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
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Bundle/RadicalProstatectomyDocument> a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "RadicalProstatectomyDocument"] ; fhir:Bundle.identifier [ fhir:Identifier.system [ fhir:value "https://pathologie.example-hospital.de/fhir/fn/befundbericht" ] ; fhir:Identifier.value [ fhir:value "E_24_002" ] ] ; fhir:Bundle.type [ fhir:value "document"] ; fhir:Bundle.timestamp [ fhir:value "2024-03-21T08:00:00+01:00"^^xsd:dateTime] ; fhir:Bundle.entry [ fhir:index 0 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Composition/RadicalProstatectomyComposition" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Composition/RadicalProstatectomyComposition> ], [ fhir:index 1 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Patient/Patient1" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Patient/Patient1> ], [ fhir:index 2 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Organization/PathologyLabOrganization" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Organization/PathologyLabOrganization> ], [ fhir:index 3 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/DiagnosticReport/RadicalProstatectomyReport" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/DiagnosticReport/RadicalProstatectomyReport> ], [ fhir:index 4 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Observation/RadicalProstatectomyDiagnosticConclusionGrouper" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Observation/RadicalProstatectomyDiagnosticConclusionGrouper> ], [ fhir:index 5 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Observation/RadicalProstatectomyMacroscopicGrouper" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Observation/RadicalProstatectomyMacroscopicGrouper> ], [ fhir:index 6 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Encounter/RadicalProstatectomyEncounter" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Encounter/RadicalProstatectomyEncounter> ], [ fhir:index 7 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/ServiceRequest/RadicalProstatectomyReportRequest" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/ServiceRequest/RadicalProstatectomyReportRequest> ] . <http://prostatecancerspec.org/Composition/RadicalProstatectomyComposition> a fhir:Composition ; fhir:Resource.id [ fhir:value "RadicalProstatectomyComposition"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_RadicalProstatectomyComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition RadicalProstatectomyComposition</b></p><a name=\"RadicalProstatectomyComposition\"> </a><a name=\"hcRadicalProstatectomyComposition\"> </a><p><b>identifier</b>: Accession ID/PATH-COMP-2024-002</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}\">Pathology study</span></p><p><b>encounter</b>: <a href=\"Encounter-RadicalProstatectomyEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_002; status = finished; class = IMP (IMP)</a></p><p><b>date</b>: 2024-03-21 08:00:00+0100</p><p><b>author</b>: <a href=\"Organization-PathologyLabOrganization.html\">Pathologisches Institut</a></p><p><b>title</b>: Histopathologischer Befundbericht - Prostatektomie</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-RadicalProstatectomyReportRequest.html\">ServiceRequest Pathology synoptic report</a></td></tr></table></div>" ] ; fhir:Composition.identifier [ fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "ACSN" ] ; fhir:Coding.display [ fhir:value "Accession ID" ] ] ] ; fhir:Identifier.system [ fhir:value "http://example.hospital.de/pathology-reports" ] ; fhir:Identifier.value [ fhir:value "PATH-COMP-2024-002" ] ] ; fhir:Composition.status [ fhir:value "final"] ; fhir:Composition.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11526-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11526-1" ] ; fhir:Coding.display [ fhir:value "Pathology study" ] ], [ fhir:index 1 ; fhir:Coding.system [ fhir:value "http://ihe-d.de/CodeSystems/IHEXDStypeCode" ] ; fhir:Coding.code [ fhir:value "PATH" ] ] ] ; fhir:Composition.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ; fhir:Reference.display [ fhir:value "Hans Mueller, geb. 15.08.1955 (PAT-2024-001)" ] ] ; fhir:Composition.encounter [ fhir:link <http://hl7.org/fhir/Encounter/RadicalProstatectomyEncounter> ; fhir:Reference.reference [ fhir:value "Encounter/RadicalProstatectomyEncounter" ] ] ; fhir:Composition.date [ fhir:value "2024-03-21T08:00:00+01:00"^^xsd:dateTime] ; fhir:Composition.author [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Organization/PathologyLabOrganization> ; fhir:Reference.reference [ fhir:value "Organization/PathologyLabOrganization" ] ; fhir:Reference.display [ fhir:value "Pathologisches Institut" ] ] ; fhir:Composition.title [ fhir:value "Histopathologischer Befundbericht - Prostatektomie"] ; fhir:Composition.attester [ fhir:index 0 ; fhir:Composition.attester.mode [ fhir:value "legal" ] ; fhir:Composition.attester.party [ fhir:link <http://hl7.org/fhir/Organization/PathologyLabOrganization> ; fhir:Reference.reference [ fhir:value "Organization/PathologyLabOrganization" ] ] ] ; fhir:Composition.custodian [ fhir:link <http://hl7.org/fhir/Organization/PathologyLabOrganization> ; fhir:Reference.reference [ fhir:value "Organization/PathologyLabOrganization" ] ] ; fhir:Composition.event [ fhir:index 0 ; fhir:Composition.event.code [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "PATREPE" ] ] ] ; fhir:Composition.event.detail [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/ServiceRequest/RadicalProstatectomyReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/RadicalProstatectomyReportRequest" ] ] ] ; fhir:Composition.section [ fhir:index 0 ; fhir:Composition.section.title [ fhir:value "Pathologiebefundbericht" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:60567-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "60567-5" ] ; fhir:Coding.display [ fhir:value "Comprehensive pathology report panel" ] ] ] ; fhir:Composition.section.text [ fhir:Narrative.status [ fhir:value "additional" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Klinische Angaben</h3><p>Z.n. Prostata-Stanzbiopsie mit Nachweis eines Prostatakarzinoms (höchster Gleason 4+5=9, ISUP-Gradgruppe 5). Radikale Prostatektomie mit pelviner Lymphadenektomie.</p><h3>Makroskopie</h3><p>Prostatektomiepräparat 55 g, Maße 4,5 × 4,0 × 3,5 cm. Samenbläschen beidseits 2,5 cm. Lymphknoten bilateral vorhanden.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Präparat</td><td>Radikale Prostatektomie mit Samenblasen und pelvinen Lymphknoten</td></tr><tr><td>Gewicht</td><td>55 g</td></tr><tr><td>Maße (B × H × T)</td><td>4,5 × 4,0 × 3,5 cm</td></tr><tr><td>Samenblasen</td><td>Vorhanden, beidseits 2,5 cm</td></tr><tr><td>Lymphknoten</td><td>Bilateral vorhanden</td></tr></tbody></table><h3>Mikroskopie</h3><p>Azinäres Adenokarzinom der Prostata mit gemischten, überwiegend klein- bis mitteltubulären, mäßig irregulären Drüsen sowie einem geringeren Anteil an kribriformen Wachstumsmustern. Tumorgewebe in beiden Seitenlappen nachweisbar. Kein kapselüberschreitendes Wachstum. Samenblasen und Lymphknoten tumorgewebsfrei.</p><h3>Diagnostische Schlussfolgerung</h3><p>Gleason-Score 3+4=7, ISUP-Gradgruppe 2 (WHO 2016). Maximaler Tumordurchmesser 18 mm, 25% des Prostatagewebes tumorbefallen. Anteil Gleasonmuster 4/5: 30%. Kein intraduktales Karzinom, kein invasives kribriformes Karzinom. Keine extraprostatische Ausbreitung, keine Samenblaseninfiltration, keine lymphovaskuläre Invasion, keine perineurale Infiltration, keine Blasenhalsinvasion. Absetzungsränder tumorfrei (R0). 12 Lymphknoten untersucht, 0 positiv. Staging: pT2 pN0.</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>3+4=7</td></tr><tr><td>ISUP-Gradgruppe</td><td>2 (WHO 2016)</td></tr><tr><td>Maximaler Tumordurchmesser</td><td>18 mm</td></tr><tr><td>Tumoranteil</td><td>25%</td></tr><tr><td>Anteil Gleason 4/5</td><td>30%</td></tr><tr><td>Intraduktales Karzinom</td><td>Nicht nachgewiesen</td></tr><tr><td>Invasives kribriformes Karzinom</td><td>Nicht nachgewiesen</td></tr><tr><td>Extraprostatische Ausbreitung</td><td>Nicht nachgewiesen</td></tr><tr><td>Samenblaseninfiltration</td><td>Nicht nachgewiesen</td></tr><tr><td>Lymphovaskuläre Invasion</td><td>Nicht nachgewiesen</td></tr><tr><td>Perineurale Infiltration</td><td>Nicht nachgewiesen</td></tr><tr><td>Blasenhalsinvasion</td><td>Nicht nachgewiesen</td></tr><tr><td>Absetzungsränder</td><td>Tumorfrei (R0)</td></tr><tr><td>Lymphknoten untersucht</td><td>12</td></tr><tr><td>Lymphknoten positiv</td><td>0</td></tr><tr><td>pT-Stadium</td><td>pT2</td></tr><tr><td>pN-Stadium</td><td>pN0</td></tr></tbody></table><p><b>Diagnose:</b> Azinäres Adenokarzinom der Prostata (ICD-O 8140/3)</p></div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/DiagnosticReport/RadicalProstatectomyReport> ; fhir:Reference.reference [ fhir:value "DiagnosticReport/RadicalProstatectomyReport" ] ] ] . <http://hl7.org/fhir/Patient/Patient1> a fhir:Patient . <http://hl7.org/fhir/Encounter/RadicalProstatectomyEncounter> a fhir:Encounter . <http://hl7.org/fhir/Organization/PathologyLabOrganization> a fhir:Organization . <http://hl7.org/fhir/ServiceRequest/RadicalProstatectomyReportRequest> a fhir:ServiceRequest . <http://hl7.org/fhir/DiagnosticReport/RadicalProstatectomyReport> a fhir:DiagnosticReport . <http://prostatecancerspec.org/Patient/Patient1> a fhir:Patient ; fhir:Resource.id [ fhir:value "Patient1"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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>" ] ; fhir:Patient.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "http://example.hospital.de/patient-ids" ] ; fhir:Identifier.value [ fhir:value "PAT-2024-001" ] ] ; fhir:Patient.name [ fhir:index 0 ; fhir:HumanName.family [ fhir:value "Mueller" ] ; fhir:HumanName.given [ fhir:value "Hans" ; fhir:index 0 ] ] ; fhir:Patient.gender [ fhir:value "male"] ; fhir:Patient.birthDate [ fhir:value "1955-08-15"^^xsd:date] . <http://prostatecancerspec.org/Organization/PathologyLabOrganization> a fhir:Organization ; fhir:Resource.id [ fhir:value "PathologyLabOrganization"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.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>" ] ; fhir:Organization.