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
{
"resourceType" : "Bundle",
"id" : "TransurethralResectionDocument",
"identifier" : {
"system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
"value" : "E_24_003"
},
"type" : "document",
"timestamp" : "2024-04-15T08:00:00+01:00",
"entry" : [
{
"fullUrl" : "http://prostatecancerspec.org/Composition/TransurethralResectionComposition",
"resource" : {
"resourceType" : "Composition",
"id" : "TransurethralResectionComposition",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_TransurethralResectionComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition TransurethralResectionComposition</b></p><a name=\"TransurethralResectionComposition\"> </a><a name=\"hcTransurethralResectionComposition\"> </a><p><b>identifier</b>: Accession ID/PATH-COMP-2024-003</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-TransurethralResectionEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_003; 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 - TUR-Prostata</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-TransurethralResectionReportRequest.html\">ServiceRequest Transurethral prostatectomy (procedure)</a></td></tr></table></div>"
},
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN",
"display" : "Accession ID"
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},
"system" : "http://example.hospital.de/pathology-reports",
"value" : "PATH-COMP-2024-003"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11526-1",
"display" : "Pathology study"
},
{
"system" : "http://ihe-d.de/CodeSystems/IHEXDStypeCode",
"code" : "PATH"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient2",
"display" : "Peter Schmidt, geb. 22.03.1960 (PAT-2024-002)"
},
"encounter" : {
🔗 "reference" : "Encounter/TransurethralResectionEncounter"
},
"date" : "2024-04-15T08:00:00+01:00",
"author" : [
{
🔗 "reference" : "Organization/PathologyLabOrganization",
"display" : "Pathologisches Institut"
}
],
"title" : "Histopathologischer Befundbericht - TUR-Prostata",
"attester" : [
{
"mode" : "legal",
"party" : {
🔗 "reference" : "Organization/PathologyLabOrganization"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/PathologyLabOrganization"
},
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PATREPE"
}
]
}
],
"detail" : [
{
🔗 "reference" : "ServiceRequest/TransurethralResectionReportRequest"
}
]
}
],
"section" : [
{
"title" : "Pathologiebefundbericht",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60567-5",
"display" : "Comprehensive pathology report panel"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Klinische Angaben</h3><p>Obstruktive Miktionsbeschwerden bei bekannter Prostatahyperplasie. PSA 4,2 ng/ml. Transurethrale Resektion der Prostata (TUR-P).</p><h3>Makroskopie</h3><p>TUR-Prostata-Präparat 25 g. Keine Samenblasen, keine Lymphknoten im Resektat.</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Präparat</td><td>TUR-Prostata-Späne</td></tr><tr><td>Gewicht</td><td>25 g</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>Prostatastanzgewebe mit ausgeprägter nodulärer glandulärer und stromaler Hyperplasie. Fokale chronisch-lymphozytäre Prostatitis. Kein Anhalt für Malignität.</p><h3>Diagnostische Schlussfolgerung</h3><p>Benigne Prostatahyperplasie mit glandulärer und stromaler Hyperplasie. Ausgeprägte noduläre Hyperplasie mit überwiegend glandulären Anteilen. Fokale chronisch-lymphozytäre Prostatitis. Kein Anhalt für Malignität, kein ASAP, keine High-grade-PIN.</p><p><b>Diagnose:</b> Benigne Prostatahyperplasie (BPH)</p><table border=\"1\" cellpadding=\"4\" cellspacing=\"0\"><tbody><tr><td>Histologische Diagnose</td><td>Benigne Prostatahyperplasie mit glandulärer und stromaler Hyperplasie</td></tr><tr><td>BPH-Typ</td><td>Ausgeprägte noduläre Hyperplasie mit überwiegend glandulären Anteilen</td></tr><tr><td>Entzündung</td><td>Fokale chronisch-lymphozytäre Prostatitis</td></tr><tr><td>Malignität</td><td>Kein Anhalt</td></tr><tr><td>ASAP</td><td>Nicht nachgewiesen</td></tr><tr><td>High-grade-PIN</td><td>Nicht nachgewiesen</td></tr></tbody></table></div>"
},
"entry" : [
{
🔗 "reference" : "DiagnosticReport/TransurethralResectionReport"
}
]
}
]
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Patient/Patient2",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient2</b></p><a name=\"Patient2\"> </a><a name=\"hcPatient2\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</p><hr/></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/patient-ids",
"value" : "PAT-2024-002"
}
],
"name" : [
{
"family" : "Schmidt",
"given" : [
"Peter"
]
}
],
"gender" : "male",
"birthDate" : "1960-03-22"
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Organization/PathologyLabOrganization",
"resource" : {
"resourceType" : "Organization",
"id" : "PathologyLabOrganization",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_PathologyLabOrganization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization PathologyLabOrganization</b></p><a name=\"PathologyLabOrganization\"> </a><a name=\"hcPathologyLabOrganization\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/organization-ids</code>/ORG-PATH-001</p><p><b>name</b>: Pathologielabor</p></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/organization-ids",
"value" : "ORG-PATH-001"
}
],
"name" : "Pathologielabor"
}
},
{
