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Narrative

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Source1

{
  "resourceType": "Composition",
  "id": "mii-exa-patho-composition",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-composition"
    ]
  },
  "status": "final",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "type": {
    "coding": [
      {
        "system": "http://ihe-d.de/CodeSystems/IHEXDStypeCode",
        "code": "PATH"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "371528001",
        "display": "Pathology report (record artifact)"
      }
    ]
  },
  "attester": [
    {
      "mode": "legal",
      "party": {
        "reference": "Practitioner/765879"
      }
    }
  ],
  "section": [
    {
      "code": {
        "coding": [
          {
            "code": "60567-5",
            "system": "http://loinc.org",
            "display": "Comprehensive pathology report panel"
          }
        ]
      },
      "title": "Pathology Diagnostic Report",
      "text": {
        "status": "additional",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Gesamter Textkörper des Befundberichts, z.B. beginnend mit Makroskopie:</b></p><div id=\"macro-a-title\"><b>Makroskopie A</b></div><table><tr id=\"macro-a-biosy-site\"><td id=\"macro-a-biosy-site-key\">Entnahmeort lt. klin. Angabe</td><td id=\"macro-a-biosy-site-value\">Prostataseitenlappen rechts, lateral</td></tr><tr id=\"macro-a-tissue-length\"><td id=\"macro-a-tissue-length-key\">Stanzzylinderlänge</td><td id=\"macro-a-tissue-length-value\">1,2 cm</td></tr></table></div>"
      },
      "entry": [
        {
          "reference": "DiagnosticReport/mii-exa-patho-report"
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
      "valueString": "1"
    }
  ],
  "identifier": {
    "value": "E21.12345",
    "system": "https://pathologie.klinikum-karlsruhe.de/fhir/fn/befundbericht",
    "type": {
      "coding": [
        {
          "code": "ACSN",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
          "display": "Accession ID"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/34545"
  },
  "encounter": {
    "reference": "Encounter/34555"
  },
  "date": "2021-06-08",
  "author": [
    {
      "reference": "Practitioner/2346545",
      "display": "Dr. Name"
    }
  ],
  "title": "Pathologie Befundbericht",
  "custodian": {
    "reference": "Organization/123456"
  },
  "event": [
    {
      "period": {
        "start": "2021-06-05",
        "end": "2021-06-08"
      }
    }
  ]
}