Lithuanian Breast Diagnostics Implementation Guide
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Lithuanian Breast Diagnostics Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-breast/ and changes regularly. See the Directory of published versions

: Observation: Lesion – Right Malignant Tumor (example)

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{
  "resourceType" : "Observation",
  "id" : "observation-lesion-right-6-oclock-malignant-example",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.lt/fhir/breast/StructureDefinition/breast-ultrasound-finding-lt-breast"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-lesion-right-6-oclock-malignant-example</b></p><a name=\"observation-lesion-right-6-oclock-malignant-example\"> </a><a name=\"hcobservation-lesion-right-6-oclock-malignant-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-breast-ultrasound-finding-lt-breast.html\">Breast Ultrasound Findings</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 47079000}\">Ultrasonography of breast (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-example-patient-female.html\">Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2025-10-01 09:00:00+0000</p><p><b>dataAbsentReason</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-applicable}\">Not Applicable</span></p><p><b>note</b>: </p><blockquote><div><p>Irregular shape</p>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 73056007}\">Right breast</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 364636000}\">Lesion observable</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 254837009}\">Malignant neoplasm of breast (disorder)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 272485000}\">Clockface position (qualifier value)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260337008}\">6 o'clock position (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 439932008}\">Length of structure by imaging measurement</span></p><p><b>value</b>: 15 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 440357003}\">Width of structure by imaging measurement</span></p><p><b>value</b>: 10 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "47079000",
        "display" : "Ultrasonography of breast (procedure)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient-female"
  },
  "effectiveDateTime" : "2025-10-01T09:00:00Z",
  "dataAbsentReason" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
        "code" : "not-applicable"
      }
    ]
  },
  "note" : [
    {
      "text" : "Irregular shape"
    }
  ],
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "73056007",
        "display" : "Right breast"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "364636000",
            "display" : "Lesion observable"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "254837009",
            "display" : "Malignant neoplasm of breast (disorder)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "272485000",
            "display" : "Clockface position (qualifier value)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "260337008",
            "display" : "6 o'clock position (qualifier value)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "439932008",
            "display" : "Length of structure by imaging measurement"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 15,
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "440357003",
            "display" : "Width of structure by imaging measurement"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 10,
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    }
  ]
}