Lithuanian Laboratory Implementation Guide
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Lithuanian Laboratory 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-lab/ and changes regularly. See the Directory of published versions

: Observation: Tumor Observable (example)

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{
  "resourceType" : "Observation",
  "id" : "observation-tumor-observable-example",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.lt/fhir/lab/StructureDefinition/tumor-observable-lt-lab"
    ]
  },
  "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-tumor-observable-example</b></p><a name=\"observation-tumor-observable-example\"> </a><a name=\"hcobservation-tumor-observable-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-tumor-observable-lt-lab.html\">Observation: Tumor Observable</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 395531003}\">Neoplasm observable (observable entity)</span></p><p><b>subject</b>: <a href=\"Patient-patient-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>: 2025-01-10 09:15:00+0200</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-example.html\">Practitioner Registrar</a></p><p><b>specimen</b>: <a href=\"Specimen-specimen-right-breast-example.html\">Specimen: identifier = http://hospital.lt/sid/specimen-number#barcode12345; accessionIdentifier = B26-6526; status = available; type = Specimen from breast obtained by biopsy</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396199003}\">Neoplasm focality (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 399506006}\">Multifocal tumor (finding)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 443748007}\">Number of malignant neoplasm foci</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 396785008}\">Histologic type of metastatic neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 1187425009}\">Carcinoma (morphologic abnormality)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399687005}\">Anatomic location of primary malignant neoplasm (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 76752008}\">Breast structure (body structure)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 405930005}\">Number of tumor nodules (observable entity)</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 406084004}\">Tumor nodule site (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 76752008}\">Breast structure (body structure)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 385398005}\">Tumor size, dominant nodule, greatest dimension (observable entity)</span></p><p><b>value</b>: 15</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 258263003}\">Generic tumor extent (observable entity)</span></p><p><b>value</b>: 33</p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "395531003",
        "display" : "Neoplasm observable (observable entity)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-example"
  },
  "effectiveDateTime" : "2025-01-10T09:15:00+02:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/practitioner-example"
    }
  ],
  "specimen" : {
    🔗 "reference" : "Specimen/specimen-right-breast-example"
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "396199003",
            "display" : "Neoplasm focality (observable entity)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "399506006",
            "display" : "Multifocal tumor (finding)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "443748007",
            "display" : "Number of malignant neoplasm foci"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 3
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "396785008",
            "display" : "Histologic type of metastatic neoplasm (observable entity)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "1187425009",
            "display" : "Carcinoma (morphologic abnormality)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "399687005",
            "display" : "Anatomic location of primary malignant neoplasm (observable entity)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "76752008",
            "display" : "Breast structure (body structure)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "405930005",
            "display" : "Number of tumor nodules (observable entity)"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 2
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "406084004",
            "display" : "Tumor nodule site (observable entity)"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
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            "system" : "http://snomed.info/sct",
            "code" : "76752008",
            "display" : "Breast structure (body structure)"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "385398005",
            "display" : "Tumor size, dominant nodule, greatest dimension (observable entity)"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 15
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "258263003",
            "display" : "Generic tumor extent (observable entity)"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 33
      }
    }
  ]
}