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
<Composition xmlns="http://hl7.org/fhir">
<id value="composition-breast-diagnostic-example"/>
<meta>
<profile
value="https://hl7.lt/fhir/breast/StructureDefinition/breast-composition-lt-breast"/>
</meta>
<language value="lt"/>
<text>
<status value="extensions"/>
<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 (use: usual, ))'</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>
</text>
<extension
url="http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference">
<valueReference>🔗
<reference
value="DiagnosticReport/diagnosticreport-breast-imaging-example"/>
</valueReference>
</extension>
<identifier>
<system value="http://example.org/documents"/>
<value value="BREAST-ADP-2026-0001"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system
value="http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes"/>
<code value="imaging-report-v0-0-1"/>
<display value="Imaging Report V0.0.1"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="18748-4"/>
<display value="Diagnostic imaging study"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/example-patient-female"/>
</subject>
<date value="2026-01-10T10:00:00+02:00"/>
<author>🔗
<reference value="PractitionerRole/example-practitioner-role"/>
</author>
<title
value="Breast Cancer Prevention Program – Diagnostic Process Summary"/>
<custodian>🔗
<reference value="Organization/example-organization"/>
</custodian>
<event>
<detail>
<concept>
<coding>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="MG"/>
<display value="Mammography"/>
</coding>
</concept>
</detail>
</event>
<event>
<detail>
<concept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="71651007"/>
<display value="Mammography (procedure)"/>
</coding>
</concept>
</detail>
</event>
<section>
<title value="Imaging Study"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18726-0"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Screening mammography performed.</div>
</text>
<entry>🔗
<reference value="ImagingStudy/imagingstudy-mammography-example"/>
</entry>
</section>
<section>
<title value="Order"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55115-0"/>
<display value="Requested imaging studies information Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Screening mammography ordered.</div>
</text>
<entry>🔗
<reference
value="ServiceRequest/servicerequest-breast-screening-example"/>
</entry>
</section>
<section>
<title value="History"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11329-0"/>
<display value="History general Narrative - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Asymptomatic screening participant.</div>
</text>
<entry>
<reference value="Observation/breast-history-disease-example"/>
</entry>
</section>
<section>
<title value="Procedure"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="55111-9"/>
<display value="Current imaging procedure descriptions Document"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Bilateral digital mammography performed.</div>
</text>
<entry>🔗
<reference value="Procedure/procedure-mammography-example"/>
</entry>
</section>
<section>
<title value="Comparison"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18834-2"/>
<display value="Radiology Comparison study (narrative)"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Compared with prior mammogram from 2024.</div>
</text>
<entry>🔗
<reference
value="ImagingStudy/imagingstudy-mammography-previous-example"/>
</entry>
</section>
<section>
<title value="Findings"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="59776-5"/>
<display value="Findings"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Suspicious lesion in left breast.</div>
</text>
<entry>🔗
<reference value="Observation/observation-breast-scar-example"/>
</entry>
<entry>🔗
<reference
value="Observation/observation-breast-skin-formation-example"/>
</entry>
</section>
<section>
<title value="Impression"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="19005-8"/>
<display value="Radiology Imaging study [Impression] (narrative)"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">BI-RADS 4: Suspicious abnormality.</div>
</text>
<entry>🔗
<reference value="Observation/observation-birads-cat4-example"/>
</entry>
</section>
<section>
<title value="Recommendation"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18783-1"/>
<display value="Radiology Study recommendation (narrative)"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Core needle biopsy recommended.</div>
</text>
<entry>🔗
<reference value="CarePlan/careplan-breast-followup-example"/>
</entry>
</section>
</Composition>