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "http://example.hospital.de/organization-ids" ] ; fhir:Identifier.value [ fhir:value "ORG-PATH-001" ] ] ; fhir:Organization.name [ fhir:value "Pathologielabor"] . <http://prostatecancerspec.org/DiagnosticReport/RadicalProstatectomyReport> a fhir:DiagnosticReport ; fhir:Resource.id [ fhir:value "RadicalProstatectomyReport"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0" ; fhir:index 0 ; fhir:link <https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_RadicalProstatectomyReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport RadicalProstatectomyReport</b></p><a name=\"RadicalProstatectomyReport\"> </a><a name=\"hcRadicalProstatectomyReport\"> </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>2024-03-20 17:00:00+0100</td></tr><tr><td>Reported</td><td>2024-03-21 08:00:00+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_002</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-RadicalProstatectomyMacroscopicGrouper.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 des Prostatektomiepräparats</td><td>Final</td><td>2024-03-16 14:00:00+0100</td></tr><tr><td><a href=\"Observation-RadicalProstatectomyDiagnosticConclusionGrouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2024-03-20</td></tr></table><p>Adenokarzinom der Prostata, Gleason Score 3+4=7, pT2 pN0 (0/12) R0. Maximaler Tumordurchmesser 18 mm (ca. 25% der Prostata). Keine extrakapsuläre Extension, keine Samenblaseninvasion, alle Resektionsränder tumorfrei.</p></div>" ] ; fhir:DiagnosticReport.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "ACSN" ] ; fhir:Coding.display [ fhir:value "Accession ID" ] ] ] ; fhir:Identifier.system [ fhir:value "https://pathologie.example-hospital.de/fhir/fn/befundbericht" ] ; fhir:Identifier.value [ fhir:value "E_24_002" ] ] ; fhir:DiagnosticReport.basedOn [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/ServiceRequest/RadicalProstatectomyReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/RadicalProstatectomyReportRequest" ] ] ; fhir:DiagnosticReport.status [ fhir:value "final"] ; fhir:DiagnosticReport.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ] ; fhir:Coding.code [ fhir:value "SP" ] ; fhir:Coding.display [ fhir:value "Surgical Pathology" ] ] ] ; fhir:DiagnosticReport.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:60568-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "60568-3" ] ; fhir:Coding.display [ fhir:value "Pathology Synoptic report" ] ] ] ; fhir:DiagnosticReport.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ] ; fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2024-03-20T17:00:00+01:00"^^xsd:dateTime] ; fhir:DiagnosticReport.issued [ fhir:value "2024-03-21T08:00:00+01:00"^^xsd:dateTime] ; fhir:DiagnosticReport.performer [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Practitioner/PathologistPractitioner> ; fhir:Reference.reference [ fhir:value "Practitioner/PathologistPractitioner" ] ] ; fhir:DiagnosticReport.specimen [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenPart> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenPart" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock01> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenBlock01" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide01A> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide01A" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide01B> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide01B" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock02> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenBlock02" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide02A> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide02A" ] ], [ fhir:index 6 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide02B> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide02B" ] ], [ fhir:index 7 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock03> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenBlock03" ] ], [ fhir:index 8 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide03A> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide03A" ] ], [ fhir:index 9 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide03B> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenSlide03B" ] ], [ fhir:index 10 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRight> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeRight" ] ], [ fhir:index 11 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightBlock> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeRightBlock" ] ], [ fhir:index 12 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide01> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide01" ] ], [ fhir:index 13 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide02> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide02" ] ], [ fhir:index 14 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeft> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeLeft" ] ], [ fhir:index 15 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftBlock> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeLeftBlock" ] ], [ fhir:index 16 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide01> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide01" ] ], [ fhir:index 17 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide02> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide02" ] ] ; fhir:DiagnosticReport.result [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicGrouper> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicGrouper" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyDiagnosticConclusionGrouper> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyDiagnosticConclusionGrouper" ] ] ; fhir:DiagnosticReport.conclusion [ fhir:value "Adenokarzinom der Prostata, Gleason Score 3+4=7, pT2 pN0 (0/12) R0. Maximaler Tumordurchmesser 18 mm (ca. 25% der Prostata). Keine extrakapsuläre Extension, keine Samenblaseninvasion, alle Resektionsränder tumorfrei."] . <http://hl7.org/fhir/Practitioner/PathologistPractitioner> a fhir:Practitioner . