Lithuanian Laboratory Implementation Guide
0.0.1 - ci-build
Lithuanian Laboratory Implementation Guide
0.0.1 - ci-build
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
{
"resourceType" : "DiagnosticReport",
"id" : "diagnosticreport-pathology-report-example",
"meta" : {
"profile" : [
🔗 "https://hl7.lt/fhir/lab/StructureDefinition/pathology-report-lt-lab"
]
},
"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: DiagnosticReport diagnosticreport-pathology-report-example</b></p><a name=\"lt-diagnosticreport-pathology-report-example\"> </a><a name=\"lt-hcdiagnosticreport-pathology-report-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-pathology-report-lt-lab.html\">ServiceRequest: Pathology Report (Lt)</a></p></div><h2><span title=\"Codes:{http://snomed.info/sct 714797009}\">Histologic test (procedure)</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</td></tr><tr><td>When For</td><td>2022-10-25 13:35:00+0100</td></tr><tr><td>Performer</td><td> <a href=\"Practitioner-practitioner-example.html\">Practitioner Registrar</a></td></tr><tr><td>Identifier</td><td> <code>http://hospital.lt/sid/pathology-report-number</code>/3f69e0a5-2177-4540-baab-7a5d0877428f</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-observation-specimen-adequacy-example.html\"><span title=\"Codes:{http://snomed.info/sct 371507005}\">Adequacy of specimen (observable entity)</span></a></td><td><span title=\"Codes:{http://snomed.info/sct 125152006}\">Specimen satisfactory for evaluation (finding)</span></td><td>Final, <span title=\"Codes:\">normal</span></td><td><blockquote><div><p>The breast tissue specimen is deemed adequate for histopathological evaluation.</p>\n</div></blockquote></td><td>2025-01-15 11:00:00+0200</td></tr><tr><td colspan=\"5\"><i>The observation 'Observation/observation-estrogen-status' could not be resolved</i></td></tr><tr><td colspan=\"5\"><i>The observation 'Observation/observation-progesterone-status' could not be resolved</i></td></tr><tr><td><a href=\"Observation-observation-her2-receptor-status-example.html\"><span title=\"Codes:{http://loinc.org 31150-6}\">ERBB2 gene duplication [Presence] in Tissue by FISH</span></a></td><td><span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/her2-receptor-status 1}\">Her2 overexpressed or gene amplified</span></td><td>Final</td><td/><td/></tr><tr><td><a href=\"Observation-observation-specimen-measurement-example.html\"><span title=\"Codes:{http://snomed.info/sct 371475003}\">Specimen size</span></a></td><td/><td>Final</td><td/><td>2024-06-01 10:00:00+0000</td></tr><tr><td><a href=\"Observation-observation-tumor-observable-example.html\"><span title=\"Codes:{http://snomed.info/sct 395531003}\">Neoplasm observable (observable entity)</span></a></td><td/><td>Final</td><td/><td>2025-01-10 09:15:00+0200</td></tr><tr><td><a href=\"Observation-observation-tumor-measurement-example.html\"><span title=\"Codes:{http://snomed.info/sct 263605001}\">Tumor size</span></a></td><td/><td>Final</td><td/><td>2024-06-01 10:00:00+0000</td></tr></table><div><p>Histopathological examination of the breast tissue specimens confirms the presence of invasive ductal carcinoma in the right breast and benign fibrocystic changes in the left breast.</p>\n</div><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 C10.1}, {http://terminology.hl7.org/CodeSystem/icd-o-3 8140/2}\">Anterior surface of epiglottis</span></li></ul></div>"
},
"identifier" : [
{
"system" : "http://hospital.lt/sid/pathology-report-number",
"value" : "3f69e0a5-2177-4540-baab-7a5d0877428f"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/servicerequest-pathology-order-example"
},
{
🔗 "reference" : "ServiceRequest/servicerequest-pathology-prostate-order-example"
}
],
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "714797009",
"display" : "Histologic test (procedure)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/patient-example"
},
"effectiveDateTime" : "2022-10-25T13:35:00+01:00",
"performer" : [
{
🔗 "reference" : "Practitioner/practitioner-example"
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/specimen-right-breast-example"
},
{
🔗 "reference" : "Specimen/specimen-left-breast-example"
}
],
"result" : [
{
🔗 "reference" : "Observation/observation-specimen-adequacy-example"
},
{
"reference" : "Observation/observation-estrogen-status"
},
{
"reference" : "Observation/observation-progesterone-status"
},
{
🔗 "reference" : "Observation/observation-her2-receptor-status-example"
},
{
🔗 "reference" : "Observation/observation-specimen-measurement-example"
},
{
🔗 "reference" : "Observation/observation-tumor-observable-example"
},
{
🔗 "reference" : "Observation/observation-tumor-measurement-example"
}
],
"composition" : {
🔗 "reference" : "Composition/composition-pathology-example"
},
"conclusion" : "Histopathological examination of the breast tissue specimens confirms the presence of invasive ductal carcinoma in the right breast and benign fibrocystic changes in the left breast.",
"conclusionCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "C10.1",
"display" : "Anterior surface of epiglottis"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/icd-o-3",
"code" : "8140/2",
"display" : "Adenocarcinoma in situ, NOS"
}
]
}
]
}