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/TransurethralEnucleationDocument> a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "TransurethralEnucleationDocument"] ; fhir:Bundle.identifier [ fhir:Identifier.system [ fhir:value "https://pathologie.example-hospital.de/fhir/fn/befundbericht" ] ; fhir:Identifier.value [ fhir:value "E_24_004" ] ] ; fhir:Bundle.type [ fhir:value "document"] ; fhir:Bundle.timestamp [ fhir:value "2024-04-15T08:00:00+01:00"^^xsd:dateTime] ; fhir:Bundle.entry [ fhir:index 0 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Composition/TransurethralEnucleationComposition" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Composition/TransurethralEnucleationComposition> ], [ fhir:index 1 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Patient/Patient3" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Patient/Patient3> ], [ 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/TransurethralEnucleationReport" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/DiagnosticReport/TransurethralEnucleationReport> ], [ fhir:index 4 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Observation/TransurethralEnucleationDiagnosticConclusionGrouper" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Observation/TransurethralEnucleationDiagnosticConclusionGrouper> ], [ fhir:index 5 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Observation/TransurethralEnucleationMacroscopicGrouper" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Observation/TransurethralEnucleationMacroscopicGrouper> ], [ fhir:index 6 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/Encounter/TransurethralEnucleationEncounter" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/Encounter/TransurethralEnucleationEncounter> ], [ fhir:index 7 ; fhir:Bundle.entry.fullUrl [ fhir:value "http://prostatecancerspec.org/ServiceRequest/TransurethralEnucleationReportRequest" ] ; fhir:Bundle.entry.resource <http://prostatecancerspec.org/ServiceRequest/TransurethralEnucleationReportRequest> ] . <http://prostatecancerspec.org/Composition/TransurethralEnucleationComposition> a fhir:Composition ; fhir:Resource.id [ fhir:value "TransurethralEnucleationComposition"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_TransurethralEnucleationComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition TransurethralEnucleationComposition</b></p><a name=\"TransurethralEnucleationComposition\"> </a><a name=\"hcTransurethralEnucleationComposition\"> </a><p><b>identifier</b>: Accession ID/PATH-COMP-2024-004</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-TransurethralEnucleationEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_004; status = finished; class = IMP (IMP)</a></p><p><b>date</b>: 2024-04-15 08:00:00+0100</p><p><b>author</b>: <a href=\"Organization-PathologyLabOrganization.html\">Pathologisches Institut</a></p><p><b>title</b>: Histopathologischer Befundbericht - Prostata Enucleation</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-TransurethralEnucleationReportRequest.html\">ServiceRequest Prostatectomy (procedure)</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-2024-004" ] ] ; 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/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ; fhir:Reference.display [ fhir:value "Klaus Becker, geb. 10.11.1958 (PAT-2024-003)" ] ] ; fhir:Composition.encounter [ fhir:link <http://hl7.org/fhir/Encounter/TransurethralEnucleationEncounter> ; fhir:Reference.reference [ fhir:value "Encounter/TransurethralEnucleationEncounter" ] ] ; fhir:Composition.date [ fhir:value "2024-04-15T08:00:00+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 - Prostata Enucleation"] ; 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/TransurethralEnucleationReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/TransurethralEnucleationReportRequest" ] ] ] ; 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>Obstruktive Miktionsbeschwerden. PSA 12,5 ng/ml. Prostata-Enukleation (HoLEP/ThuLEP). V.a. Prostatakarzinom.</p><h3>Makroskopie</h3><p>Enukleationspräparat 25 g, Maße 3,5 × 2,8 × 2,2 cm. Keine Samenblasen, keine Lymphknoten im Resektat.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Präparat</td><td>Prostata-Enukleationspräparat</td></tr><tr><td>Gewicht</td><td>25 g</td></tr><tr><td>Maße (L × B × T)</td><td>3,5 × 2,8 × 2,2 cm</td></tr><tr><td>Samenblasen</td><td>Nicht im Resektat</td></tr><tr><td>Lymphknoten</td><td>Nicht im Resektat</td></tr></tbody></table><h3>Mikroskopie</h3><p>Azinäres Adenokarzinom der Prostata mit invasiven cribriformen Anteilen und intraduktalem Karzinom. Extensive Tumorinfiltration mit perineuralem und lymphovaskulärem Befall.</p><h3>Diagnostische Schlussfolgerung</h3><p>Gleason-Score 4+5=9, ISUP-Gradgruppe 5 (WHO 2016). Anteil Gleasonmuster 4/5: 90%. Tumorinfiltration ca. 60% des Prostatagewebes. Intraduktales Karzinom und invasive kribriforme Anteile nachgewiesen. Extraprostatische Ausbreitung, Samenblaseninvasion, lymphovaskuläre Invasion und perineurale Infiltration nachgewiesen.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Histologischer Typ</td><td>Azinäres Adenokarzinom mit invasiven kribriformen Anteilen (8140/3)</td></tr><tr><td>Gleason-Score</td><td>4+5=9</td></tr><tr><td>ISUP-Gradgruppe</td><td>5 (WHO 2016)</td></tr><tr><td>Tumoranteil</td><td>60%</td></tr><tr><td>Anteil Gleason 4/5</td><td>90%</td></tr><tr><td>Intraduktales Karzinom</td><td>Nachgewiesen</td></tr><tr><td>Invasives kribriformes Karzinom</td><td>Nachgewiesen</td></tr><tr><td>Extraprostatische Ausbreitung</td><td>Nachgewiesen</td></tr><tr><td>Samenblaseninfiltration</td><td>Nachgewiesen</td></tr><tr><td>Lymphovaskuläre Invasion</td><td>Nachgewiesen</td></tr><tr><td>Perineurale Infiltration</td><td>Nachgewiesen</td></tr></tbody></table><p><b>Diagnose:</b> Azinäres Adenokarzinom der Prostata (ICD-O 8140/3) – High-grade</p><p><b>Empfehlung:</b> Staging-Untersuchungen und interdisziplinäre Tumorkonferenz.