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

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: Observation: Clinical History - Routine (example)

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-clinical-history-routine-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/cervical/StructureDefinition/cervical-screening-clinical-history-lt-cervical"/>
  </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-clinical-history-routine-example</b></p><a name="observation-clinical-history-routine-example"> </a><a name="hcobservation-clinical-history-routine-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-screening-clinical-history-lt-cervical.html">Observation: Clinical History</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}">Exam</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 270427003}">Patient-initiated encounter (procedure)</span></p><p><b>subject</b>: <a href="Patient-patient-female-example.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>: 2026-02-27</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 161713000}">Last menstrual period - First day (observable entity)</span></p><p><b>value</b>: 12</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 364320009}">Pregnancy observable (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 60001007}">Not pregnant (finding)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 364381005}">Lactation observable (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373067005}">No (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 161773007}">History of intrauterine contraceptive device usage (situation)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 373067005}">No (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 2620001000004108}">Specimen collection procedure (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 28349006}">Exocervical structure (body structure)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 99501000119107}">Human papilloma virus vaccination given (situation)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 171258008}">Up-to-date with immunizations (finding)</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="exam"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="270427003"/>
      <display value="Patient-initiated encounter (procedure)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-female-example"/>
  </subject>
  <effectiveDateTime value="2026-02-27"/>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="161713000"/>
        <display
                 value="Last menstrual period - First day (observable entity)"/>
      </coding>
    </code>
    <valueInteger value="12"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="364320009"/>
        <display value="Pregnancy observable (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="60001007"/>
        <display value="Not pregnant (finding)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="364381005"/>
        <display value="Lactation observable (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373067005"/>
        <display value="No (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="161773007"/>
        <display
                 value="History of intrauterine contraceptive device usage (situation)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373067005"/>
        <display value="No (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2620001000004108"/>
        <display value="Specimen collection procedure (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="28349006"/>
        <display value="Exocervical structure (body structure)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="99501000119107"/>
        <display value="Human papilloma virus vaccination given (situation)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="171258008"/>
        <display value="Up-to-date with immunizations (finding)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>