<?xml version="1.0" encoding="UTF-8"?>

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-pathology-report-example"/>
  <meta>
    <profile value="https://hl7.lt/fhir/lab/StructureDefinition/pathology-report-lt-lab"/>
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  <language value="lt"/>
  <text>
    <status value="generated"/><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 (use: usual, ))</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>
</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>
</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>
  </text>
  <identifier>
    <system value="http://hospital.lt/sid/pathology-report-number"/>
    <value value="3f69e0a5-2177-4540-baab-7a5d0877428f"/>
  </identifier>
  <basedOn>
    <reference value="ServiceRequest/servicerequest-pathology-order-example"/>
  </basedOn>
  <basedOn>
    <reference value="ServiceRequest/servicerequest-pathology-prostate-order-example"/>
  </basedOn>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="714797009"/>
      <display value="Histologic test (procedure)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patient-example"/>
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  <effectiveDateTime value="2022-10-25T13:35:00+01:00"/>
  <performer>
    <reference value="Practitioner/practitioner-example"/>
  </performer>
  <specimen>
    <reference value="Specimen/specimen-right-breast-example"/>
  </specimen>
  <specimen>
    <reference value="Specimen/specimen-left-breast-example"/>
  </specimen>
  <result>
    <reference value="Observation/observation-specimen-adequacy-example"/>
  </result>
  <result>
    <reference value="Observation/observation-estrogen-status"/>
  </result>
  <result>
    <reference value="Observation/observation-progesterone-status"/>
  </result>
  <result>
    <reference value="Observation/observation-her2-receptor-status-example"/>
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  <result>
    <reference value="Observation/observation-specimen-measurement-example"/>
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  <result>
    <reference value="Observation/observation-tumor-observable-example"/>
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  <result>
    <reference value="Observation/observation-tumor-measurement-example"/>
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  <composition>
    <reference value="Composition/composition-pathology-example"/>
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  <conclusion value="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 value="http://hl7.org/fhir/sid/icd-10"/>
      <code value="C10.1"/>
      <display value="Anterior surface of epiglottis"/>
    </coding>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/icd-o-3"/>
      <code value="8140/2"/>
      <display value="Adenocarcinoma in situ, NOS"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>