</p></div>" ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/DiagnosticReport/TransurethralEnucleationReport> ; fhir:Reference.reference [ fhir:value "DiagnosticReport/TransurethralEnucleationReport" ] ] ] . <http://hl7.org/fhir/Patient/Patient3> a fhir:Patient . <http://hl7.org/fhir/Encounter/TransurethralEnucleationEncounter> a fhir:Encounter . <http://hl7.org/fhir/Organization/PathologyLabOrganization> a fhir:Organization . <http://hl7.org/fhir/ServiceRequest/TransurethralEnucleationReportRequest> a fhir:ServiceRequest . <http://hl7.org/fhir/DiagnosticReport/TransurethralEnucleationReport> a fhir:DiagnosticReport . <http://prostatecancerspec.org/Patient/Patient3> a fhir:Patient ; fhir:Resource.id [ fhir:value "Patient3"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient3</b></p><a name=\"Patient3\"> </a><a name=\"hcPatient3\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</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-2024-003" ] ] ; fhir:Patient.name [ fhir:index 0 ; fhir:HumanName.family [ fhir:value "Becker" ] ; fhir:HumanName.given [ fhir:value "Klaus" ; fhir:index 0 ] ] ; fhir:Patient.gender [ fhir:value "male"] ; fhir:Patient.birthDate [ fhir:value "1958-11-10"^^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/TransurethralEnucleationReport> a fhir:DiagnosticReport ; fhir:Resource.id [ fhir:value "TransurethralEnucleationReport"] ; 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_TransurethralEnucleationReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport TransurethralEnucleationReport</b></p><a name=\"TransurethralEnucleationReport\"> </a><a name=\"hcTransurethralEnucleationReport\"> </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>Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</td></tr><tr><td>Relevant Time</td><td>2024-05-12 17:00:00+0100</td></tr><tr><td>Reported</td><td>2024-05-13 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_004</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-TransurethralEnucleationMacroscopicGrouper.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/><td>Final</td><td>2024-04-11 14:00:00+0100</td></tr><tr><td><a href=\"Observation-TransurethralEnucleationDiagnosticConclusionGrouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2024-05-12</td></tr></table><p>Prostata Enucleation: Azinäres Adenokarzinom, Gleason Score 4+5=9 (ISUP Grade Group 5), mit invasiven cribriformen Anteilen und intraduktalem Karzinom. Extensive Tumorinfiltration (60% des Gewebes) mit extraprostatischer Extension, Samenblaseninvasion, perineuralem und lymphovaskulärem Befall.</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_004" ] ] ; fhir:DiagnosticReport.basedOn [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/ServiceRequest/TransurethralEnucleationReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/TransurethralEnucleationReportRequest" ] ] ; 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/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ] ; fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2024-05-12T17:00:00+01:00"^^xsd:dateTime] ; fhir:DiagnosticReport.issued [ fhir:value "2024-05-13T08:00:00+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/TransurethralEnucleationSpecimenPart> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenPart" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock01> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenBlock01" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide01A> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide01A" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide01B> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide01B" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock02> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenBlock02" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide02A> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide02A" ] ], [ fhir:index 6 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide02B> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide02B" ] ], [ fhir:index 7 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock03> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenBlock03" ] ], [ fhir:index 8 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide03A> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide03A" ] ], [ fhir:index 9 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide03B> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide03B" ] ], [ fhir:index 10 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock04> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenBlock04" ] ], [ fhir:index 11 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide04A> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide04A" ] ], [ fhir:index 12 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide04B> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide04B" ] ], [ fhir:index 13 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock05> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenBlock05" ] ], [ fhir:index 14 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide05A> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide05A" ] ], [ fhir:index 15 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide05B> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenSlide05B" ] ] ; fhir:DiagnosticReport.result [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicGrouper> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicGrouper" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationDiagnosticConclusionGrouper> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationDiagnosticConclusionGrouper" ] ] ; fhir:DiagnosticReport.conclusion [ fhir:value "Prostata Enucleation: Azinäres Adenokarzinom, Gleason Score 4+5=9 (ISUP Grade Group 5), mit invasiven cribriformen Anteilen und intraduktalem Karzinom. Extensive Tumorinfiltration (60% des Gewebes) mit extraprostatischer Extension, Samenblaseninvasion, perineuralem und lymphovaskulärem Befall."] . <http://hl7.org/fhir/Practitioner/PathologistPractitioner> a fhir:Practitioner . