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

: Pathologiebericht Prostatastanzen - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="CoreNeedleBiopsyReport"/>
  <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"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport CoreNeedleBiopsyReport</b></p><a name="CoreNeedleBiopsyReport"> </a><a name="hcCoreNeedleBiopsyReport"> </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&amp;canonical=https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report">MII PR Patho Report</a> version: 2026.0.0</p></div><h2><span title="Codes:{http://loinc.org 60568-3}">Pathology Synoptic report</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 SP}">Surgical Pathology</span>) </h2><table class="grid"><tr><td>Subject</td><td>Hans Mueller  Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</td></tr><tr><td>Relevant Time</td><td>2024-01-20 15:00:00+0100</td></tr><tr><td>Reported</td><td>2024-01-20 15:30:00+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_001</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-CoreNeedleBiopsyMacroscopicGrouper.html"><span title="Codes:{http://loinc.org 22634-0}">Pathology report gross observation Narrative</span></a> (<span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span>)</td><td>Makroskopische Messungen aller 12 Prostatastanzen</td><td>Final</td><td>2024-01-15 14:00:00+0100</td></tr><tr><td><a href="Observation-CoreNeedleBiopsyMicroscopicGrouper.html"><span title="Codes:{http://loinc.org 22635-7}">Pathology report microscopic observation Narrative Other stain</span></a> (<span title="Codes:{http://snomed.info/sct 41216001}">Prostate</span>)</td><td>Mikroskopische Befunde aller 12 Prostatastanzen</td><td>Final</td><td>2024-01-17 10:00:00+0100</td></tr><tr><td><a href="Observation-CoreNeedleBiopsyDiagnosticConclusionGrouper.html"><span title="Codes:{http://loinc.org 22637-3}">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td><td>2023-03-15</td></tr></table><p>Adenokarzinom der Prostata, Gleason-Score 7a (3+4) in 7 von 12 Stanzen, mit perineuralem 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_001"/>
  </identifier>
  <basedOn>🔗 
    <reference value="ServiceRequest/CoreNeedleBiopsyReportRequest"/>
  </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/Patient1"/>
  </subject>
  <effectiveDateTime value="2024-01-20T15:00:00+01:00"/>
  <issued value="2024-01-20T15:30:00+01:00"/>
  <performer>🔗 
    <reference value="Practitioner/PathologistPractitioner"/>
  </performer>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen01Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen01Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen01Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen02Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen02Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen02Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen03Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen03Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen03Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen04Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen04Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen04Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen05Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen05Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen05Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen06Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen06Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen06Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen07Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen07Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen07Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen08Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen08Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen08Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen09Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen09Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen09Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen10Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen10Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen10Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen11Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen11Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen11Slide"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen12Part"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen12Block"/>
  </specimen>
  <specimen>🔗 
    <reference value="Specimen/CoreNeedleBiopsySpecimen12Slide"/>
  </specimen>
  <result>🔗 
    <reference value="Observation/CoreNeedleBiopsyMacroscopicGrouper"/>
  </result>
  <result>🔗 
    <reference value="Observation/CoreNeedleBiopsyMicroscopicGrouper"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/CoreNeedleBiopsyDiagnosticConclusionGrouper"/>
  </result>
  <conclusion
              value="Adenokarzinom der Prostata, Gleason-Score 7a (3+4) in 7 von 12 Stanzen, mit perineuralem Befall."/>
</DiagnosticReport>