<!--
  Gebaseerd op Transactie Uitslag Mammacarcinoomtotaal naar NKR,
  ID: 2.16.840.1.113883.2.4.3.11.31.1.77.2.1.2
  Versielabel: 2018-05-02T11:59:36
-->
<DiagnosticReport xmlns="http://hl7.org/fhir">
  <meta>
    <profile value="http://www.iknl.nl/fhir/StructureDefinition/uitslag_mammacarcinoomtotaal_naar_nkr" />
  </meta>
  <contained>
    <Patient>
      <id value="patient" />
      <identifier>
        <type>
          <coding>
            <system value="http://hl7.org/fhir/v2/0203" />
            <code value="MR" />
            <display value="Medisch dossiernummer" />
          </coding>
          <text value="Medisch dossiernummer" />
        </type>
        <value value="654321" />
      </identifier>
      <name>
        <family value="de Aashaas">
          <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-prefix">
            <valueString value="de " />
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/humanname-own-name">
            <valueString value="Aashaas" />
          </extension>
        </family>
        <given value="P.">
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
            <valueCode value="IN" />
          </extension>
        </given>
      </name>
      <gender value="female" />
      <birthDate value="1980-12-10" />
    </Patient>
  </contained>
  <contained>
    <Observation>
      <id value="observation-632" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-632" />
          <display value="Histologie excisiepreparaat borst" />
        </coding>
        <text value="Histologie excisiepreparaat borst" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-531" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-532" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-533" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-534" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-488" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-486-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-486-2" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-531" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-531" />
          <display value="Zijdigheid" />
        </coding>
        <text value="Zijdigheid" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="24028007" />
          <display value="Rechts" />
        </coding>
        <text value="Rechts" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-532" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-532" />
          <display value="Preparaat" />
        </coding>
        <text value="Preparaat" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.37" />
          <code value="4" />
          <display value="ablatio" />
        </coding>
        <text value="ablatio" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-533" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-533" />
          <display value="Eerdere therapie" />
        </coding>
        <text value="Eerdere therapie" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.38" />
          <code value="2" />
          <display value="chemotherapie" />
        </coding>
        <text value="chemotherapie" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-534" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-534" />
          <display value="Eerdere niet complete excisie" />
        </coding>
        <text value="Eerdere niet complete excisie" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
          <code value="1" />
          <display value="Ja" />
        </coding>
        <text value="Ja" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-488" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-488" />
          <display value="Tumorrest aanwezig" />
        </coding>
        <text value="Tumorrest aanwezig" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.35" />
          <code value="4" />
          <display value="Rest in situ carcinoom en invasief carcinoom (nieuwe tumor)" />
        </coding>
        <text value="Rest in situ carcinoom en invasief carcinoom (nieuwe tumor)" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-486-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-486" />
          <display value="Afwijking" />
        </coding>
        <text value="Afwijking" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-537-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-450-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-458-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-491-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-127-1" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-537-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-537" />
          <display value="Lokalisatie" />
        </coding>
        <text value="Lokalisatie" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="19100000" />
          <display value="Binnenste onderkwadrant van de borst" />
        </coding>
        <text value="Binnenste onderkwadrant van de borst" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-450-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-450" />
          <display value="Diameter" />
        </coding>
        <text value="Diameter" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueQuantity>
        <value value="10" />
        <unit value="mm" />
        <system value="http://unitsofmeasure.org" />
        <code value="mm" />
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-458-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-458" />
          <display value="Snijvlak" />
        </coding>
        <text value="Snijvlak" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="55182004" />
          <display value="Vrij" />
        </coding>
        <text value="Vrij" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-491-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-491" />
          <display value="pT" />
        </coding>
        <text value="pT" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.6" />
          <code value="pT2breast" />
          <display value="pT2" />
        </coding>
        <text value="pT2" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-127-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-127" />
          <display value="Invasief carcinoom" />
        </coding>
        <text value="Invasief carcinoom" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-460-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-539-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-137-1" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-460-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-460" />
          <display value="Type invasief carcinoom" />
        </coding>
        <text value="Type invasief carcinoom" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
          <code value="1" />
          <display value="Invasief carcinoom NST" />
        </coding>
        <text value="Invasief carcinoom NST" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-539-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-539" />
          <display value="Graad" />
        </coding>
        <text value="Graad" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="373373000" />
          <display value="G3" />
        </coding>
        <text value="G3" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-137-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-137" />
          <display value="Receptor status (post-operatief)" />
        </coding>
        <text value="Receptor status (post-operatief)" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-139-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-141-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-142-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-626-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-627-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-628-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-629-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-474-1" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-475-1" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-139-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-139" />
