Lithuanian Lung Cancer Implementation Guide
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Lithuanian Lung Cancer 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-lung/ and changes regularly. See the Directory of published versions

: Composition: LDCT Screening Report (example)

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<Composition xmlns="http://hl7.org/fhir">
  <id value="lung-composition-ldct-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/lung/StructureDefinition/lung-composition-lt-lung"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Composition lung-composition-ldct-example</b></p><a name="lung-composition-ldct-example"> </a><a name="hclung-composition-ldct-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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-lung-composition-lt-lung.html">Lung Composition (LT Lung)</a></p></div><p><b>IM Document DiagnosticReport Reference</b>: <a href="DiagnosticReport-diagnosticreport-lung-report-example.html">Diagnostic Report for 'Computed tomography imaging report (record artifact)' for '-&gt;Jonas Pavardenis  Male, DoB: 1990-01-01 ( https://hl7.lt/fhir/sid/lt-patient-pid#39001010001)'</a></p><p><b>identifier</b>: <code>https://hl7.lt/fhir/lung/composition-id</code>/LDCT-2025-001</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}">Imaging Report V0.0.1</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span></p><p><b>date</b>: 2025-11-20 15:00:00+0000</p><p><b>author</b>: <a href="PractitionerRole-practitionerrole-radiologist-example.html">PractitionerRole Radiologist (occupation)</a></p><p><b>title</b>: Low-Dose Chest CT Screening Report</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/composition-attestation-mode professional}">Professional</span></td><td><a href="PractitionerRole-practitionerrole-radiologist-example.html">PractitionerRole Radiologist (occupation)</a></td></tr></table><p><b>custodian</b>: <a href="Organization-organization-ldct-example.html">Organization Vilniaus universiteto ligonines Santaros klinikos</a></p><blockquote><p><b>event</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://dicom.nema.org/resources/ontology/DCM CT}">Computed Tomography</span></td><td><a href="ImagingStudy-imagingstudy-ldct-example.html">ImagingStudy: status = available; modality = Computed Tomography; started = 2025-11-20 14:30:00+0000</a></td></tr></table></blockquote><blockquote><p><b>event</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 16334891000119106}">Low dose computed tomography of chest without contrast (procedure)</span></td><td><a href="Procedure-procedure-ldct-example.html">Procedure Low dose computed tomography of chest without contrast (procedure)</a></td></tr></table></blockquote></div>
  </text>
  <extension
             url="http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference">
    <valueReference>🔗 
      <reference
                 value="DiagnosticReport/diagnosticreport-lung-report-example"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="https://hl7.lt/fhir/lung/composition-id"/>
    <value value="LDCT-2025-001"/>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system
              value="http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes"/>
      <code value="imaging-report-v0-0-1"/>
      <display value="Imaging Report V0.0.1"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18748-4"/>
      <display value="Diagnostic imaging study"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/patient-male-example"/>
  </subject>
  <date value="2025-11-20T15:00:00Z"/>
  <author>🔗 
    <reference value="PractitionerRole/practitionerrole-radiologist-example"/>
  </author>
  <title value="Low-Dose Chest CT Screening Report"/>
  <attester>
    <mode>
      <coding>
        <system value="http://hl7.org/fhir/composition-attestation-mode"/>
        <code value="professional"/>
        <display value="Professional"/>
      </coding>
    </mode>
    <party>🔗 
      <reference
                 value="PractitionerRole/practitionerrole-radiologist-example"/>
    </party>
  </attester>
  <custodian>🔗 
    <reference value="Organization/organization-ldct-example"/>
  </custodian>
  <event>
    <detail>
      <concept>
        <coding>
          <system value="http://dicom.nema.org/resources/ontology/DCM"/>
          <code value="CT"/>
          <display value="Computed Tomography"/>
        </coding>
      </concept>
      <reference>🔗 
        <reference value="ImagingStudy/imagingstudy-ldct-example"/>
      </reference>
    </detail>
  </event>
  <event>
    <detail>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="16334891000119106"/>
          <display
                   value="Low dose computed tomography of chest without contrast (procedure)"/>
        </coding>
      </concept>
      <reference>🔗 
        <reference value="Procedure/procedure-ldct-example"/>
      </reference>
    </detail>
  </event>
  <section>
    <title value="Imaging Study"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18726-0"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="ImagingStudy/imagingstudy-ldct-example"/>
    </entry>
  </section>
  <section>
    <title value="Order"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55115-0"/>
        <display value="Requested imaging studies information Document"/>
      </coding>
    </code>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="unavailable"/>
        <display value="Unavailable"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="History"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11329-0"/>
        <display value="History general Narrative - Reported"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Active smoker, 30 pack-years. No prior chest CT.</p></div>
    </text>
  </section>
  <section>
    <title value="Procedure"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="55111-9"/>
        <display value="Current imaging procedure descriptions Document"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Procedure/procedure-ldct-example"/>
    </entry>
  </section>
  <section>
    <title value="Comparison"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18834-2"/>
        <display value="Radiology Comparison study (narrative)"/>
      </coding>
    </code>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="unavailable"/>
        <display value="Unavailable"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Findings"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59776-5"/>
        <display value="Findings"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Observation/observation-pulmonary-nodule-solid-example"/>
    </entry>
    <entry>🔗 
      <reference
                 value="Observation/observation-incidental-coronary-calcification-example"/>
    </entry>
  </section>
  <section>
    <title value="Impression"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="19005-8"/>
        <display value="Radiology Imaging study [Impression] (narrative)"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Observation/observation-lung-rads-4a-example"/>
    </entry>
  </section>
  <section>
    <title value="Recommendation"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18783-1"/>
        <display value="Radiology Study recommendation (narrative)"/>
      </coding>
    </code>
    <entry>🔗 
      <reference
                 value="Observation/observation-lung-recommendation-3m-example"/>
    </entry>
  </section>
</Composition>