Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build
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
{
"resourceType" : "Composition",
"id" : "composition-breast-diagnostic-example",
"meta" : {
"profile" : [
🔗 "https://hl7.lt/fhir/breast/StructureDefinition/breast-composition-lt-breast"
]
},
"language" : "lt",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-breast-diagnostic-example</b></p><a name=\"lt-composition-breast-diagnostic-example\"> </a><a name=\"lt-hccomposition-breast-diagnostic-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-composition-lt-breast.html\">Breast Composition (LT Breast)</a></p></div><p><b>IM Document DiagnosticReport Reference</b>: <a href=\"DiagnosticReport-diagnosticreport-breast-imaging-example.html\">Diagnostic Report for 'Mammography' for '->Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))'</a></p><p><b>identifier</b>: <code>http://example.org/documents</code>/BREAST-ADP-2026-0001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}\">Imaging Report V0.0.1</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 18748-4}\">Diagnostic imaging study</span></p><p><b>date</b>: 2026-01-10 10:00:00+0200</p><p><b>author</b>: <a href=\"PractitionerRole-example-practitioner-role.html\">PractitionerRole Healthcare professional</a></p><p><b>title</b>: Breast Cancer Prevention Program – Diagnostic Process Summary</p><p><b>custodian</b>: <a href=\"Organization-example-organization.html\">Organization Breast Clinic</a></p><blockquote><p><b>event</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM MG}\">Mammography</span></td></tr></table></blockquote><blockquote><p><b>event</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 71651007}\">Mammography (procedure)</span></td></tr></table></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference",
"valueReference" : {
🔗 "reference" : "DiagnosticReport/diagnosticreport-breast-imaging-example"
}
}
],
"identifier" : [
{
"system" : "http://example.org/documents",
"value" : "BREAST-ADP-2026-0001"
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
"code" : "imaging-report-v0-0-1",
"display" : "Imaging Report V0.0.1"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18748-4",
"display" : "Diagnostic imaging study"
}
]
}
],
"subject" : [
{
🔗 "reference" : "Patient/example-patient-female"
}
],
"date" : "2026-01-10T10:00:00+02:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/example-practitioner-role"
}
],
"title" : "Breast Cancer Prevention Program – Diagnostic Process Summary",
"custodian" : {
🔗 "reference" : "Organization/example-organization"
},
"event" : [
{
"detail" : [
{
"concept" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "MG",
"display" : "Mammography"
}
]
}
}
]
},
{
"detail" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "71651007",
"display" : "Mammography (procedure)"
}
]
}
}
]
}
],
"section" : [
{
"title" : "Imaging Study",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18726-0"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Screening mammography performed.</div>"
},
"entry" : [
{
🔗 "reference" : "ImagingStudy/imagingstudy-mammography-example"
}
]
},
{
"title" : "Order",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55115-0",
"display" : "Requested imaging studies information Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Screening mammography ordered.</div>"
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/servicerequest-breast-screening-example"
}
]
},
{
"title" : "History",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11329-0",
"display" : "History general Narrative - Reported"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Asymptomatic screening participant.</div>"
},
"entry" : [
{
"reference" : "Observation/breast-history-disease-example"
}
]
},
{
"title" : "Procedure",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "55111-9",
"display" : "Current imaging procedure descriptions Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bilateral digital mammography performed.</div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/procedure-mammography-example"
}
]
},
{
"title" : "Comparison",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18834-2",
"display" : "Radiology Comparison study (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Compared with prior mammogram from 2024.</div>"
},
"entry" : [
{
🔗 "reference" : "ImagingStudy/imagingstudy-mammography-previous-example"
}
]
},
{
"title" : "Findings",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59776-5",
"display" : "Findings"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Suspicious lesion in left breast.</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-breast-scar-example"
},
{
🔗 "reference" : "Observation/observation-breast-skin-formation-example"
}
]
},
{
"title" : "Impression",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "19005-8",
"display" : "Radiology Imaging study [Impression] (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">BI-RADS 4: Suspicious abnormality.</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-birads-cat4-example"
}
]
},
{
"title" : "Recommendation",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18783-1",
"display" : "Radiology Study recommendation (narrative)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Core needle biopsy recommended.</div>"
},
"entry" : [
{
🔗 "reference" : "CarePlan/careplan-breast-followup-example"
}
]
}
]
}