{
  "resourceType" : "DiagnosticReport",
  "id" : "mii-exa-patho-report",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report|2027.0.0-ballot"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport mii-exa-patho-report</b></p><a name=\"mii-exa-patho-report\"> </a><a name=\"hcmii-exa-patho-report\"> </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-mii-pr-patho-report.html\">MII PR Patho Report</a> version: 2027.0.0-ballot</p></div><h2><span title=\"Codes:{http://loinc.org 60568-3}\">Pathology synoptic report</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Max Mustermann  Male, DoB: 1959-08-24</td></tr><tr><td>Relevant Time</td><td>2021-06-01</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-mii-exa-patho-practitioner-2346545.html\">Practitioner Sabine Schnitt </a></td></tr><tr><td>Identifier</td><td> Accession ID/E21.12345</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-mii-exa-patho-macro-grouper-a.html\"><span title=\"Codes:{http://loinc.org 22634-0}\">Pathology report gross observation Narrative</span></a></td><td/><td>Final</td></tr><tr><td><a href=\"Observation-mii-exa-patho-micro-grouper-a.html\"><span title=\"Codes:{http://loinc.org 22635-7}\">Pathology report microscopic observation Narrative Other stain</span></a></td><td>Specimen A: Prostatastanze mit herdförmiger kontinuierlicher Infiltration durch unscharf begrenzte Verbände eines kleintubulär wachse (Gleason-Muster 3), die sich zwischen ortständige Drüsen schieben und ca. 30% der Schnittfläche des Zylinders...</td><td>Final</td></tr><tr><td><a href=\"Observation-mii-exa-patho-diagnostic-conclusion-grouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td></tr></table><p>Gut differenziertes azinäres Adenokarzinom der Prostata, ISUP-Gradgruppe 1</p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 1525761000004109}\">International Society of Urological Pathology histologic grade group 1</span></li></ul></div><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport mii-exa-patho-report</b></p><a name=\"en-mii-exa-patho-report\"> </a><a name=\"en-hcmii-exa-patho-report\"> </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-mii-pr-patho-report.html\">MII PR Patho Report</a> version: 2027.0.0-ballot</p></div><h2><span title=\"Codes:{http://loinc.org 60568-3}\">Pathology synoptic report</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Max Mustermann  Male, DoB: 1959-08-24</td></tr><tr><td>Relevant Time</td><td>2021-06-01</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-mii-exa-patho-practitioner-2346545.html\">Practitioner Sabine Schnitt </a></td></tr><tr><td>Identifier</td><td> Accession ID/E21.12345</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Observation-mii-exa-patho-macro-grouper-a.html\"><span title=\"Codes:{http://loinc.org 22634-0}\">Pathology report gross observation Narrative</span></a></td><td/><td>Final</td></tr><tr><td><a href=\"Observation-mii-exa-patho-micro-grouper-a.html\"><span title=\"Codes:{http://loinc.org 22635-7}\">Pathology report microscopic observation Narrative Other stain</span></a></td><td>Specimen A: Prostatastanze mit herdförmiger kontinuierlicher Infiltration durch unscharf begrenzte Verbände eines kleintubulär wachse (Gleason-Muster 3), die sich zwischen ortständige Drüsen schieben und ca. 30% der Schnittfläche des Zylinders...</td><td>Final</td></tr><tr><td><a href=\"Observation-mii-exa-patho-diagnostic-conclusion-grouper.html\"><span title=\"Codes:{http://loinc.org 22637-3}\">Pathology report final diagnosis Narrative</span></a></td><td/><td>Final</td></tr></table><p>Well-differentiated acinar adenocarcinoma of the prostate, ISUP grade group 1</p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 1525761000004109}\">International Society of Urological Pathology histologic grade group 1</span></li></ul></div></div>"
  },
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "ACSN",
        "display" : "Accession ID"
      }]
    },
    "system" : "https://pathologie.klinikum-karlsruhe.de/fhir/fn/befundbericht",
    "value" : "E21.12345"
  }],
  "basedOn" : [{
    "reference" : "ServiceRequest/mii-exa-patho-request"
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "60568-3",
      "display" : "Pathology synoptic report"
    }]
  },
  "subject" : {
    "reference" : "Patient/mii-exa-patho-patient-12345"
  },
  "encounter" : {
    "reference" : "Encounter/mii-exa-patho-encounter-12345"
  },
  "effectiveDateTime" : "2021-06-01",
  "performer" : [{
    "reference" : "Practitioner/mii-exa-patho-practitioner-2346545"
  }],
  "specimen" : [{
    "reference" : "Specimen/mii-exa-patho-prostate-tru-cut-biopsy-sample"
  }],
  "result" : [{
    "reference" : "Observation/mii-exa-patho-macro-grouper-a"
  },
  {
    "reference" : "Observation/mii-exa-patho-micro-grouper-a"
  },
  {
    "reference" : "Observation/mii-exa-patho-diagnostic-conclusion-grouper"
  }],
  "media" : [{
    "comment" : "HE-Schnitt einer Prostatastanze, infiltriert durch Karzinomverbände, fotodokumentiert",
    "_comment" : {
      "extension" : [{
        "extension" : [{
          "url" : "lang",
          "valueCode" : "en"
        },
        {
          "url" : "content",
          "valueString" : "H&E section of a prostate core biopsy, infiltrated by carcinoma cell clusters, photographically documented"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      }]
    },
    "link" : {
      "reference" : "Media/mii-exa-patho-attached-image"
    }
  }],
  "conclusion" : "Gut differenziertes azinäres Adenokarzinom der Prostata, ISUP-Gradgruppe 1",
  "_conclusion" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en"
      },
      {
        "url" : "content",
        "valueString" : "Well-differentiated acinar adenocarcinoma of the prostate, ISUP grade group 1"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "conclusionCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1525761000004109"
    }]
  }]
}