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

• Pasakojimo turinys
• XML
• JSON

: DiagnosticReport: Cervical Cancer Screening Report (example)

Neapdorotas xml | Atsisiųsti

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-cervical-report-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/cervical/StructureDefinition/cervical-report-lt-cervical"/>
  </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-cervical-report-example</b></p><a name="lt-diagnosticreport-cervical-report-example"> </a><a name="lt-hcdiagnosticreport-cervical-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-cervical-report-lt-cervical.html">Cervical Cancer Screening Report (LT Cervical)</a></p></div><h2><span title="Codes:{http://snomed.info/sct 721981007}, {http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}">Diagnostic studies report (record artifact)</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>2025-03-15 10:00:00+0200</td></tr><tr><td>Reported</td><td>2025-03-20 14:30:00+0200</td></tr><tr><td>Performer</td><td> <a href="PractitionerRole-practitioner-role-example.html">PractitionerRole Gynecologist (occupation)</a></td></tr><tr><td>Identifier</td><td> <code>urn:oid:2.16.840.1.113883.4.330.1</code>/CERVICAL-RPT-2025-0001</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-hpv-result-example.html"><span title="Codes:{http://snomed.info/sct 35904009}">Human papillomavirus deoxyribonucleic acid detection (procedure)</span></a></td><td><span title="Codes:{http://snomed.info/sct 720005005}">Human papillomavirus deoxyribonucleic acid detected, high risk on cervical specimen (finding)</span></td><td>Final</td><td/><td>2025-01-12</td></tr><tr><td><a href="Observation-observation-cytology-conclusion-example.html"><span title="Codes:{http://snomed.info/sct 416107004}">Cervical cytology test (procedure)</span></a></td><td><span title="Codes:{http://snomed.info/sct 62051000119105}">Low-grade squamous intraepithelial lesion on cervical Papanicolaou smear (finding)</span></td><td>Final</td><td/><td>2025-01-12</td></tr><tr><td><a href="Observation-observation-colposcopy-finding-example.html"><span title="Codes:{http://snomed.info/sct 392003006}">Colposcopy (procedure)</span></a></td><td><span title="Codes:{http://snomed.info/sct 125152006}">Specimen satisfactory for evaluation (finding)</span></td><td>Final</td><td><blockquote><div><p>Transformation zone fully visible. Acetowhite changes limited.</p>
</div></blockquote></td><td/></tr></table><div><p>HPV 16 positive, LSIL on cytology, low-risk colposcopy (Swede score 3). Follow-up recommended in 12 months.</p>
</div></div>
  </text>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.4.330.1"/>
    <value value="CERVICAL-RPT-2025-0001"/>
  </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://snomed.info/sct"/>
      <code value="721981007"/>
      <display value="Diagnostic studies report (record artifact)"/>
    </coding>
    <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>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-female-example"/>
  </subject>
  <effectiveDateTime value="2025-03-15T10:00:00+02:00"/>
  <issued value="2025-03-20T14:30:00+02:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/practitioner-role-example"/>
  </performer>
  <result>🔗 
    <reference value="Observation/observation-hpv-result-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-cytology-conclusion-example"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-colposcopy-finding-example"/>
  </result>
  <composition>🔗 
    <reference
               value="Composition/composition-cervical-screening-episode-example"/>
  </composition>
  <conclusion
              value="HPV 16 positive, LSIL on cytology, low-risk colposcopy (Swede score 3). Follow-up recommended in 12 months."/>
</DiagnosticReport>