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenPart> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock01> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide01A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide01B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock02> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide02A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide02B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock03> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide03A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide03B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock04> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide04A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide04B> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenBlock05> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide05A> a fhir:Specimen . <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenSlide05B> a fhir:Specimen . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicGrouper> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationDiagnosticConclusionGrouper> a fhir:Observation . <http://prostatecancerspec.org/Observation/TransurethralEnucleationDiagnosticConclusionGrouper> a fhir:Observation ; fhir:Resource.id [ fhir:value "TransurethralEnucleationDiagnosticConclusionGrouper"] ; 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_TransurethralEnucleationDiagnosticConclusionGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation TransurethralEnucleationDiagnosticConclusionGrouper</b></p><a name=\"TransurethralEnucleationDiagnosticConclusionGrouper\"> </a><a name=\"hcTransurethralEnucleationDiagnosticConclusionGrouper\"> </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-TransurethralEnucleationReportRequest.html\">ServiceRequest Prostatectomy (procedure)</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-Patient3.html\">Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</a></p><p><b>effective</b>: 2024-05-12</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-TransurethralEnucleationHistologicalTypeICDO3.html\">Observation Histology and Behavior ICD-O-3 Cancer</a></li><li><a href=\"Observation-TransurethralEnucleationMorphologyFreeText.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-TransurethralEnucleationPrimaryGleasonPattern.html\">Observation Gleason pattern.primary in Prostate tumor</a></li><li><a href=\"Observation-TransurethralEnucleationSecondaryGleasonPattern.html\">Observation Gleason pattern.secondary in Prostate tumor</a></li><li><a href=\"Observation-TransurethralEnucleationGleasonScoreTotal.html\">Observation Gleason score in Specimen Qualitative</a></li><li><a href=\"Observation-TransurethralEnucleationPercentageGleason45.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-TransurethralEnucleationGradingGroupISUP.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-TransurethralEnucleationIntraductalCarcinoma.html\">Observation Non-infiltrating intraductal carcinoma (morphologic abnormality)</a></li><li><a href=\"Observation-TransurethralEnucleationInvasiveCribriformCarcinoma.html\">Observation Cribriform carcinoma</a></li><li><a href=\"Observation-TransurethralEnucleationProstaticTissueInvolved.html\">Observation Tissue cores.positive.carcinoma in Tissue core</a></li><li><a href=\"Observation-TransurethralEnucleationExtraprostaticExtension.html\">Observation Periprostatic fat invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-TransurethralEnucleationSeminalVesicleInvasion.html\">Observation Seminal vesicle invasion [Identifier] in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-TransurethralEnucleationLymphovascularInvasion.html\">Observation Venous + Lymphatic small vessel invasion in Specimen by CAP cancer protocols</a></li><li><a href=\"Observation-TransurethralEnucleationPerineuralInfiltration.html\">Observation Perineural invasion [Presence] in Cancer specimen</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseTransurethralEnucleation.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.22--20251014150033' about '->Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)'</a></p></div>" ] ; fhir:Observation.basedOn [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/ServiceRequest/TransurethralEnucleationReportRequest> ; fhir:Reference.reference [ fhir:value "ServiceRequest/TransurethralEnucleationReportRequest" ] ] ; 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/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2024-05-12"^^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/TransurethralEnucleationHistologicalTypeICDO3> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationHistologicalTypeICDO3" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMorphologyFreeText> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMorphologyFreeText" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationPrimaryGleasonPattern> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationPrimaryGleasonPattern" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationSecondaryGleasonPattern> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationSecondaryGleasonPattern" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationGleasonScoreTotal> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationGleasonScoreTotal" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationPercentageGleason45> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationPercentageGleason45" ] ], [ fhir:index 6 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationGradingGroupISUP> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationGradingGroupISUP" ] ], [ fhir:index 7 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationIntraductalCarcinoma> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationIntraductalCarcinoma" ] ], [ fhir:index 8 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationInvasiveCribriformCarcinoma> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationInvasiveCribriformCarcinoma" ] ], [ fhir:index 9 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationProstaticTissueInvolved> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationProstaticTissueInvolved" ] ], [ fhir:index 10 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationExtraprostaticExtension> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationExtraprostaticExtension" ] ], [ fhir:index 11 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationSeminalVesicleInvasion> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationSeminalVesicleInvasion" ] ], [ fhir:index 12 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationLymphovascularInvasion> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationLymphovascularInvasion" ] ], [ fhir:index 13 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationPerineuralInfiltration> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationPerineuralInfiltration" ] ] ; fhir:Observation.derivedFrom [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation> ; fhir:Reference.reference [ fhir:value "QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation" ] ] . <http://hl7.org/fhir/Observation/TransurethralEnucleationHistologicalTypeICDO3> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMorphologyFreeText> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationPrimaryGleasonPattern> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationSecondaryGleasonPattern> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationGleasonScoreTotal> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationPercentageGleason45> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationGradingGroupISUP> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationIntraductalCarcinoma> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationInvasiveCribriformCarcinoma> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationProstaticTissueInvolved> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationExtraprostaticExtension> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationSeminalVesicleInvasion> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationLymphovascularInvasion> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationPerineuralInfiltration> a fhir:Observation . <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation> a fhir:QuestionnaireResponse . <http://prostatecancerspec.org/Observation/TransurethralEnucleationMacroscopicGrouper> a fhir:Observation ; fhir:Resource.id [ fhir:value "TransurethralEnucleationMacroscopicGrouper"] ; 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_TransurethralEnucleationMacroscopicGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation TransurethralEnucleationMacroscopicGrouper</b></p><a name=\"TransurethralEnucleationMacroscopicGrouper\"> </a><a name=\"hcTransurethralEnucleationMacroscopicGrouper\"> </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-Patient3.html\">Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</a></p><p><b>effective</b>: 2024-04-11 14:00:00+0100</p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></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-TransurethralEnucleationMacroscopicWeight.html\">Observation Specimen weight (observable entity)</a></li><li><a href=\"Observation-TransurethralEnucleationMacroscopicLength.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-TransurethralEnucleationMacroscopicWidth.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-TransurethralEnucleationMacroscopicDepth.html\">Observation Dimension [Length] of Specimen</a></li><li><a href=\"Observation-TransurethralEnucleationMacroscopicSeminalVesicles.html\">Observation Tumor finding</a></li><li><a href=\"Observation-TransurethralEnucleationMacroscopicLymphNodeDissection.html\">Observation Tumor finding</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseTransurethralEnucleation.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.22--20251014150033' about '->Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)'</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/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ] ; fhir:Observation.effectiveDateTime [ fhir:value "2024-04-11T14:00:00+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.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/TransurethralEnucleationMacroscopicWeight> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicWeight" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicLength> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicLength" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicWidth> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicWidth" ] ], [ fhir:index 3 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicDepth> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicDepth" ] ], [ fhir:index 4 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicSeminalVesicles> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicSeminalVesicles" ] ], [ fhir:index 5 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicLymphNodeDissection> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationMacroscopicLymphNodeDissection" ] ] ; fhir:Observation.derivedFrom [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation> ; fhir:Reference.reference [ fhir:value "QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation" ] ] . