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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "Observation",
  "id": "observation-histologic-grade",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/cancer-reporting/StructureDefinition/us-pathology-observation"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://cap.org/eCC",
      "value": "urn:uuid:cb7657fb-8127-41ef-9912-8f6fc52a5f85"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/us/cancer-reporting/CodeSystem/us-pathology-codesystem",
          "code": "QUESTION",
          "display": "Question"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://cap.org/eCC",
        "code": "380281.100004300",
        "display": "Histologic Grade (Nottingham Histologic Score) (required only if applicable) (Note D)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-OakleyAnnie"
  },
  "effectivePeriod": {
    "start": "2025-03-18T14:52:02+00:00"
  },
  "performer": [
    {
      "reference": "Practitioner/practitioner-oncologist"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://cap.org/eCC",
        "code": "380283.100004300",
        "display": "Nottingham Score"
      }
    ]
  },
  "hasMember": [
    {
      "reference": "Observation/observation-glandular-differentiation"
    },
    {
      "reference": "Observation/observation-nuclear-pleomorphism"
    },
    {
      "reference": "Observation/observation-mitotic-rate"
    },
    {
      "reference": "Observation/observation-overall-grade"
    }
  ],
  "derivedFrom": [
    {
      "reference": "Observation/observation-section-tumor"
    }
  ]
}