          <display value="ER-status" />
        </coding>
        <text value="ER-status" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.29" />
          <code value="2" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-141-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-141" />
          <display value="PR-status" />
        </coding>
        <text value="PR-status" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.16" />
          <code value="2" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-142-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-142" />
          <display value="HER2-status" />
        </coding>
        <text value="HER2-status" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
          <code value="1" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-626-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-626" />
          <display value="HER2 Immunohistochemie" />
        </coding>
        <text value="HER2 Immunohistochemie" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
          <code value="4" />
          <display value="niet verricht" />
        </coding>
        <text value="niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-627-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-627" />
          <display value="HER2 FISH" />
        </coding>
        <text value="HER2 FISH" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
          <code value="6" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-628-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-628" />
          <display value="HER2 CISH/SISH" />
        </coding>
        <text value="HER2 CISH/SISH" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
          <code value="6" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-629-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-629" />
          <display value="HER2 PCR" />
        </coding>
        <text value="HER2 PCR" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.5" />
          <code value="8" />
          <display value="Niet verricht" />
        </coding>
        <text value="Niet verricht" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-474-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-474" />
          <display value="Mammaprint" />
        </coding>
        <text value="Mammaprint" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
          <code value="1" />
          <display value="Niet bepaald" />
        </coding>
        <text value="Niet bepaald" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-475-1" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-475" />
          <display value="OncotypeDX" />
        </coding>
        <text value="OncotypeDX" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.32" />
          <code value="1" />
          <display value="Niet bepaald" />
        </coding>
        <text value="Niet bepaald" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-486-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-486" />
          <display value="Afwijking" />
        </coding>
        <text value="Afwijking" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-537-2" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-450-2" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-458-2" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-491-2" />
        </target>
      </related>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-447-2" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-537-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-537" />
          <display value="Lokalisatie" />
        </coding>
        <text value="Lokalisatie" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="205042000" />
          <display value="Centraal deel van de borst" />
        </coding>
        <text value="Centraal deel van de borst" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-450-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-450" />
          <display value="Diameter" />
        </coding>
        <text value="Diameter" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueQuantity>
        <value value="3.0" />
        <unit value="mm" />
        <system value="http://unitsofmeasure.org" />
        <code value="mm" />
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-458-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-458" />
          <display value="Snijvlak" />
        </coding>
        <text value="Snijvlak" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct" />
          <code value="55182004" />
          <display value="Vrij" />
        </coding>
        <text value="Vrij" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-491-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-491" />
          <display value="pT" />
        </coding>
        <text value="pT" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.15.6" />
          <code value="pTisDCISbreast" />
          <display value="pTis(DCIS)" />
        </coding>
        <text value="pTis(DCIS)" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-447-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-447" />
          <display value="Carcinoma in situ" />
        </coding>
        <text value="Carcinoma in situ" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <related>
        <type value="has-member" />
        <target>
          <reference value="#observation-452-2" />
        </target>
      </related>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="observation-452-2" />
      <status value="final" />
      <code>
        <coding>
          <system value="http://art-decor.org/ns/oids/de" />
          <code value="onco-mamma-dataelement-452" />
          <display value="Type carcinoma in situ" />
        </coding>
        <text value="Type carcinoma in situ" />
      </code>
      <subject>
        <reference value="#patient" />
      </subject>
      <valueCodeableConcept>
        <coding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
          <code value="1" />
          <display value="Ductaal carcinoma in situ" />
        </coding>
        <text value="Ductaal carcinoma in situ" />
      </valueCodeableConcept>
    </Observation>
  </contained>
  <extension url="http://www.iknl.nl/fhir/StructureDefinition/onco-mamma-dataelement-480">
    <!-- Naam protocol -->
    <valueCodeableConcept>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.33" />
        <code value="1" />
        <display value="Mammacarcinoom" />
      </coding>
      <text value="Mammacarcinoom" />
    </valueCodeableConcept>
  </extension>
  <extension url="http://www.iknl.nl/fhir/StructureDefinition/onco-mamma-dataelement-543">
    <!-- Versie protocol -->
    <valueString value="13" />
  </extension>
  <extension url="http://www.iknl.nl/fhir/StructureDefinition/onco-mamma-dataelement-479">
    <!-- T-nummer -->
    <valueString value="T3756926" />
  </extension>
  <extension url="http://www.iknl.nl/fhir/StructureDefinition/onco-mamma-dataelement-547">
    <!-- Versienummer verslag -->
    <valueString value="1" />
  </extension>
  <status value="final" />
  <code>
    <coding>
      <system value="http://art-decor.org/ns/oids/sd" />
      <code value="onco-mamma-transaction-13" />
      <display value="Uitslag Mammacarcinoomtotaal naar NKR" />
    </coding>
    <text value="Uitslag Mammacarcinoomtotaal naar NKR" />
  </code>
  <subject>
    <reference value="#patient" />
  </subject>
  <performer>
    <role>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="43741000" />
        <display value="zorginstelling" />
      </coding>
    </role>
    <actor>
      <identifier>
        <system value="urn:oid:2.16.840.1.113883.2.4.6.1" />
        <value value="65973908" />
      </identifier>
    </actor>
  </performer>
  <performer>
    <role>
      <coding>
        <system value="http://snomed.info/sct" />
        <code value="61207006" />
        <display value="Medical pathologist" />
      </coding>
    </role>
    <actor>
      <identifier>
        <value value="79827910" />
      </identifier>
    </actor>
  </performer>
  <result>
    <reference value="#observation-632" />
  </result>
</DiagnosticReport>