{
  "resourceType" : "Observation",
  "id" : "observation-histopathology-conclusion-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/cervical/StructureDefinition/histopathology-conclusion-lt-cervical"]
  },
  "language" : "lt",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-histopathology-conclusion-example</b></p><a name=\"lt-observation-histopathology-conclusion-example\"> </a><a name=\"lt-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\u00a0(use:\u00a0usual,\u00a0))</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>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory",
      "display" : "Laboratory"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "371528001",
      "display" : "Pathology report (record artifact)"
    }]
  },
  "subject" : {
    "reference" : "Patient/patient-female-example"
  },
  "effectiveDateTime" : "2025-04-10T09:00:00+02:00",
  "performer" : [{
    "reference" : "Practitioner/practitioner-example"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "400049009",
      "display" : "Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)"
    }]
  },
  "specimen" : {
    "reference" : "Specimen/specimen-cervical-biopsy-example"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "371469007",
        "display" : "Histologic grade of neoplasm (observable entity)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "1228850007",
        "display" : "American Joint Committee on Cancer grade G2 (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "371513001",
        "display" : "Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://tx.hl7.lt/fhir/CodeSystem/plvi-classification",
        "code" : "plvi-0",
        "display" : "pLVI-0: not detected"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "396631001",
        "display" : "Surgical margin observable (observable entity)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "310342002",
        "display" : "Excision - clear margin (finding)"
      }]
    }
  }]
}