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

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: Fall 2: BI-RADS 5 rechts - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Fall2-BiRADS-Rechts",
  "meta" : {
    "profile" : [
      🔗 "https://www.senologie.org/fhir/StructureDefinition/senologie-bildgebung-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Fall2-BiRADS-Rechts</b></p><a name=\"Fall2-BiRADS-Rechts\"> </a><a name=\"hcFall2-BiRADS-Rechts\"> </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-observation.html\">BIH Senologie Bildgebung Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 72018-2}\">Breast Imaging-Reporting and Data System (BI-RADS) assessment category</span></p><p><b>subject</b>: <a href=\"Patient-Fall2-Patient-Lena-Hoffmann.html\">Lena Hoffmann  Female, DoB: 1980-09-28 ( http://fhir.bih-charite.de/sid/patient-id#SENO-2025-002)</a></p><p><b>effective</b>: 2025-02-10</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 397145000}\">BI-RADS 5 — hochverdächtig auf Malignität</span></p><p><b>note</b>: </p><blockquote><div><p>Große Raumforderung zentral rechts, 55 mm, unscharf begrenzt, Hautinfiltration, vergrößerte axilläre LK rechts</p>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 73056007}\">Right breast structure</span></p></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "72018-2",
        "display" : "Breast Imaging-Reporting and Data System (BI-RADS) assessment category"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Fall2-Patient-Lena-Hoffmann"
  },
  "effectiveDateTime" : "2025-02-10",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "397145000",
        "display" : "Mammography assessment (Category 5) - Highly suggestive of malignancy"
      }
    ],
    "text" : "BI-RADS 5 — hochverdächtig auf Malignität"
  },
  "note" : [
    {
      "text" : "Große Raumforderung zentral rechts, 55 mm, unscharf begrenzt, Hautinfiltration, vergrößerte axilläre LK rechts"
    }
  ],
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "73056007",
        "display" : "Right breast structure"
      }
    ]
  }
}