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicWeight> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicLength> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicWidth> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicDepth> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicSeminalVesicles> a fhir:Observation . <http://hl7.org/fhir/Observation/TransurethralEnucleationMacroscopicLymphNodeDissection> a fhir:Observation . <http://prostatecancerspec.org/Encounter/TransurethralEnucleationEncounter> a fhir:Encounter ; fhir:Resource.id [ fhir:value "TransurethralEnucleationEncounter"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_TransurethralEnucleationEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter TransurethralEnucleationEncounter</b></p><a name=\"TransurethralEnucleationEncounter\"> </a><a name=\"hcTransurethralEnucleationEncounter\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/encounters</code>/E_24_004</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated]: IMP (IMP)</p><p><b>subject</b>: <a href=\"Patient-Patient3.html\">Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</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_004" ] ] ; 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/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ] . <http://prostatecancerspec.org/ServiceRequest/TransurethralEnucleationReportRequest> a fhir:ServiceRequest ; fhir:Resource.id [ fhir:value "TransurethralEnucleationReportRequest"] ; 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_TransurethralEnucleationReportRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest TransurethralEnucleationReportRequest</b></p><a name=\"TransurethralEnucleationReportRequest\"> </a><a name=\"hcTransurethralEnucleationReportRequest\"> </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-2024-004</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://snomed.info/sct 90470006}\">Prostatectomy (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-Patient3.html\">Klaus Becker Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)</a></p><p><b>encounter</b>: <a href=\"Encounter-TransurethralEnucleationEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_004; 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 266569009}\">Benign prostatic hyperplasia</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Observation-TransurethralEnucleationPSAPre.html\">Observation Prostate specific Ag [Mass/volume] in Serum or Plasma</a></li><li><a href=\"Procedure-TransurethralEnucleationProcedure.html\">Procedure Enukleation der Prostata</a></li><li><a href=\"Condition-TransurethralEnucleationDiagnosisBPH.html\">Condition Prostatahyperplasie ohne Beschwerden beim Wasserlassen</a></li></ul><p><b>specimen</b>: <a href=\"Specimen-TransurethralEnucleationSpecimenPart.html\">Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_004; status = available; type = Tissue 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-2024-004" ] ] ; 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 sct:90470006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "90470006" ] ; fhir:Coding.display [ fhir:value "Prostatectomy (procedure)" ] ] ] ; fhir:ServiceRequest.subject [ fhir:link <http://hl7.org/fhir/Patient/Patient3> ; fhir:Reference.reference [ fhir:value "Patient/Patient3" ] ] ; fhir:ServiceRequest.encounter [ fhir:link <http://hl7.org/fhir/Encounter/TransurethralEnucleationEncounter> ; fhir:Reference.reference [ fhir:value "Encounter/TransurethralEnucleationEncounter" ] ] ; 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:266569009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "266569009" ] ; fhir:Coding.display [ fhir:value "Benign prostatic hyperplasia" ] ] ] ; fhir:ServiceRequest.supportingInfo [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Observation/TransurethralEnucleationPSAPre> ; fhir:Reference.reference [ fhir:value "Observation/TransurethralEnucleationPSAPre" ] ], [ fhir:index 1 ; fhir:link <http://hl7.org/fhir/Procedure/TransurethralEnucleationProcedure> ; fhir:Reference.reference [ fhir:value "Procedure/TransurethralEnucleationProcedure" ] ], [ fhir:index 2 ; fhir:link <http://hl7.org/fhir/Condition/TransurethralEnucleationDiagnosisBPH> ; fhir:Reference.reference [ fhir:value "Condition/TransurethralEnucleationDiagnosisBPH" ] ] ; fhir:ServiceRequest.specimen [ fhir:index 0 ; fhir:link <http://hl7.org/fhir/Specimen/TransurethralEnucleationSpecimenPart> ; fhir:Reference.reference [ fhir:value "Specimen/TransurethralEnucleationSpecimenPart" ] ] . <http://hl7.org/fhir/Practitioner/UrologistPractitioner> a fhir:Practitioner . <http://hl7.org/fhir/Observation/TransurethralEnucleationPSAPre> a fhir:Observation . <http://hl7.org/fhir/Procedure/TransurethralEnucleationProcedure> a fhir:Procedure . <http://hl7.org/fhir/Condition/TransurethralEnucleationDiagnosisBPH> a fhir:Condition . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/TransurethralEnucleationDocument.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Bundle/TransurethralEnucleationDocument.ttl> .
IG © 2025+ BIH CEI. Package prostatecancerspec#0.1.0 based on FHIR 4.0.1. Generated 2026-08-18
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