{
  "resourceType" : "Observation",
  "id" : "CoreNeedleBiopsySekundaerGleason01",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation CoreNeedleBiopsySekundaerGleason01</b></p><a name=\"CoreNeedleBiopsySekundaerGleason01\"> </a><a name=\"hcCoreNeedleBiopsySekundaerGleason01\"> </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-finding\">MII PR Patho Finding</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>, <span title=\"Codes:{http://loinc.org 22635-7}\">Pathology report microscopic observation Narrative Other stain</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 44642-7}, {http://snomed.info/sct 384995005}\">Gleason pattern.secondary in Prostate tumor</span></p><p><b>subject</b>: <a href=\"Patient-Patient1.html\">Hans Mueller  Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)</a></p><p><b>effective</b>: 2024-01-17 10:00:00+0100</p><p><b>performer</b>: <a href=\"Practitioner-PathologistPractitioner.html\">Practitioner Maria Schneider </a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 369773008}\">Gleason Pattern 4 (finding)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 716902004}\">Right basal peripheral zone of prostate</span></p><p><b>specimen</b>: <a href=\"Specimen-CoreNeedleBiopsySpecimen01Slide.html\">Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001_A_1_1HE; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_001; status = available; type = Tissue section (specimen)</a></p><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseCoreNeedleBiopsySingle01.html\">Response to Questionnaire 'https://art-decor.org/fhir/Questionnaire/2.16.840.1.113883.3.1937.777.18.27.17--20250102170615' about '-&gt;Hans Mueller  Male, DoB: 1955-08-15 ( http://example.hospital.de/patient-ids#PAT-2024-001)'</a></p></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  },
  {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22635-7"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "44642-7",
      "display" : "Gleason pattern.secondary in Prostate tumor"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "384995005",
      "display" : "Secondary Gleason pattern (observable entity)"
    }]
  },
  "subject" : {
    "reference" : "Patient/Patient1"
  },
  "effectiveDateTime" : "2024-01-17T10:00:00+01:00",
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "369773008",
      "display" : "Gleason Pattern 4 (finding)"
    }]
  },
  "bodySite" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "716902004",
      "display" : "Right basal peripheral zone of prostate"
    }]
  },
  "specimen" : {
    "reference" : "Specimen/CoreNeedleBiopsySpecimen01Slide"
  },
  "derivedFrom" : [{
    "reference" : "QuestionnaireResponse/QuestionnaireResponseCoreNeedleBiopsySingle01"
  }]
}