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
<Bundle xmlns="http://hl7.org/fhir">
<id value="RadicalProstatectomyDocument"/>
<identifier>
<system
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<value value="E_24_002"/>
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<type value="document"/>
<timestamp value="2024-03-21T08:00:00+01:00"/>
<entry>
<fullUrl
value="http://prostatecancerspec.org/Composition/RadicalProstatectomyComposition"/>
<resource>
<Composition>
<id value="RadicalProstatectomyComposition"/>
<text>
<status value="generated"/>
<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>
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<code value="ACSN"/>
<display value="Accession ID"/>
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<system value="http://example.hospital.de/pathology-reports"/>
<value value="PATH-COMP-2024-002"/>
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<code value="11526-1"/>
<display value="Pathology study"/>
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<code value="PATH"/>
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<subject>🔗
<reference value="Patient/Patient1"/>
<display value="Hans Mueller, geb. 15.08.1955 (PAT-2024-001)"/>
</subject>
<encounter>🔗
<reference value="Encounter/RadicalProstatectomyEncounter"/>
</encounter>
<date value="2024-03-21T08:00:00+01:00"/>
<author>🔗
<reference value="Organization/PathologyLabOrganization"/>
<display value="Pathologisches Institut"/>
</author>
<title value="Histopathologischer Befundbericht - Prostatektomie"/>
<attester>
<mode value="legal"/>
<party>🔗
<reference value="Organization/PathologyLabOrganization"/>
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<custodian>🔗
<reference value="Organization/PathologyLabOrganization"/>
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<event>
<code>
<coding>
<system
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<code value="PATREPE"/>
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<detail>🔗
<reference
value="ServiceRequest/RadicalProstatectomyReportRequest"/>
</detail>
</event>
<section>
<title value="Pathologiebefundbericht"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="60567-5"/>
<display value="Comprehensive pathology report panel"/>
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<text>
<status value="additional"/>
<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>
</text>
<entry>🔗
<reference value="DiagnosticReport/RadicalProstatectomyReport"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="http://prostatecancerspec.org/Patient/Patient1"/>
<resource>
<Patient>
<id value="Patient1"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://example.hospital.de/patient-ids"/>
<value value="PAT-2024-001"/>
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<name>
<family value="Mueller"/>
<given value="Hans"/>
</name>
<gender value="male"/>
<birthDate value="1955-08-15"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://prostatecancerspec.org/Organization/PathologyLabOrganization"/>
<resource>
<Organization>
<id value="PathologyLabOrganization"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://example.hospital.de/organization-ids"/>
<value value="ORG-PATH-001"/>
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<name value="Pathologielabor"/>
</Organization>
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</entry>
<entry>
<fullUrl
value="http://prostatecancerspec.org/DiagnosticReport/RadicalProstatectomyReport"/>
<resource>
<DiagnosticReport>
<id value="RadicalProstatectomyReport"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0"/>
</meta>
<text>
<status value="generated"/>
<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>
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<type>
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<code value="ACSN"/>
<display value="Accession ID"/>
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<system
value="https://pathologie.example-hospital.de/fhir/fn/befundbericht"/>
<value value="E_24_002"/>
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<basedOn>🔗
<reference
value="ServiceRequest/RadicalProstatectomyReportRequest"/>
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<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="SP"/>
<display value="Surgical Pathology"/>
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</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="60568-3"/>
<display value="Pathology Synoptic report"/>
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<subject>🔗
<reference value="Patient/Patient1"/>
</subject>
<effectiveDateTime value="2024-03-20T17:00:00+01:00"/>
<issued value="2024-03-21T08:00:00+01:00"/>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
</performer>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenPart"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenBlock01"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide01A"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide01B"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenBlock02"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide02A"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide02B"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenBlock03"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide03A"/>
</specimen>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenSlide03B"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeRight"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeRightBlock"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide01"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeRightSlide02"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeLeft"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeLeftBlock"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide01"/>
</specimen>
<specimen>🔗
<reference
value="Specimen/RadicalProstatectomySpecimenLymphNodeLeftSlide02"/>
</specimen>
<result>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicGrouper"/>
</result>
<result>🔗
<reference
value="Observation/RadicalProstatectomyDiagnosticConclusionGrouper"/>
