{
  "resourceType" : "Observation",
  "id" : "observation-polyp-found-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/colorectal/StructureDefinition/observation-polyp-lt-colorectal"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-polyp-found-example</b></p><a name=\"observation-polyp-found-example\"> </a><a name=\"hcobservation-polyp-found-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-observation-polyp-lt-colorectal.html\">Colon Polyp Observation (LT Colorectal)</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 399505005}\">Polyp of large intestine (disorder)</span></p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2026-02-26</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 373066001}\">Yes (qualifier value)</span></p><p><b>note</b>: </p><blockquote><div><p>Polyp noted during withdrawal.</p>\n</div></blockquote><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 485005}\">Transverse colon structure (body structure)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 373197004}\">Polyp size, largest dimension (observable entity)</span></p><p><b>value</b>: 15 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-paris}\">Paris classification</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt paris-iia}\">IIa (Flat elevated)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-nice}\">NICE classification</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt nice-2}\">Type II</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-hist-predict}\">Endoscopic prediction of histology</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 399432003}\">Adenoma of large intestine (disorder)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-access}\">Access to polyp</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt access-easy}\">Easy</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-smsa-score}\">SMSA Total Score</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt comp-smsa-level}\">SMSA Level</span></p><p><b>value</b>: <span title=\"Codes:{https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt smsa-lvl-3}\">Level III (9-12 points)</span></p></blockquote></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "exam",
      "display" : "Exam"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "399505005",
      "display" : "Polyp of large intestine (disorder)"
    }]
  },
  "subject" : {
    "reference" : "Patient/patient-male-example"
  },
  "effectiveDateTime" : "2026-02-26",
  "performer" : [{
    "reference" : "Practitioner/practitioner-example"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "373066001",
      "display" : "Yes (qualifier value)"
    }]
  },
  "note" : [{
    "text" : "Polyp noted during withdrawal."
  }],
  "bodySite" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "485005",
      "display" : "Transverse colon structure (body structure)"
    }]
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373197004",
        "display" : "Polyp size, largest dimension (observable entity)"
      }]
    },
    "valueQuantity" : {
      "value" : 15,
      "unit" : "mm",
      "system" : "http://unitsofmeasure.org",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-paris"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "paris-iia",
        "display" : "IIa (Flat elevated)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-nice"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "nice-2",
        "display" : "Type II"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-hist-predict"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "399432003",
        "display" : "Adenoma of large intestine (disorder)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-access"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "access-easy",
        "display" : "Easy"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-smsa-score"
      }]
    },
    "valueInteger" : 9
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "comp-smsa-level"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
        "code" : "smsa-lvl-3",
        "display" : "Level III (9-12 points)"
      }]
    }
  }]
}