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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<Specimen xmlns="http://hl7.org/fhir">
  <id value="mii-exa-patho-breast-resection-sample"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-specimen|2027.0.0-ballot"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="extensions"/>
    <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>
</div></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="735083009"/>
          <display value="Part of left breast"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="description">
      <valueString
                   value="Praeoperative radiologische Drahtmarkierung der Biopsiestelle"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="3680001000004109"/>
          <display value="Anterior surgical margin"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="description">
      <valueString value="Fadenmarkierung lang anterior"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="880001000004108"/>
          <display value="Distal surgical margin"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="description">
      <valueString value="Fadenmarkierung 2x kurz distal"/>
    </extension>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
      </coding>
    </type>
    <system
            value="https://senologie.example-hospital.de/fhir/specimen/placer"/>
    <value value="OP25_210_A"/>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="FILL"/>
      </coding>
    </type>
    <system
            value="https://pathologie.example-hospital.de/fhir/fn/befundbericht"/>
    <value value="E_25_210_A"/>
  </identifier>
  <accessionIdentifier>
    <system
            value="https://pathologie.example-hospital.de/fhir/fn/befundbericht"/>
    <value value="E_25_210"/>
  </accessionIdentifier>
  <status value="available"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="397199005"/>
      <display value="Specimen from breast obtained by excision"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/mii-exa-patho-patient-34545"/>
  </subject>
  <request>🔗 
    <reference value="ServiceRequest/mii-exa-patho-request"/>
  </request>
  <collection>
    <collector>🔗 
      <reference value="Practitioner/mii-exa-patho-practitioner-2346545"/>
    </collector>
    <collectedDateTime value="2025-02-05T10:00:00+01:00"/>
    <method>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="237371007"/>
        <display value="Wide local excision of breast lesion"/>
      </coding>
    </method>
    <bodySite>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite">
        <valueReference>🔗 
          <reference
                     value="BodyStructure/mii-exa-patho-left-breast-body-structure"/>
        </valueReference>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="33564002"/>
        <display value="Structure of lower outer quadrant of breast"/>
      </coding>
    </bodySite>
  </collection>
  <container>
    <type>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="434746001"/>
        <display value="Specimen vial"/>
      </coding>
    </type>
    <additiveReference>🔗 
      <reference value="Substance/mii-exa-patho-neutral-buffered-formalin"/>
    </additiveReference>
  </container>
  <note>
    <text
          value="BET-Exzisionspraeparat Mamma links, unterer aeusserer Quadrant, 5 Uhr, 50 mm von der Mamille. Drahthaekchen und zwei Fadenmarkierungen."/>
  </note>
</Specimen>