</result>
<conclusion
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."/>
</DiagnosticReport>
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<entry>
<fullUrl
value="http://prostatecancerspec.org/Observation/RadicalProstatectomyDiagnosticConclusionGrouper"/>
<resource>
<Observation>
<id value="RadicalProstatectomyDiagnosticConclusionGrouper"/>
<meta>
<profile
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<text>
<status value="generated"/>
<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>
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<subject>🔗
<reference value="Patient/Patient1"/>
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<effectiveDateTime value="2024-03-20"/>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
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<hasMember>🔗
<reference
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<hasMember>🔗
<reference
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<hasMember>🔗
<reference value="Observation/RadicalProstatectomyICDOVersion"/>
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<hasMember>🔗
<reference
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<hasMember>🔗
<reference
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<hasMember>🔗
<reference
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<hasMember>🔗
<reference
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</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyGradingGroupISUP"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyIntraductalCarcinoma"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyInvasiveCribriformCarcinoma"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMaxTumorDiameter"/>
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<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyProstaticTissueInvolved"/>
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<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyExtraprostaticExtension"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomySeminalVesicleInvasion"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyLymphovascularInvasion"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyPerineuralInfiltration"/>
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<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyBladderNeckInvasion"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/RadicalProstatectomyMarginStatus"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyLymphNodesExamined"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyLymphNodesPositive"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/RadicalProstatectomyTNMpT"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/RadicalProstatectomyTNMpN"/>
</hasMember>
<derivedFrom>🔗
<reference
value="QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy"/>
</derivedFrom>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://prostatecancerspec.org/Observation/RadicalProstatectomyMacroscopicGrouper"/>
<resource>
<Observation>
<id value="RadicalProstatectomyMacroscopicGrouper"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper|2026.0.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="22634-0"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient1"/>
</subject>
<effectiveDateTime value="2024-03-16T14:00:00+01:00"/>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
</performer>
<valueString
value="Makroskopische Messungen des Prostatektomiepräparats"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="41216001"/>
<display value="Prostate"/>
</coding>
</bodySite>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicProstateWeight"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicProstateWidth"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicProstateHeight"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicProstateDepth"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicLymphNodesPresent"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicLymphNodesLaterality"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicSeminalVesiclesPresent"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/RadicalProstatectomyMacroscopicSeminalVesicleLength"/>
</hasMember>
<derivedFrom>🔗
<reference
value="QuestionnaireResponse/QuestionnaireResponseRadicalProstatectomy"/>
</derivedFrom>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://prostatecancerspec.org/Encounter/RadicalProstatectomyEncounter"/>
<resource>
<Encounter>
<id value="RadicalProstatectomyEncounter"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://example.hospital.de/encounters"/>
<value value="E_24_002"/>
</identifier>
<status value="finished"/>
<class>
<code value="IMP"/>
</class>
<subject>🔗
<reference value="Patient/Patient1"/>
</subject>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="http://prostatecancerspec.org/ServiceRequest/RadicalProstatectomyReportRequest"/>
<resource>
<ServiceRequest>
<id value="RadicalProstatectomyReportRequest"/>
<meta>
<profile
value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<system value="http://example.hospital.de/serviceRequest"/>
<value value="PATH-RPT-2024-002"/>
</identifier>
<status value="completed"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="726007"/>
<display
value="Pathology consultation, comprehensive, records and specimen with report (procedure)"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="60568-3"/>
<display value="Pathology synoptic report"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient1"/>
</subject>
<encounter>🔗
<reference value="Encounter/RadicalProstatectomyEncounter"/>
</encounter>
<requester>🔗
<reference value="Practitioner/UrologistPractitioner"/>
</requester>
<performer>🔗
<reference value="Practitioner/PathologistPractitioner"/>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399068003"/>
<display value="Malignant tumor of prostate"/>
</coding>
</reasonCode>
<supportingInfo>🔗
<reference value="Condition/RadicalProstatectomyDiagnosisPreOp"/>
</supportingInfo>
<specimen>🔗
<reference value="Specimen/RadicalProstatectomySpecimenPart"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
</Bundle>