Kerndatensatz Senologie
0.9.0 - ci-build

Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Observation: Fall 1: Klinische Brustuntersuchung

status: Final

code: Physical findings of Breast

subject: Erika Neumann Female, DoB: 1966-03-12 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-001)

effective: 2025-01-15

bodySite: Left breast structure

component

code: Finding by palpation

value: Tastbarer Knoten OAQ links, ca. 2 cm, derb, verschieblich

component

code: Breast symptom of change in skin

value: Keine Hautveränderungen

component

code: Nipple finding

value: Mamille unauffällig, keine Sekretion

component

code: Finding of lymph node of axillary region

value: Axilläre Lymphknoten beidseits klinisch unauffällig