"fullUrl" : "http://prostatecancerspec.org/DiagnosticReport/TransurethralResectionReport",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "TransurethralResectionReport",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2026.0.0"
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_TransurethralResectionReport\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport TransurethralResectionReport</b></p><a name=\"TransurethralResectionReport\"> </a><a name=\"hcTransurethralResectionReport\"> </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>Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</td></tr><tr><td>Relevant Time</td><td>2024-04-12 17:00:00+0100</td></tr><tr><td>Reported</td><td>2024-04-13 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_003</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-TransurethralResectionMacroscopicGrouper.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-TransurethralResectionDiagnosticConclusionGrouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2024-04-12</td></tr></table><p>TUR-Prostata: 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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN",
"display" : "Accession ID"
}
]
},
"system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
"value" : "E_24_003"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/TransurethralResectionReportRequest"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
"code" : "SP",
"display" : "Surgical Pathology"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60568-3",
"display" : "Pathology Synoptic report"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient2"
},
"effectiveDateTime" : "2024-04-12T17:00:00+01:00",
"issued" : "2024-04-13T08:00:00+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenPart"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenBlock01"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide01A"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide01B"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenBlock02"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide02A"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide02B"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenBlock03"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide03A"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide03B"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenBlock04"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide04A"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide04B"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenBlock05"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide05A"
},
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenSlide05B"
}
],
"result" : [
{
🔗 "reference" : "Observation/TransurethralResectionMacroscopicGrouper"
},
{
🔗 "reference" : "Observation/TransurethralResectionDiagnosticConclusionGrouper"
}
],
"conclusion" : "TUR-Prostata: 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."
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Observation/TransurethralResectionDiagnosticConclusionGrouper",
"resource" : {
"resourceType" : "Observation",
"id" : "TransurethralResectionDiagnosticConclusionGrouper",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|2026.0.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_TransurethralResectionDiagnosticConclusionGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation TransurethralResectionDiagnosticConclusionGrouper</b></p><a name=\"TransurethralResectionDiagnosticConclusionGrouper\"> </a><a name=\"hcTransurethralResectionDiagnosticConclusionGrouper\"> </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-TransurethralResectionReportRequest.html\">ServiceRequest Transurethral 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-Patient2.html\">Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</a></p><p><b>effective</b>: 2024-04-12</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-TransurethralResectionHistologicalDiagnosis.html\">Observation Histology type in Cancer specimen Narrative</a></li><li><a href=\"Observation-TransurethralResectionBPHNodularity.html\">Observation Benign prostatic hyperplasia (disorder)</a></li><li><a href=\"Observation-TransurethralResectionInflammation.html\">Observation Prostatitis</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseTransurethralResection.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.22--20251014150033' about '->Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)'</a></p></div>"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/TransurethralResectionReportRequest"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "22637-3"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient2"
},
"effectiveDateTime" : "2024-04-12",
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"hasMember" : [
{
🔗 "reference" : "Observation/TransurethralResectionHistologicalDiagnosis"
},
{
🔗 "reference" : "Observation/TransurethralResectionBPHNodularity"
},
{
🔗 "reference" : "Observation/TransurethralResectionInflammation"
}
],
"derivedFrom" : [
{
🔗 "reference" : "QuestionnaireResponse/QuestionnaireResponseTransurethralResection"
}
]
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Observation/TransurethralResectionMacroscopicGrouper",
"resource" : {
"resourceType" : "Observation",
