{
  "resourceType" : "Observation",
  "id" : "ObsGradingMamma",
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation ObsGradingMamma</b></p><a name=\"ObsGradingMamma\"> </a><a name=\"hcObsGradingMamma\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 44648-4}\">Histologic grade [Score] in Breast cancer specimen by Nottingham</span></p><p><b>subject</b>: <a href=\"Patient-PatientinMamma.html\">Sabine Baumann  Female, DoB: 1977-06-24</a></p><p><b>effective</b>: 2025-09-15</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1155704001}, {https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading 3}\">G3 – schlecht differenziert (Elston-Ellis)</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenBiopsieMamma.html\">Specimen: status = available; type = Specimen from breast obtained by core needle biopsy</a></p></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "44648-4",
      "display" : "Histologic grade [Score] in Breast cancer specimen by Nottingham"
    }]
  },
  "subject" : {
    "reference" : "Patient/PatientinMamma"
  },
  "effectiveDateTime" : "2025-09-15",
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1155704001",
      "display" : "G3: Poorly differentiated"
    },
    {
      "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading",
      "code" : "3",
      "display" : "schlecht differenziert"
    }],
    "text" : "G3 – schlecht differenziert (Elston-Ellis)"
  },
  "specimen" : {
    "reference" : "Specimen/SpecimenBiopsieMamma"
  }
}