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Source1

{
  "resourceType": "DiagnosticReport",
  "id": "Pathology-Report-Olivander",
  "meta": {
    "profile": [
      "http://medmij.nl/fhir/StructureDefinition/path-Report"
    ]
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "code": "108257001",
          "system": "http://snomed.info/sct",
          "display": "pathologisch-anatomische verrichting"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "code": "252416005",
        "system": "http://snomed.info/sct",
        "display": "Histopathology test"
      }
    ]
  },
  "identifier": [
    {
      "system": "urn:oid:2.16.840.1.113883.2.4.3.23.3.3.1",
      "value": "T26-60066"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/Pathology-Request-Olivander",
      "display": "Request for Histopathology test"
    }
  ],
  "subject": {
    "reference": "Patient/Pathology-Patient-Olivander",
    "display": "G. Olivander"
  },
  "effectivePeriod": {
    "start": "2026-02-03",
    "end": "2026-02-03"
  },
  "resultsInterpreter": [
    {
      "reference": "PractitionerRole/Pathology-PractitionerRole-Oosting",
      "display": "Jan Oosting, LUMC, patholoog"
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/Pathology-Specimen-Olivander",
      "display": "Colon Resectie"
    }
  ],
  "result": [
    {
      "reference": "Observation/Pathology-Observation-Olivander-ClinicalInformation",
      "display": "Klinische gegevens"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-Macroscopy",
      "display": "Macroscopie"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-Microscopy",
      "display": "Microscopie"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-1",
      "display": "Afstand tot dichtstbijzijnde darmsnijvlak"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-2",
      "display": "Type resectie"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-3",
      "display": "Perineurale groei"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-4",
      "display": "Tumor aanwezig"
    },
    {
      "reference": "Observation/Pathology-Observation-Olivander-ProtocolDataItem-5",
      "display": "Aantal tumoren"
    }
  ],
  "conclusion": "<div>Hemicolectomie links: type tumor (WHO):goed/matig gedifferentieerd (laaggradig) adenocarcinoom; maximale diameter tumor 3,0 cm; lokalisatie: colon descendens; diepste tumor doorgroei: submucosa.</div><div>Dichtstbijzijnde darmsnijvlak vrij (afstand &gt;= 1 cm); retroperitoneaal klievingsvlak/radiaire snijvlak vrij (afstand 0,8 cm).</div><div>Angio-invasie: lymfvat invasie.</div><div>Perineurale invasie: niet aangetroffen.</div><div>Aantal lymfklieren: 15 waarvan met metastasen: 0.</div><div/><div/><div>TNM classificatie Colon en Rectum (9e editie UICC): pT1N0.</div><div>Patient is bekend met: morbus Crohn.</div><div> </div>"
}