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

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: Observation: Tumor Observable (example)

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-tumor-observable-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/lab/StructureDefinition/tumor-observable-lt-lab"/>
  </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-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 (use: usual, ))</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>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="395531003"/>
      <display value="Neoplasm observable (observable entity)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-example"/>
  </subject>
  <effectiveDateTime value="2025-01-10T09:15:00+02:00"/>
  <performer>🔗 
    <reference value="Practitioner/practitioner-example"/>
  </performer>
  <specimen>🔗 
    <reference value="Specimen/specimen-right-breast-example"/>
  </specimen>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="396199003"/>
        <display value="Neoplasm focality (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="399506006"/>
        <display value="Multifocal tumor (finding)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="443748007"/>
        <display value="Number of malignant neoplasm foci"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="3"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="396785008"/>
        <display
                 value="Histologic type of metastatic neoplasm (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1187425009"/>
        <display value="Carcinoma (morphologic abnormality)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="399687005"/>
        <display
                 value="Anatomic location of primary malignant neoplasm (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="76752008"/>
        <display value="Breast structure (body structure)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="405930005"/>
        <display value="Number of tumor nodules (observable entity)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="2"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="406084004"/>
        <display value="Tumor nodule site (observable entity)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="76752008"/>
        <display value="Breast structure (body structure)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="385398005"/>
        <display
                 value="Tumor size, dominant nodule, greatest dimension (observable entity)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="15"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="258263003"/>
        <display value="Generic tumor extent (observable entity)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="33"/>
    </valueQuantity>
  </component>
</Observation>