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

• Pasakojimo turinys
• XML
• JSON

: DiagnosticReport: Breast Diagnostic Report (example)

Neapdorotas xml | Atsisiųsti

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-breast-report-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/breast/StructureDefinition/breast-report-lt-breast"/>
  </meta>
  <language value="lt"/>
  <text>
    <status value="generated"/>
    <div xml:lang="lt" lang="lt"><hr/><p><b>Lithuanian</b></p><hr/><p class="res-header-id"><b>Generated Narrative: DiagnosticReport diagnosticreport-breast-report-example</b></p><a name="lt-diagnosticreport-breast-report-example"> </a><a name="lt-hcdiagnosticreport-breast-report-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-report-lt-breast.html">Breast Diagnostic Report (LT Breast)</a></p></div><h2><span title="Codes:{http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}, {http://snomed.info/sct 4231000179109}">Imaging Report V0.0.1</span> (<span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span>) </h2><table class="grid"><tr><td>Subject</td><td>Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))</td></tr><tr><td>When For</td><td>2026-01-10 10:00:00+0200</td></tr><tr><td>Reported</td><td>2026-01-10 12:00:00+0200</td></tr><tr><td>Performer</td><td> <a href="PractitionerRole-example-practitioner-role.html">PractitionerRole Healthcare professional</a></td></tr><tr><td>Identifier</td><td> <code>http://example.org/reports</code>/BREAST-RPT-2026-0001</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-observation-birads-1-negative-example.html"><span title="Codes:{http://snomed.info/sct 146611000146107}">Breast Imaging Reporting and Data System assessment category (observable entity)</span></a></td><td><span title="Codes:{http://snomed.info/sct 397140005}">Mammography assessment (Category 1) - Negative (finding)</span></td><td>Final</td><td/><td>2023-08-01 10:00:00+0000</td></tr><tr><td><a href="Observation-observation-birads-cat4-example.html"><span title="Codes:{http://snomed.info/sct 146611000146107}">Breast Imaging Reporting and Data System assessment category (observable entity)</span></a></td><td><span title="Codes:{http://snomed.info/sct 397144001}">Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)</span></td><td>Final</td><td/><td>2023-08-01 10:00:00+0000</td></tr><tr><td><a href="Observation-observation-gland-density-fatty-example.html"><span title="Codes:{http://snomed.info/sct 733851004}">Breast consistency (observable entity)</span></a> (<span title="Codes:{http://snomed.info/sct 76752008}">Breast</span>)</td><td><span title="Codes:{http://snomed.info/sct 129716005}">Almost entirely fat breast composition</span></td><td>Final</td><td><blockquote><div><p>Mammography shows predominantly fatty breast density.</p>
</div></blockquote></td><td>2025-10-01 09:00:00+0000</td></tr><tr><td><a href="Observation-observation-mammo-mass-left-uoq-example.html"><span title="Codes:{http://snomed.info/sct 71651007}">Mammography (procedure)</span></a></td><td><span style="color: maroon" title="Error">Error: <b><span title="Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-applicable}">Not Applicable</span></b></span></td><td>Final</td><td/><td>2024-11-20 10:00:00+0200</td></tr><tr><td><a href="Observation-observation-breast-scar-example.html"><span title="Codes:{http://snomed.info/sct 364370007}">Breast observable</span></a></td><td><span title="Codes:{http://snomed.info/sct 442523003}">Surgical scar finding</span></td><td>Final</td><td/><td>2024-06-15 10:00:00+0300</td></tr><tr><td><a href="Observation-observation-lesion-right-10-oclock-cyst-example.html"><span title="Codes:{http://snomed.info/sct 47079000}">Ultrasonography of breast (procedure)</span></a> (<span title="Codes:{http://snomed.info/sct 73056007}">Right breast</span>)</td><td><span style="color: maroon" title="Error">Error: <b><span title="Codes:{http://terminology.hl7.org/CodeSystem/data-absent-reason not-applicable}">Not Applicable</span></b></span></td><td>Final</td><td><blockquote><div><p>Smooth, round shape</p>
</div></blockquote></td><td>2025-10-01 09:00:00+0000</td></tr></table><div><p>BI-RADS 4 right breast – suspicious abnormality. BI-RADS 1 left breast – negative. Biopsy recommended for right breast lesion.</p>
</div></div>
  </text>
  <identifier>
    <system value="http://example.org/reports"/>
    <value value="BREAST-RPT-2026-0001"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18748-4"/>
      <display value="Diagnostic imaging study"/>
    </coding>
  </category>
  <code>
    <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>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="4231000179109"/>
      <display value="Mammography report (record artifact)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient-female"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-breast-step2-imaging-example"/>
  </encounter>
  <effectiveDateTime value="2026-01-10T10:00:00+02:00"/>
  <issued value="2026-01-10T12:00:00+02:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/example-practitioner-role"/>
  </performer>
  <resultsInterpreter>🔗 
    <reference value="PractitionerRole/example-practitioner-role"/>
  </resultsInterpreter>
  <result>🔗 
    <reference value="Observation/observation-birads-1-negative-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-birads-cat4-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-gland-density-fatty-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-mammo-mass-left-uoq-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-breast-scar-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-lesion-right-10-oclock-cyst-example"/>
  </result>
  <study>🔗 
    <reference value="ImagingStudy/imagingstudy-mammography-example"/>
  </study>
  <composition>🔗 
    <reference value="Composition/composition-breast-diagnostic-example"/>
  </composition>
  <conclusion
              value="BI-RADS 4 right breast – suspicious abnormality. BI-RADS 1 left breast – negative. Biopsy recommended for right breast lesion."/>
</DiagnosticReport>