<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="ObsGradingMamma"/>
  <language value="de"/>
  <text>
    <status value="generated"/><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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="44648-4"/>
      <display value="Histologic grade [Score] in Breast cancer specimen by Nottingham"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/PatientinMamma"/>
  </subject>
  <effectiveDateTime value="2025-09-15"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1155704001"/>
      <display value="G3: Poorly differentiated"/>
    </coding>
    <coding>
      <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-grading"/>
      <code value="3"/>
      <display value="schlecht differenziert"/>
    </coding>
    <text value="G3 – schlecht differenziert (Elston-Ellis)"/>
  </valueCodeableConcept>
  <specimen>
    <reference value="Specimen/SpecimenBiopsieMamma"/>
  </specimen>
</Observation>