English
Generated Narrative: Condition mii-exa-onko-melanom-diagnose
Profile: MII PR Onkologie Diagnose Primärtumor version: 2027.0.0-ballot.1
Condition Asserted Date: 2024-01-02
clinicalStatus: Active
verificationStatus: histologische Untersuchung eines Primärtumors
category: Neoplastic disease
code: Bösartiges Melanom der Haut, nicht näher bezeichnet
subject: Maria Melanom (no stated gender), DoB Unknown
encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP)
recordedDate: 2024-01-02
English
Generated Narrative: Encounter mii-exa-onko-melanom-bundle-encounter
status: Finished
class: ActCode: IMP (inpatient encounter)
English
Generated Narrative: Observation mii-exa-onko-melanom-sicherheitsabstand
status: Final
code: Distance of in situ melanoma from closest lateral surgical margin in excised specimen of skin (observable entity)
subject: Maria Melanom (no stated gender), DoB Unknown
focus: Condition Bösartiges Melanom der Haut, nicht näher bezeichnet
encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP)
effective: 2024-03-25 10:00:00+0100
value: 5 mm (Details: UCUM codemm = 'mm')
English
Generated Narrative: Observation mii-exa-onko-melanom-breslow-tiefe
status: Final
code: Breslow depth staging for melanoma of skin (observable entity)
subject: Maria Melanom (no stated gender), DoB Unknown
focus: Condition Bösartiges Melanom der Haut, nicht näher bezeichnet
encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP)
effective: 2024-03-20 14:30:00+0100
value: 2.1 mm (Details: UCUM codemm = 'mm')
method: Immunohistochemistry procedure
English
Generated Narrative: Observation mii-exa-onko-melanom-ulzeration
Profile: MII PR Onkologie Melanom Ulzeration
status: Final
code: Presence of ulcer in primary malignant melanoma of skin (observable entity)
subject: Maria Melanom (no stated gender), DoB Unknown
focus: Condition Bösartiges Melanom der Haut, nicht näher bezeichnet
encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP)
effective: 2024-03-20 14:30:00+0100
value: Ja
method: Immunohistochemistry procedure
English
Generated Narrative: Observation mii-exa-onko-melanom-ldh
Profile: MII PR Onkologie Melanom LDH
status: Final
category: Laboratory
code: Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction
subject: Maria Melanom (no stated gender), DoB Unknown
focus: Condition Bösartiges Melanom der Haut, nicht näher bezeichnet
encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP)
effective: 2024-03-18 08:30:00+0100
value: 280 U/L (Details: UCUM codeU/L = 'U/L')
interpretation: High
| Low | High | Text |
| 135 U/L (Details: UCUM codeU/L = 'U/L') | 250 U/L (Details: UCUM codeU/L = 'U/L') | 135-250 U/L |
English
Generated Narrative: Procedure mii-exa-onko-melanom-exzision-oberarm
Profile: MII PR Onko Melanom Exzision version: 2027.0.0-ballot.1
MII EX Onko Operation Intention: kurativ
status: Completed
category: Surgical procedure
code: Lokale Exzision von erkranktem Gewebe an Haut und Unterhaut: Ohne primären Wundverschluss: Schulter und Axilla
subject: Maria Melanom (no stated gender), DoB Unknown
performed: 2024-03-20
reasonReference: Condition Bösartiges Melanom der Haut, nicht näher bezeichnet
bodySite: Left upper arm structure
outcome: Kein Residualtumor