Generated Narrative: Composition TransurethralResectionComposition

identifier: Accession ID/PATH-COMP-2024-003

status: Final

type: Pathology study

encounter: Encounter: identifier = http://example.hospital.de/encounters#E_24_003; status = finished; class = IMP (IMP)

date: 2024-04-15 08:00:00+0100

author: Pathologisches Institut

title: Histopathologischer Befundbericht - TUR-Prostata

Attesters

-ModeParty
*LegalOrganization Pathologielabor

custodian: Organization Pathologielabor

Events

-CodeDetail
*pathology report entry taskServiceRequest Transurethral prostatectomy (procedure)
 <attester> <mode value="legal"/> <party> <reference value="Organization/PathologyLabOrganization"/> </party> </attester> <custodian> <reference value="Organization/PathologyLabOrganization"/> </custodian> <event> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="PATREPE"/> </coding> </code> <detail> <reference value="ServiceRequest/TransurethralResectionReportRequest"/> </detail> </event> <section> <title value="Pathologiebefundbericht"/> <code> <coding> <system value="http://loinc.org"/> <code value="60567-5"/> <display value="Comprehensive pathology report panel"/> </coding> </code> <text> <status value="additional"/><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> </text> <entry> <reference value="DiagnosticReport/TransurethralResectionReport"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/Patient/Patient2"/> <resource> <Patient> <id value="Patient2"/> <text> <status value="generated"/><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> </text> <identifier> <system value="http://example.hospital.de/patient-ids"/> <value value="PAT-2024-002"/> </identifier> <name> <family value="Schmidt"/> <given value="Peter"/> </name> <gender value="male"/> <birthDate value="1960-03-22"/> </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"/> </identifier> <name value="Pathologielabor"/> </Organization> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/DiagnosticReport/TransurethralResectionReport"/> <resource> <DiagnosticReport> <id value="TransurethralResectionReport"/> <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_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> </text> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="ACSN"/> <display value="Accession ID"/> </coding> </type> <system value="https://pathologie.example-hospital.de/fhir/fn/befundbericht"/> <value value="E_24_003"/> </identifier> <basedOn> <reference value="ServiceRequest/TransurethralResectionReportRequest"/> </basedOn> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/> <code value="SP"/> <display value="Surgical Pathology"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="60568-3"/> <display value="Pathology Synoptic report"/> </coding> </code> <subject> <reference value="Patient/Patient2"/> </subject> <effectiveDateTime value="2024-04-12T17:00:00+01:00"/> <issued value="2024-04-13T08:00:00+01:00"/> <performer> <reference value="Practitioner/PathologistPractitioner"/> </performer> <specimen> <reference value="Specimen/TransurethralResectionSpecimenPart"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenBlock01"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide01A"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide01B"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenBlock02"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide02A"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide02B"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenBlock03"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide03A"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide03B"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenBlock04"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide04A"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide04B"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenBlock05"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide05A"/> </specimen> <specimen> <reference value="Specimen/TransurethralResectionSpecimenSlide05B"/> </specimen> <result> <reference value="Observation/TransurethralResectionMacroscopicGrouper"/> </result> <result> <reference value="Observation/TransurethralResectionDiagnosticConclusionGrouper"/> </result> <conclusion value="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."/> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/Observation/TransurethralResectionDiagnosticConclusionGrouper"/> <resource> <Observation> <id value="TransurethralResectionDiagnosticConclusionGrouper"/> <meta> <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper|2026.0.0"/> </meta> <text> <status value="generated"/><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> </text> <basedOn> <reference value="ServiceRequest/TransurethralResectionReportRequest"/> </basedOn> <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="22637-3"/> </coding> </code> <subject> <reference value="Patient/Patient2"/> </subject> <effectiveDateTime value="2024-04-12"/> <performer> <reference value="Practitioner/PathologistPractitioner"/> </performer> <hasMember> <reference value="Observation/TransurethralResectionHistologicalDiagnosis"/> </hasMember> <hasMember> <reference value="Observation/TransurethralResectionBPHNodularity"/> </hasMember> <hasMember> <reference value="Observation/TransurethralResectionInflammation"/> </hasMember> <derivedFrom> <reference value="QuestionnaireResponse/QuestionnaireResponseTransurethralResection"/> </derivedFrom> </Observation> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/Observation/TransurethralResectionMacroscopicGrouper"/> <resource> <Observation> <id value="TransurethralResectionMacroscopicGrouper"/> <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_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> </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/Patient2"/> </subject> <effectiveDateTime value="2024-04-11T14:00:00+01:00"/> <performer> <reference value="Practitioner/PathologistPractitioner"/> </performer> <bodySite> <coding> <system value="http://snomed.info/sct"/> <code value="41216001"/> <display value="Prostate"/> </coding> </bodySite> <hasMember> <reference value="Observation/TransurethralResectionMacroscopicWeight"/> </hasMember> <hasMember> <reference value="Observation/TransurethralResectionMacroscopicSeminalVesicles"/> </hasMember> <hasMember> <reference value="Observation/TransurethralResectionMacroscopicLymphNodeDissection"/> </hasMember> <derivedFrom> <reference value="QuestionnaireResponse/QuestionnaireResponseTransurethralResection"/> </derivedFrom> </Observation> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/Encounter/TransurethralResectionEncounter"/> <resource> <Encounter> <id value="TransurethralResectionEncounter"/> <text> <status value="generated"/><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> </text> <identifier> <system value="http://example.hospital.de/encounters"/> <value value="E_24_003"/> </identifier> <status value="finished"/> <class> <code value="IMP"/> </class> <subject> <reference value="Patient/Patient2"/> </subject> </Encounter> </resource> </entry> <entry> <fullUrl value="http://prostatecancerspec.org/ServiceRequest/TransurethralResectionReportRequest"/> <resource> <ServiceRequest> <id value="TransurethralResectionReportRequest"/> <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_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> </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-2024-003"/> </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://snomed.info/sct"/> <code value="90199006"/> <display value="Transurethral prostatectomy (procedure)"/> </coding> </code> <subject> <reference value="Patient/Patient2"/> </subject> <encounter> <reference value="Encounter/TransurethralResectionEncounter"/> </encounter> <requester> <reference value="Practitioner/UrologistPractitioner"/> </requester> <performer> <reference value="Practitioner/PathologistPractitioner"/> </performer> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="266569009"/> <display value="Benign prostatic hyperplasia"/> </coding> </reasonCode> <supportingInfo> <reference value="Observation/TransurethralResectionPSAPre"/> </supportingInfo> <supportingInfo> <reference value="Procedure/TransurethralResectionProcedure"/> </supportingInfo> <supportingInfo> <reference value="Condition/TransurethralResectionDiagnosisBPH"/> </supportingInfo> <specimen> <reference value="Specimen/TransurethralResectionSpecimenPart"/> </specimen> </ServiceRequest> </resource> </entry> </Bundle>