Lithuanian Laboratory Implementation Guide
0.0.1 - ci-build Lithuania vėliava

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

Pavyzdys Composition: Composition: Pathology Document (example)

Synoptic pathology composition (example). Overview of the four main sections and their subsections. Full structured data and per-section narratives are in Composition.section below.

Pre-Analytic — pathology report relevant history (LOINC 22636-5)

  • Breast histopathology order (ServiceRequest)
  • Prostate pathology order (ServiceRequest)
  • Breast biopsy procedure
  • Submitted specimen — right breast
  • Submitted specimen — left breast

Macro — macroscopic observation in specimen narrative (LOINC 74574-5)

  • Gross specimen measurements
  • Specimen adequacy
  • Paraffin tissue block
  • Histology laboratory procedure

Micro — microscopic observation (LOINC 660-1)

  • Tumour characterisation (observable)
  • Tumour size (dimensions)
  • Oestrogen receptor (ER) status
  • Progesterone receptor (PR) status
  • HER2 receptor status

Synthesis — pathology report final diagnosis (LOINC 22637-3)

  • Diagnostic report (signed)
  • Example: prostate cancer stage (Condition)