Kerndatensatz Senologie - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Example QuestionnaireResponse: Fall 1 — QR Pathologie Befund
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  QR-Pathologie-Fall1 | Questionnaire:Fragebogen: Pathologie Befund | ||
  praeparat | |||
  praeparat-art | SNOMED CT: 86273004 (Biopsy) | ||
| praeparat-entnahmedatum | 2025-01-20 | ||
| praeparat-seite | SNOMED CT: 80248007 (Left breast structure) | ||
 praeparat-quadrant | SNOMED CT: 76365002 (Structure of upper outer quadrant of breast) | ||
| histologie | |||
| histo-typ | SNOMED CT: 82711006 (Infiltrating duct carcinoma) | ||
| histo-grading | SNOMED CT: 1663004 (G2 grade) | ||
| histo-tumorgroesse | 18 | ||
| histo-invasive-groesse | 15 | ||
| histo-dcis-anteil | Kein begleitendes DCIS | ||
| histo-resektionsrand | SNOMED CT: 258254000 (Residual tumor stage R0) | ||
| histo-sentinel-anzahl | 2 | ||
| histo-sentinel-befallen | 0 | ||
| ihc | |||
| ihc-er-prozent | 90 | ||
| ihc-er-irs | 12 | ||
| ihc-pr-prozent | 60 | ||
| ihc-pr-irs | 8 | ||
| ihc-her2-score | 1+ | ||
| ihc-ki67 | 15 | ||
| beurteilung | |||
 beurteilung-ptnm | pT1c pN0(sn)(0/2) cM0, G2 | ||
| beurteilung-freitext | Invasives Karzinom NST, G2, ER+ IRS 12, PR+ IRS 8, HER2- Score 1+, Ki-67 15%. R0-Resektion. Sentinel-LK negativ (0/2). | ||
| Documentation for this format | |||