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenPart> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock01> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide01A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide01B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock02> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide02A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide02B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenBlock03> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide03A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenSlide03B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRight> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightBlock> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide01> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide02> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeft> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftBlock> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide01> a fhir:Specimen . <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide02> a fhir:Specimen . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicGrouper> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyDiagnosticConclusionGrouper> a fhir:Observation . <http://prostatecancerspec.org/Observation/RadicalProstatectomyDiagnosticConclusionGrouper> a fhir:Observation ; fhir:Resource.id [ fhir:value "RadicalProstatectomyDiagnosticConclusionGrouper"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|2026.0.0" ; fhir:index 0 ; fhir:link <https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|2026.0.0> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_RadicalProstatectomyDiagnosticConclusionGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation RadicalProstatectomyDiagnosticConclusionGrouper</b></p><a name=\"RadicalProstatectomyDiagnosticConclusionGrouper\"> </a><a name=\"hcRadicalProstatectomyDiagnosticConclusionGrouper\"> </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-RadicalProstatectomyReportRequest.html\">ServiceRequest Pathology synoptic 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>: 2024-03-20</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-RadicalProstatectomyHistologicalTypeICDO3.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-RadicalProstatectomyMorphologyFreeText.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-RadicalProstatectomyICDOVersion.html\">Observation World Health Organization tumor classification (observable entity)</a></li><li><a href=\"Observation-RadicalProstatectomyPrimaryGleasonPattern.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-RadicalProstatectomySecondaryGleasonPattern.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-RadicalProstatectomyGleasonScoreTotal.html\">Observation Gleason score in Specimen Qualitative</a></li><li><a href=\"Observation-RadicalProstatectomyPercentageGleason45.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-RadicalProstatectomyGradingGroupISUP.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-RadicalProstatectomyIntraductalCarcinoma.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-RadicalProstatectomyInvasiveCribriformCarcinoma.html\">Observation Cribriform carcinoma</a></li><li><a href=\"Observation-RadicalProstatectomyMaxTumorDiameter.html\">Observation Size.maximum dimension in Tumor</a></li><li><a href=\"Observation-RadicalProstatectomyProstaticTissueInvolved.html\">Observation Tissue involved by tumor in Prostate tumor</a></li><li><a href=\"Observation-RadicalProstatectomyExtraprostaticExtension.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-RadicalProstatectomySeminalVesicleInvasion.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-RadicalProstatectomyLymphovascularInvasion.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-RadicalProstatectomyPerineuralInfiltration.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li><li><a href=\"Observation-RadicalProstatectomyBladderNeckInvasion.html\">Observation Bladder neck involvement of Prostate tumor</a></li><li><a href=\"Observation-RadicalProstatectomyMarginStatus.html\">Observation Margin involvement [Type] in Prostate tumor</a></li><li><a href=\"Observation-RadicalProstatectomyLymphNodesExamined.html\">Observation Regional lymph nodes examined [#] Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyLymphNodesPositive.html\">Observation Regional lymph nodes positive [#] Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyTNMpT.html\">Observation Primary tumor.pathology Cancer</a></li><li><a href=\"Observation-RadicalProstatectomyTNMpN.html\">Observation Regional lymph nodes.pathology [Class] Cancer</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseRadicalProstatectomy.