Lithuanian Cervical Cancer Implementation Guide
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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

: Observation: Cervical Histopathology Conclusion – HSIL/CIN2 (example)

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-histopathology-conclusion-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/cervical/StructureDefinition/histopathology-conclusion-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-histopathology-conclusion-example</b></p><a name="observation-histopathology-conclusion-example"> </a><a name="hcobservation-histopathology-conclusion-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-histopathology-conclusion-lt-cervical.html">Observation: Cervical Histopathology Conclusion (LT Cervical)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 371528001}">Pathology report (record artifact)</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>: 2025-04-10 09:00:00+0200</p><p><b>performer</b>: <a href="Practitioner-practitioner-example.html">Practitioner Dr. Petras Kazlauskas(official)</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 400049009}">Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)</span></p><p><b>specimen</b>: <a href="Specimen-specimen-cervical-biopsy-example.html">Specimen: identifier = urn:oid:2.16.840.1.113883.4.330.1#SPEC-CERV-2025-0042; type = Tissue specimen (specimen); receivedTime = 2025-04-10 10:30:00+0200</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 371469007}">Histologic grade of neoplasm (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1228850007}">American Joint Committee on Cancer grade G2 (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 371513001}">Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)</span></p><p><b>value</b>: <span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/plvi-classification plvi-0}">pLVI-0: not detected</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 396631001}">Surgical margin observable (observable entity)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 310342002}">Excision - clear margin (finding)</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="371528001"/>
      <display value="Pathology report (record artifact)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-female-example"/>
  </subject>
  <effectiveDateTime value="2025-04-10T09:00:00+02:00"/>
  <performer>🔗 
    <reference value="Practitioner/practitioner-example"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="400049009"/>
      <display
               value="Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)"/>
    </coding>
  </valueCodeableConcept>
  <specimen>🔗 
    <reference value="Specimen/specimen-cervical-biopsy-example"/>
  </specimen>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="371469007"/>
        <display value="Histologic grade of neoplasm (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1228850007"/>
        <display
                 value="American Joint Committee on Cancer grade G2 (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="371513001"/>
        <display
                 value="Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/plvi-classification"/>
        <code value="plvi-0"/>
        <display value="pLVI-0: not detected"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="396631001"/>
        <display value="Surgical margin observable (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="310342002"/>
        <display value="Excision - clear margin (finding)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>