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

• Narrative Content
• XML
• JSON

: Observation: Lesion – Right Malignant Tumor (example)

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-lesion-right-6-oclock-malignant-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/breast/StructureDefinition/breast-ultrasound-finding-lt-breast"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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 (use: usual, ))</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>
</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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="47079000"/>
      <display value="Ultrasonography of breast (procedure)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient-female"/>
  </subject>
  <effectiveDateTime value="2025-10-01T09:00:00Z"/>
  <dataAbsentReason>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
      <code value="not-applicable"/>
    </coding>
  </dataAbsentReason>
  <note>
    <text value="Irregular shape"/>
  </note>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="73056007"/>
      <display value="Right breast"/>
    </coding>
  </bodySite>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="364636000"/>
        <display value="Lesion observable"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="254837009"/>
        <display value="Malignant neoplasm of breast (disorder)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="272485000"/>
        <display value="Clockface position (qualifier value)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="260337008"/>
        <display value="6 o'clock position (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="439932008"/>
        <display value="Length of structure by imaging measurement"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="15"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="440357003"/>
        <display value="Width of structure by imaging measurement"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="10"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
</Observation>