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

• Narrative Content
• XML
• JSON

: DiagnosticReport: LDCT Screening Report (example)

Raw json | Download

{
  "resourceType" : "DiagnosticReport",
  "id" : "diagnosticreport-lung-report-example",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.lt/fhir/lung/StructureDefinition/lung-report-lt-lung"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport diagnosticreport-lung-report-example</b></p><a name=\"diagnosticreport-lung-report-example\"> </a><a name=\"hcdiagnosticreport-lung-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-lung-report-lt-lung.html\">Lung LDCT Report (LT Lung)</a></p></div><h2><span title=\"Codes:{http://snomed.info/sct 4321000179101}, {http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}\">Computed tomography imaging report (record artifact)</span> (<span title=\"Codes:{http://loinc.org 18748-4}\">Diagnostic imaging study</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Jonas Pavardenis  Male, DoB: 1990-01-01 ( https://hl7.lt/fhir/sid/lt-patient-pid#39001010001)</td></tr><tr><td>When For</td><td>2025-11-20 14:30:00+0000</td></tr><tr><td>Reported</td><td>2025-11-20 16:00:00+0200</td></tr><tr><td>Performer</td><td> <a href=\"PractitionerRole-example-practitioner-role.html\">PractitionerRole Radiologist (occupation)</a></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-lung-rads-4a-example.html\"><span title=\"Codes:{http://snomed.info/sct 1362105002}\">Lung Imaging Reporting and Data System category</span></a></td><td><span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/lung-rads-category 4A}\">Category 4A – Suspicious</span></td><td>Final</td><td><blockquote><div><p>Suspicious pulmonary lesion detected in the right upper lobe. Short-term follow-up LDCT is recommended.</p>\n</div></blockquote></td><td>2025-09-22 10:30:00+0000</td></tr><tr><td><a href=\"Observation-observation-pulmonary-nodule-solid-example.html\"><span title=\"Codes:{http://snomed.info/sct 427359005}\">Solitary nodule of lung</span></a> (<span title=\"Codes:{http://snomed.info/sct 42400003}\">Structure of upper lobe of right lung</span>)</td><td><span title=\"Codes:{http://snomed.info/sct 35702001}\">Solid</span></td><td>Final</td><td/><td>2025-09-22 10:20:00+0000</td></tr><tr><td><a href=\"Observation-observation-incidental-coronary-calcification-example.html\"><span title=\"Codes:{http://snomed.info/sct 404684003}\">Clinical finding (finding)</span></a></td><td><span title=\"Codes:{http://snomed.info/sct 445512009}\">Calcification of coronary artery (disorder)</span></td><td>Final</td><td/><td/></tr><tr><td><a href=\"Observation-observation-lung-recommendation-3m-example.html\"><span title=\"Codes:{http://snomed.info/sct 424900004}\">Recommendation - action</span></a></td><td><span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation followup-3m}\">Follow-up LDCT after 3 months</span></td><td>Final</td><td><blockquote><div><p>Short-term follow-up LDCT is recommended in 3 months based on the screening findings.</p>\n</div></blockquote></td><td>2025-09-22 10:35:00+0000</td></tr></table><div><p>LUNG-RADS 4A: Suspicious solid nodule in right upper lobe (9mm). Moderate coronary artery calcification. Recommend 3-month follow-up LDCT.</p>\n</div></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "18748-4",
          "display" : "Diagnostic imaging study"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "4321000179101",
        "display" : "Computed tomography imaging report (record artifact)"
      },
      {
        "system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
        "code" : "imaging-report-v0-0-1",
        "display" : "Imaging Report V0.0.1"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient-male"
  },
  "effectiveDateTime" : "2025-11-20T14:30:00Z",
  "issued" : "2025-11-20T16:00:00+02:00",
  "performer" : [
    {
      🔗 "reference" : "PractitionerRole/example-practitioner-role"
    }
  ],
  "result" : [
    {
      🔗 "reference" : "Observation/observation-lung-rads-4a-example"
    },
    {
      🔗 "reference" : "Observation/observation-pulmonary-nodule-solid-example"
    },
    {
      🔗 "reference" : "Observation/observation-incidental-coronary-calcification-example"
    },
    {
      🔗 "reference" : "Observation/observation-lung-recommendation-3m-example"
    }
  ],
  "composition" : {
    🔗 "reference" : "Composition/lung-composition-ldct-example"
  },
  "conclusion" : "LUNG-RADS 4A: Suspicious solid nodule in right upper lobe (9mm). Moderate coronary artery calcification. Recommend 3-month follow-up LDCT."
}