<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="TransurethralEnucleationSecondaryGleasonPattern"/>
  <meta>
    <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-finding|2026.0.0"/>
  </meta>
  <text>
    <status value="generated"/><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>
  </text>
  <basedOn>
    <reference value="ServiceRequest/TransurethralEnucleationReportRequest"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="22637-3"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="44642-7"/>
      <display value="Gleason pattern.secondary in Prostate tumor"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="384995005"/>
      <display value="Secondary Gleason pattern (observable entity)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/Patient3"/>
  </subject>
  <effectiveDateTime value="2024-05-12"/>
  <performer>
    <reference value="Practitioner/PathologistPractitioner"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="369774002"/>
      <display value="Gleason Pattern 5 (finding)"/>
    </coding>
  </valueCodeableConcept>
  <specimen>
    <reference value="Specimen/TransurethralEnucleationSpecimenSlide01A"/>
  </specimen>
  <derivedFrom>
    <reference value="QuestionnaireResponse/QuestionnaireResponseTransurethralEnucleation"/>
  </derivedFrom>
</Observation>