024-001</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 66117-3}\">Prostate Pathology biopsy report</span></p><p><b>subject</b>: <a href=\"Patient-Patient1.html\">Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</a></p><p><b>encounter</b>: <a href=\"Encounter-CoreNeedleBiopsyEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_001; status = finished; class = IMB (IMB)</a></p><p><b>requester</b>: <a href=\"Practitioner-UrologistPractitioner.html\">Practitioner Andreas Weber </a></p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 396152005}\">Prostate specific antigen above reference range</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Observation-PSAPreCoreNeedleBiopsy.html\">Observation Prostate specific Ag [Mass/volume] in Serum or Plasma</a></li><li><a href=\"Condition-CoreNeedleBiopsyDiagnosisSuspicion.html\">Condition Bösartige Neubildung der Prostata</a></li></ul><p><b>specimen</b>: </p><ul><li><a href=\"Specimen-CoreNeedleBiopsySpecimen01Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen02Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen03Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen04Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen05Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen06Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen07Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen08Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen09Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen10Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen11Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</a></li><li><a href=\"Specimen-CoreNeedleBiopsySpecimen12Part.html\">Specimen: extension = ; identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Prostate tru-cut biopsy sample</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-2024-001"
}
],
"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" : "66117-3",
"display" : "Prostate Pathology biopsy report"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient1"
},
"encounter" : {
🔗 "reference" : "Encounter/CoreNeedleBiopsyEncounter"
},
"requester" : {
🔗 "reference" : "Practitioner/UrologistPractitioner"
},
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "396152005",
"display" : "Prostate specific antigen above reference range"
}
]
}
],
"supportingInfo" : [
{
🔗 "reference" : "Observation/PSAPreCoreNeedleBiopsy"
},
{
🔗 "reference" : "Condition/CoreNeedleBiopsyDiagnosisSuspicion"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen01Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen02Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen03Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen04Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen05Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen06Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen07Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen08Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen09Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen10Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen11Part"
},
{
🔗 "reference" : "Specimen/CoreNeedleBiopsySpecimen12Part"
}
]
}
}
]
}