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.19--20250115134435' about '->Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)'</a></p></div>" ] ; fhir:Observation.basedOn [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/ServiceRequest/RadicalProstatectomyReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/RadicalProstatectomyReportRequest" ] ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "laboratory" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:22637-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "22637-3" ] ] ] ; fhir:Observation.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2024-03-20"^^xsd:date] ; fhir:Observation.performer [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Practitioner/PathologistPractitioner> ; fhir:Reference.reference [ fhir:value "Practitioner/PathologistPractitioner" ] ] ; fhir:Observation.hasMember [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyHistologicalTypeICDO3> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyHistologicalTypeICDO3" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMorphologyFreeText> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMorphologyFreeText" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyICDOVersion> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyICDOVersion" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyPrimaryGleasonPattern> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyPrimaryGleasonPattern" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomySecondaryGleasonPattern> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomySecondaryGleasonPattern" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyGleasonScoreTotal> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyGleasonScoreTotal" ] ], [ fhir:index 6 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyPercentageGleason45> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyPercentageGleason45" ] ], [ fhir:index 7 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyGradingGroupISUP> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyGradingGroupISUP" ] ], [ fhir:index 8 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyIntraductalCarcinoma> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyIntraductalCarcinoma" ] ], [ fhir:index 9 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyInvasiveCribriformCarcinoma> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyInvasiveCribriformCarcinoma" ] ], [ fhir:index 10 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMaxTumorDiameter> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMaxTumorDiameter" ] ], [ fhir:index 11 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyProstaticTissueInvolved> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyProstaticTissueInvolved" ] ], [ fhir:index 12 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyExtraprostaticExtension> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyExtraprostaticExtension" ] ], [ fhir:index 13 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomySeminalVesicleInvasion> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomySeminalVesicleInvasion" ] ], [ fhir:index 14 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphovascularInvasion> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyLymphovascularInvasion" ] ], [ fhir:index 15 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyPerineuralInfiltration> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyPerineuralInfiltration" ] ], [ fhir:index 16 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyBladderNeckInvasion> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyBladderNeckInvasion" ] ], [ fhir:index 17 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMarginStatus> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMarginStatus" ] ], [ fhir:index 18 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphNodesExamined> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyLymphNodesExamined" ] ], [ fhir:index 19 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphNodesPositive> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyLymphNodesPositive" ] ], [ fhir:index 20 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyTNMpT> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyTNMpT" ] ], [ fhir:index 21 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyTNMpN> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyTNMpN" ] ] ; fhir:Observation.derivedFrom [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy> ; fhir:Reference.reference [ fhir:value "QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy" ] ] . <http://hl7.org/fhir/Observation/RadicalProstatectomyHistologicalTypeICDO3> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMorphologyFreeText> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyICDOVersion> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyPrimaryGleasonPattern> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomySecondaryGleasonPattern> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyGleasonScoreTotal> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyPercentageGleason45> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyGradingGroupISUP> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyIntraductalCarcinoma> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyInvasiveCribriformCarcinoma> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMaxTumorDiameter> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyProstaticTissueInvolved> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyExtraprostaticExtension> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomySeminalVesicleInvasion> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphovascularInvasion> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyPerineuralInfiltration> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyBladderNeckInvasion> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMarginStatus> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphNodesExamined> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyLymphNodesPositive> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyTNMpT> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyTNMpN> a