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 11: Klinische Brustuntersuchung

status: Final

code: Physical findings of Breast

subject: Hannah Klein Female, DoB: 1991-08-23 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-011)

effective: 2025-09-01

bodySite: Left breast structure

component

code: Finding by palpation

value: Tastbarer Knoten links oben außen, ca. 15 mm, glatt begrenzt, verschieblich, nicht druckschmerzhaft

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 unauffällig