{
  "resourceType" : "Observation",
  "id" : "TransurethralEnucleationSecondaryGleasonPattern",
  "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 TransurethralEnucleationSecondaryGleasonPattern</b></p><a name=\"TransurethralEnucleationSecondaryGleasonPattern\"> </a><a name=\"hcTransurethralEnucleationSecondaryGleasonPattern\"> </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>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>, <span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</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-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>value</b>: <span title=\"Codes:{http://snomed.info/sct 369774002}\">Gleason Pattern 5 (finding)</span></p><p><b>specimen</b>: <a href=\"Specimen-TransurethralEnucleationSpecimenSlide01A.html\">Specimen: identifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_004_A_1_1HE; accessionIdentifier = https://pathologie.example-hospital.de/fhir/fn/befundbericht#E_24_004; status = available; type = Tissue section (specimen)</a></p><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 '-&gt;Klaus Becker  Male, DoB: 1958-11-10 ( http://example.hospital.de/patient-ids#PAT-2024-003)'</a></p></div>"
  },
  "basedOn" : [{
    "reference" : "ServiceRequest/TransurethralEnucleationReportRequest"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }]
  },
  {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "22637-3"
    }]
  }],
  "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/Patient3"
  },
  "effectiveDateTime" : "2024-05-12",
  "performer" : [{
    "reference" : "Practitioner/PathologistPractitioner"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "369774002",
      "display" : "Gleason Pattern 5 (finding)"
    }]
  },
  "specimen" : {
    "reference" : "Specimen/TransurethralEnucleationSpecimenSlide01A"
  },
  "derivedFrom" : [{
    "reference" : "QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation"
  }]
}