fhir:Observation . <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy> a fhir:QuestionnaireResponse . <http://prostatecancerspec.org/Observation/RadicalProstatectomyMacroscopicGrouper> a fhir:Observation ; fhir:Resource.id [ fhir:value "RadicalProstatectomyMacroscopicGrouper"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper|2026.0.0" ; fhir:index 0 ; fhir:link <https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper|2026.0.0> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_RadicalProstatectomyMacroscopicGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation RadicalProstatectomyMacroscopicGrouper</b></p><a name=\"RadicalProstatectomyMacroscopicGrouper\"> </a><a name=\"hcRadicalProstatectomyMacroscopicGrouper\"> </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>: 2024-03-16 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 des Prostatektomiepräparats</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 41216001}\">Prostate</span></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-RadicalProstatectomyMacroscopicProstateWeight.html\">Observation Weight of Tissue</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicProstateWidth.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicProstateHeight.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicProstateDepth.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicLymphNodesPresent.html\">Observation Tumor finding</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicLymphNodesLaterality.html\">Observation Anatomic part Laterality</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicSeminalVesiclesPresent.html\">Observation Seminal vesicles [Presence] in Specimen</a></li><li><a href=\"Observation-RadicalProstatectomyMacroscopicSeminalVesicleLength.html\">Observation Dimension [Length] of Specimen</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseRadicalProstatectomy.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.19--20250115134435' about '->Hans Mueller Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)'</a></p></div>" ] ; fhir:Observation.status [ fhir:value "final"] ; fhir:Observation.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ; fhir:Coding.code [ fhir:value "laboratory" ] ] ] ; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:22634-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "22634-0" ] ] ] ; fhir:Observation.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2024-03-16T14:00:00+01:00"^^xsd:dateTime] ; fhir:Observation.performer [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Practitioner/PathologistPractitioner> ; fhir:Reference.reference [ fhir:value "Practitioner/PathologistPractitioner" ] ] ; fhir:Observation.valueString [ fhir:value "Makroskopische Messungen des Prostatektomiepräparats"] ; fhir:Observation.bodySite [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:41216001 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "41216001" ] ; fhir:Coding.display [ fhir:value "Prostate" ] ] ] ; fhir:Observation.hasMember [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateWeight> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicProstateWeight" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateWidth> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicProstateWidth" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateHeight> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicProstateHeight" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateDepth> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicProstateDepth" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicLymphNodesPresent> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicLymphNodesPresent" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicLymphNodesLaterality> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicLymphNodesLaterality" ] ], [ fhir:index 6 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicSeminalVesiclesPresent> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicSeminalVesiclesPresent" ] ], [ fhir:index 7 ; fhir:link <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicSeminalVesicleLength> ; fhir:Reference.reference [ fhir:value "Observation/RadicalProstatectomyMacroscopicSeminalVesicleLength" ] ] ; fhir:Observation.derivedFrom [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy> ; fhir:Reference.reference [ fhir:value "QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy" ] ] . