Lithuanian Cervical Cancer Implementation Guide
0.0.1 - ci-build
Lithuanian Cervical Cancer Implementation Guide
0.0.1 - ci-build
Lithuanian Cervical Cancer 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-cervical/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Composition",
"id" : "composition-cervical-screening-episode-example",
"meta" : {
"profile" : [
🔗 "https://hl7.lt/fhir/cervical/StructureDefinition/cervical-composition-lt-cervical"
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},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-cervical-screening-episode-example</b></p><a name=\"composition-cervical-screening-episode-example\"> </a><a name=\"hccomposition-cervical-screening-episode-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-cervical-composition-lt-cervical.html\">Cervical Composition (LT Cervical)</a></p></div><p><b>IM Document DiagnosticReport Reference</b>: <a href=\"DiagnosticReport-diagnosticreport-cervical-report-example.html\">Diagnostic Report for 'Diagnostic studies report (record artifact)' 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>urn:oid:2.16.840.1.113883.4.330.1</code>/CERVICAL-COMP-2025-0001</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}, {http://snomed.info/sct 721981007}\">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>: 2025-03-20</p><p><b>author</b>: <a href=\"PractitionerRole-practitioner-role-example.html\">PractitionerRole Gynecologist (occupation)</a></p><p><b>title</b>: Cervical Cancer Screening Episode</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 US}\">Ultrasound</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 71341001}\">Screening for malignant neoplasm of cervix (procedure)</span></td></tr></table></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference",
"valueReference" : {
🔗 "reference" : "DiagnosticReport/diagnosticreport-cervical-report-example"
}
}
],
"identifier" : [
{
"system" : "urn:oid:2.16.840.1.113883.4.330.1",
"value" : "CERVICAL-COMP-2025-0001"
}
],
"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"
},
{
"system" : "http://snomed.info/sct",
"code" : "721981007",
"display" : "Diagnostic studies report (record artifact)"
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},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18748-4",
"display" : "Diagnostic imaging study"
}
]
}
],
"subject" : [
{
🔗 "reference" : "Patient/patient-female-example"
}
],
"date" : "2025-03-20",
"author" : [
{
🔗 "reference" : "PractitionerRole/practitioner-role-example"
}
],
"title" : "Cervical Cancer Screening Episode",
"event" : [
{
"detail" : [
{
"concept" : {
"coding" : [
{
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "US",
"display" : "Ultrasound"
}
]
}
}
]
},
{
"detail" : [
{
"concept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "71341001",
"display" : "Screening for malignant neoplasm of cervix (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\"><p>Not applicable for this cervical screening episode.</p></div>"
},
"entry" : [
{
"display" : "No imaging study"
}
]
},
{
"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\"><p>Cervical cancer screening referral.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"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\"><p>No prior studies available for comparison.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "Clinical 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\"><p>Regular menstrual cycle, day 14. No hormone therapy. No previous conization.</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-clinical-history-routine-example"
}
]
},
{
"title" : "Colposcopy 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\"><p>Colposcopy performed on 2025-02-10.</p></div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/procedure-colposcopy-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\"><p>HPV 16 detected. Cytology: LSIL. Colposcopy: adequate, Swede score 3, low risk.</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/observation-hpv-result-example"
},
{
🔗 "reference" : "Observation/observation-cytology-conclusion-example"
},
{
🔗 "reference" : "Observation/observation-colposcopy-finding-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\"><p>Low-risk findings. Follow-up in 12 months recommended.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "Recommendations",
"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\"><p>Repeat HPV and cytology in 12 months.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "Communications",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "73568-8",
"display" : "Communication of critical results [Description] Document"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No additional communications.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "HPV Testing",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "35904009",
"display" : "Human papillomavirus deoxyribonucleic acid detection (procedure)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>HPV DNA detected: type 16.</p></div>"
},
"entry" : [
{
🔗 "reference" : "DiagnosticReport/diagnosticreport-hpv-example"
}
]
},
{
"title" : "Cervical Cytology (Pap Test)",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416107004",
"display" : "Cervical cytology test (procedure)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Cytology conclusion: LSIL.</p></div>"
},
"entry" : [
{
🔗 "reference" : "DiagnosticReport/diagnosticreport-cytology-example"
}
]
},
{
"title" : "Colposcopy Examination",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "392003006",
"display" : "Colposcopy (procedure)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Colposcopy: adequate, Swede score 3, low risk.</p></div>"
},
"entry" : [
{
🔗 "reference" : "DiagnosticReport/diagnosticreport-colposcopy-example"
}
]
},
{
"title" : "Lifestyle Factors",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "443781008",
"display" : "Assessment of lifestyle (procedure)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-tobacco-use-example.html\">Tobacco Use</a> and <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-physical-activity-example.html\">Physical Activity</a> examples from the Lifestyle IG.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
},
{
"title" : "Vital Signs",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "118227000",
"display" : "Vital signs finding (finding)"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-bmi-example.html\">BMI</a> example from the VitalSigns IG.</p></div>"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
]
}
}
]
}