MII IG Modul Patho
2027.0.0-ballot - Germany

MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: MII EXA Patho Breast Resection Sample

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{
  "resourceType" : "Specimen",
  "id" : "mii-exa-patho-breast-resection-sample",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2027.0.0-ballot"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Specimen mii-exa-patho-breast-resection-sample</b></p><a name=\"mii-exa-patho-breast-resection-sample\"> </a><a name=\"hcmii-exa-patho-breast-resection-sample\"> </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-specimen.html\">MII PR Patho Specimen</a> version: 2027.0.0-ballot</p></div><blockquote><p><b>MII EX Biobank Feature R5</b></p><ul><li>type: <span title=\"Codes:{http://snomed.info/sct 735083009}\">Part of left breast</span></li><li>description: Praeoperative radiologische Drahtmarkierung der Biopsiestelle</li></ul></blockquote><blockquote><p><b>MII EX Biobank Feature R5</b></p><ul><li>type: <span title=\"Codes:{http://snomed.info/sct 3680001000004109}\">Anterior surgical margin</span></li><li>description: Fadenmarkierung lang anterior</li></ul></blockquote><blockquote><p><b>MII EX Biobank Feature R5</b></p><ul><li>type: <span title=\"Codes:{http://snomed.info/sct 880001000004108}\">Distal surgical margin</span></li><li>description: Fadenmarkierung 2x kurz distal</li></ul></blockquote><p><b>identifier</b>: Placer Identifier/OP25_210_A, Filler Identifier/E_25_210_A</p><p><b>accessionIdentifier</b>: <code>https://pathologie.example-hospital.de/fhir/fn/befundbericht</code>/E_25_210</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 397199005}\">Specimen from breast obtained by excision</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-patho-patient-34545.html\">Erika Musterfrau  Female, DoB: 1962-03-11</a></p><p><b>request</b>: <a href=\"ServiceRequest-mii-exa-patho-request.html\">ServiceRequest Pathology consultation, comprehensive, records and specimen with report</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-mii-exa-patho-practitioner-2346545.html\">Practitioner Sabine Schnitt </a></td><td>2025-02-05 10:00:00+0100</td><td><span title=\"Codes:{http://snomed.info/sct 237371007}\">Wide local excision of breast lesion</span></td><td><span title=\"Codes:{http://snomed.info/sct 33564002}\">Structure of lower outer quadrant of breast</span></td></tr></table><h3>Containers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Additive[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 434746001}\">Specimen vial</span></td><td><a href=\"Substance-mii-exa-patho-neutral-buffered-formalin.html\">Substance Neutral buffered formalin</a></td></tr></table><p><b>note</b>: </p><blockquote><div><p>BET-Exzisionspraeparat Mamma links, unterer aeusserer Quadrant, 5 Uhr, 50 mm von der Mamille. Drahthaekchen und zwei Fadenmarkierungen.</p>\n</div></blockquote></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "735083009",
                "display" : "Part of left breast"
              }
            ]
          }
        },
        {
          "url" : "description",
          "valueString" : "Praeoperative radiologische Drahtmarkierung der Biopsiestelle"
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature"
    },
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "3680001000004109",
                "display" : "Anterior surgical margin"
              }
            ]
          }
        },
        {
          "url" : "description",
          "valueString" : "Fadenmarkierung lang anterior"
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature"
    },
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "880001000004108",
                "display" : "Distal surgical margin"
              }
            ]
          }
        },
        {
          "url" : "description",
          "valueString" : "Fadenmarkierung 2x kurz distal"
        }
      ],
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature"
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }
        ]
      },
      "system" : "https://senologie.example-hospital.de/fhir/specimen/placer",
      "value" : "OP25_210_A"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }
        ]
      },
      "system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
      "value" : "E_25_210_A"
    }
  ],
  "accessionIdentifier" : {
    "system" : "https://pathologie.example-hospital.de/fhir/fn/befundbericht",
    "value" : "E_25_210"
  },
  "status" : "available",
  "type" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "397199005",
        "display" : "Specimen from breast obtained by excision"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-patho-patient-34545"
  },
  "request" : [
    {
      🔗 "reference" : "ServiceRequest/mii-exa-patho-request"
    }
  ],
  "collection" : {
    "collector" : {
      🔗 "reference" : "Practitioner/mii-exa-patho-practitioner-2346545"
    },
    "collectedDateTime" : "2025-02-05T10:00:00+01:00",
    "method" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "237371007",
          "display" : "Wide local excision of breast lesion"
        }
      ]
    },
    "bodySite" : {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/mii-exa-patho-left-breast-body-structure"
          }
        }
      ],
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "33564002",
          "display" : "Structure of lower outer quadrant of breast"
        }
      ]
    }
  },
  "container" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "434746001",
            "display" : "Specimen vial"
          }
        ]
      },
      "additiveReference" : {
        🔗 "reference" : "Substance/mii-exa-patho-neutral-buffered-formalin"
      }
    }
  ],
  "note" : [
    {
      "text" : "BET-Exzisionspraeparat Mamma links, unterer aeusserer Quadrant, 5 Uhr, 50 mm von der Mamille. Drahthaekchen und zwei Fadenmarkierungen."
    }
  ]
}