"id" : "TransurethralResectionMacroscopicGrouper",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper|2026.0.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_TransurethralResectionMacroscopicGrouper\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation TransurethralResectionMacroscopicGrouper</b></p><a name=\"TransurethralResectionMacroscopicGrouper\"> </a><a name=\"hcTransurethralResectionMacroscopicGrouper\"> </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-Patient2.html\">Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</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-TransurethralResectionMacroscopicWeight.html\">Observation Specimen weight (observable entity)</a></li><li><a href=\"Observation-TransurethralResectionMacroscopicSeminalVesicles.html\">Observation Tumor finding</a></li><li><a href=\"Observation-TransurethralResectionMacroscopicLymphNodeDissection.html\">Observation Tumor finding</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseTransurethralResection.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.22--20251014150033' about '->Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)'</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "22634-0"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient2"
},
"effectiveDateTime" : "2024-04-11T14:00:00+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "41216001",
"display" : "Prostate"
}
]
},
"hasMember" : [
{
🔗 "reference" : "Observation/TransurethralResectionMacroscopicWeight"
},
{
🔗 "reference" : "Observation/TransurethralResectionMacroscopicSeminalVesicles"
},
{
🔗 "reference" : "Observation/TransurethralResectionMacroscopicLymphNodeDissection"
}
],
"derivedFrom" : [
{
🔗 "reference" : "QuestionnaireResponse/QuestionnaireResponseTransurethralResection"
}
]
}
},
{
"fullUrl" : "http://prostatecancerspec.org/Encounter/TransurethralResectionEncounter",
"resource" : {
"resourceType" : "Encounter",
"id" : "TransurethralResectionEncounter",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_TransurethralResectionEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter TransurethralResectionEncounter</b></p><a name=\"TransurethralResectionEncounter\"> </a><a name=\"hcTransurethralResectionEncounter\"> </a><p><b>identifier</b>: <code>http://example.hospital.de/encounters</code>/E_24_003</p><p><b>status</b>: Finished</p><p><b>class</b>: [not stated]: IMP (IMP)</p><p><b>subject</b>: <a href=\"Patient-Patient2.html\">Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.hospital.de/encounters",
"value" : "E_24_003"
}
],
"status" : "finished",
"class" : {
"code" : "IMP"
},
"subject" : {
🔗 "reference" : "Patient/Patient2"
}
}
},
{
"fullUrl" : "http://prostatecancerspec.org/ServiceRequest/TransurethralResectionReportRequest",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "TransurethralResectionReportRequest",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request|2026.0.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_TransurethralResectionReportRequest\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest TransurethralResectionReportRequest</b></p><a name=\"TransurethralResectionReportRequest\"> </a><a name=\"hcTransurethralResectionReportRequest\"> </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-2024-003</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 90199006}\">Transurethral prostatectomy (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-Patient2.html\">Peter Schmidt Male, DoB: 1960-03-22 ( http://example.hospital.de/patient-ids#PAT-2024-002)</a></p><p><b>encounter</b>: <a href=\"Encounter-TransurethralResectionEncounter.html\">Encounter: identifier = http://example.hospital.de/encounters#E_24_003; 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-TransurethralResectionPSAPre.html\">Observation Prostate specific Ag [Mass/volume] in Serum or Plasma</a></li><li><a href=\"Procedure-TransurethralResectionProcedure.html\">Procedure Transurethrale Exzision und Destruktion von Prostatagewebe</a></li><li><a href=\"Condition-TransurethralResectionDiagnosisBPH.html\">Condition Prostatahyperplasie</a></li></ul><p><b>specimen</b>: <a href=\"Specimen-TransurethralResectionSpecimenPart.html\">Specimen: identifier = Placer Identifier,Filler Identifier; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_003; status = available; type = Tissue specimen</a></p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC",
"display" : "Placer Identifier"
}
]
},
"system" : "http://example.hospital.de/serviceRequest",
"value" : "PATH-RPT-2024-003"
}
],
"status" : "completed",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "726007",
"display" : "Pathology consultation, comprehensive, records and specimen with report (procedure)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "90199006",
"display" : "Transurethral prostatectomy (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient2"
},
"encounter" : {
🔗 "reference" : "Encounter/TransurethralResectionEncounter"
},
"requester" : {
🔗 "reference" : "Practitioner/UrologistPractitioner"
},
"performer" : [
{
🔗 "reference" : "Practitioner/PathologistPractitioner"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "266569009",
"display" : "Benign prostatic hyperplasia"
}
]
}
],
"supportingInfo" : [
{
🔗 "reference" : "Observation/TransurethralResectionPSAPre"
},
{
🔗 "reference" : "Procedure/TransurethralResectionProcedure"
},
{
🔗 "reference" : "Condition/TransurethralResectionDiagnosisBPH"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/TransurethralResectionSpecimenPart"
}
]
}
}
]
}