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateWeight> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateWidth> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateHeight> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicProstateDepth> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicLymphNodesPresent> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicLymphNodesLaterality> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicSeminalVesiclesPresent> a fhir:Observation . <http://hl7.org/fhir/Observation/RadicalProstatectomyMacroscopicSeminalVesicleLength> a fhir:Observation . <http://prostatecancerspec.org/Encounter/RadicalProstatectomyEncounter> a fhir:Encounter ; fhir:Resource.id [ fhir:value "RadicalProstatectomyEncounter"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_RadicalProstatectomyEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter RadicalProstatectomyEncounter</b></p><a name=\"RadicalProstatectomyEncounter\"> </a><a name=\"hcRadicalProstatectomyEncounter\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/encounters</code>/E_24_002</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated]: IMP (IMP)</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>" ] ; fhir:Encounter.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "http://example.hospital.de/encounters" ] ; fhir:Identifier.value [ fhir:value "E_24_002" ] ] ; fhir:Encounter.status [ fhir:value "finished"] ; fhir:Encounter.class [ fhir:Coding.code [ fhir:value "IMP" ] ] ; fhir:Encounter.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ] . <http://prostatecancerspec.org/ServiceRequest/RadicalProstatectomyReportRequest> a fhir:ServiceRequest ; fhir:Resource.id [ fhir:value "RadicalProstatectomyReportRequest"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0" ; fhir:index 0 ; fhir:link <https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_RadicalProstatectomyReportRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest RadicalProstatectomyReportRequest</b></p><a name=\"RadicalProstatectomyReportRequest\"> </a><a name=\"hcRadicalProstatectomyReportRequest\"> </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-2024-002</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-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-RadicalProstatectomyEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_002; status = finished; class = IMP (IMP)</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 399068003}\">Malignant tumor of prostate</span></p><p><b>supportingInfo</b>: <a href=\"Condition-RadicalProstatectomyDiagnosisPreOp.html\">Condition Bösartige Neubildung der Prostata</a></p><p><b>specimen</b>: <a href=\"Specimen-RadicalProstatectomySpecimenPart.html\">Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_002; status = available; type = Specimen from prostate obtained by radical prostatectomy (specimen)</a></p></div>" ] ; fhir:ServiceRequest.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "PLAC" ] ; fhir:Coding.display [ fhir:value "Placer Identifier" ] ] ] ; fhir:Identifier.system [ fhir:value "http://example.hospital.de/serviceRequest" ] ; fhir:Identifier.value [ fhir:value "PATH-RPT-2024-002" ] ] ; fhir:ServiceRequest.status [ fhir:value "completed"] ; fhir:ServiceRequest.intent [ fhir:value "order"] ; fhir:ServiceRequest.category [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:726007 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "726007" ] ; fhir:Coding.display [ fhir:value "Pathology consultation, comprehensive, records and specimen with report (procedure)" ] ] ] ; fhir:ServiceRequest.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:60568-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "60568-3" ] ; fhir:Coding.display [ fhir:value "Pathology synoptic report" ] ] ] ; fhir:ServiceRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient1> ; fhir:Reference.reference [ fhir:value "Patient/Patient1" ] ] ; fhir:ServiceRequest.encounter [ fhir:link <http://hl7.org/fhir/Encounter/RadicalProstatectomyEncounter> ; fhir:Reference.reference [ fhir:value "Encounter/RadicalProstatectomyEncounter" ] ] ; fhir:ServiceRequest.requester [ fhir:link <http://hl7.org/fhir/Practitioner/UrologistPractitioner> ; fhir:Reference.reference [ fhir:value "Practitioner/UrologistPractitioner" ] ] ; fhir:ServiceRequest.performer [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Practitioner/PathologistPractitioner> ; fhir:Reference.reference [ fhir:value "Practitioner/PathologistPractitioner" ] ] ; fhir:ServiceRequest.reasonCode [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:399068003 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "399068003" ] ; fhir:Coding.display [ fhir:value "Malignant tumor of prostate" ] ] ] ; fhir:ServiceRequest.supportingInfo [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Condition/RadicalProstatectomyDiagnosisPreOp> ; fhir:Reference.reference [ fhir:value "Condition/RadicalProstatectomyDiagnosisPreOp" ] ] ; fhir:ServiceRequest.specimen [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Specimen/RadicalProstatectomySpecimenPart> ; fhir:Reference.reference [ fhir:value "Specimen/RadicalProstatectomySpecimenPart" ] ] . <http://hl7.org/fhir/Practitioner/UrologistPractitioner> a fhir:Practitioner . <http://hl7.org/fhir/Condition/RadicalProstatectomyDiagnosisPreOp> a fhir:Condition . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/RadicalProstatectomyDocument.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Bundle/RadicalProstatectomyDocument.ttl> .
IG © 2025+ BIH CEI. Package prostatecancerspec#0.1.0 based on FHIR 4.0.1. Generated 2026-08-18
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