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Example Specimen/liver-biopsy (Narrative)

Responsible Owner: Orders and Observations Work GroupStandards Status: InformativeCompartments: Device, Group, Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Specimen.

Generated Narrative: Specimen liver-biopsy

identifier: http://lab.acme.org/specimens/2024/LB-2024-001, Accession ID/PB24-00789

status: Available

type: Tissue specimen from liver

subject: Peter Patient

receivedTime: 2024-03-15T10:30:00Z

request: Surgical pathology study of liver tissue

collection

collector: Practitioner/gastroenterologist

collected: 2024-03-15T09:45:00Z

quantity: 1.5 cm (Details: UCUM codecm = 'cm')

method: Percutaneous needle biopsy of liver

BodyStructures

-Concept
* Liver structure

processing

description: Fixed in 10% neutral buffered formalin

additive

Types

-Concept
* 10% Formalin

time: 2024-03-15T10:45:00Z

container

Devices

-Concept
* Formalin specimen container

specimenQuantity: 1 specimen

condition: Specimen satisfactory for diagnosis

note:

Core biopsy specimen obtained for evaluation of hepatic steatosis and fibrosis. Adequate tissue for histopathological assessment.

Generated Narrative: ServiceRequest #liver-biopsy-request

status: Active

intent: Order

Codes

-Concept
* Surgical pathology study of liver tissue

subject: Jim Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.