{
  "resourceType" : "DiagnosticReport",
  "id" : "Fall2-Bildgebung-Mammographie",
  "meta" : {
    "profile" : ["https://www.senologie.org/fhir/StructureDefinition/senologie-bildgebung-befund"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport Fall2-Bildgebung-Mammographie</b></p><a name=\"Fall2-Bildgebung-Mammographie\"> </a><a name=\"hcFall2-Bildgebung-Mammographie\"> </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=\"StructureDefinition-senologie-bildgebung-befund.html\">BIH Senologie Bildgebung Befund</a></p></div><h2><span title=\"Codes:{http://loinc.org 24606-6}\">Mammographie bilateral</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Lena Hoffmann  Female, DoB: 1980-09-28 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-002)</td></tr><tr><td>When For</td><td>2025-02-10</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>Note</b></td></tr><tr><td><a href=\"Observation-Fall2-BiRADS-Rechts.html\"><span title=\"Codes:{http://loinc.org 72018-2}\">Breast Imaging-Reporting and Data System (BI-RADS) assessment category</span></a> (<span title=\"Codes:{http://snomed.info/sct 73056007}\">Right breast structure</span>)</td><td><span title=\"Codes:{http://snomed.info/sct 397145000}\">BI-RADS 5 — hochverdächtig auf Malignität</span></td><td>Final</td><td><blockquote><div><p>Große Raumforderung zentral rechts, 55 mm, unscharf begrenzt, Hautinfiltration, vergrößerte axilläre LK rechts</p>\n</div></blockquote></td></tr></table><p>BI-RADS 5 rechts zentral, große Raumforderung 5,5 cm mit Hautinfiltration. BI-RADS 1 links.</p></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "RAD",
      "display" : "Radiology"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "24606-6",
      "display" : "MG Breast Screening"
    }],
    "text" : "Mammographie bilateral"
  },
  "subject" : {
    "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
  },
  "effectiveDateTime" : "2025-02-10",
  "result" : [{
    "reference" : "Observation/Fall2-BiRADS-Rechts"
  }],
  "conclusion" : "BI-RADS 5 rechts zentral, große Raumforderung 5,5 cm mit Hautinfiltration. BI-RADS 1 links."
}