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

<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-lung-rads-4as-example"/>
  <meta>
    <profile value="https://hl7.lt/fhir/lung/StructureDefinition/lung-rads-assessment-lt-lung"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation observation-lung-rads-4as-example</b></p><a name="observation-lung-rads-4as-example"> </a><a name="hcobservation-lung-rads-4as-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-rads-assessment-lt-lung.html">LUNG-RADS Assessment (LT Lung)</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1362105002}">Lung Imaging Reporting and Data System category</span></p><p><b>subject</b>: <a href="Patient-example-patient-male.html">Jonas Pavardenis  Male, DoB: 1990-01-01 ( https://hl7.lt/fhir/sid/lt-patient-pid#39001010001)</a></p><p><b>effective</b>: 2025-09-22 10:45:00+0000</p><p><b>performer</b>: <a href="Practitioner-example-practitioner.html">Practitioner Petras Gydytojaitis </a></p><p><b>value</b>: <span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/lung-rads-category 4A}">Category 4A – Suspicious</span></p><p><b>note</b>: </p><blockquote><div><p>Suspicious pulmonary lesion detected. Significant incidental extrapulmonary finding also present; overall assessment expressed as 4AS.</p>
</div></blockquote><p><b>method</b>: <span title="Codes:">LUNG-RADS v2022</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 246513007}">Revision value</span></td><td><span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/lung-rads-modifier S}">Modifier S – Significant incidental finding</span></td></tr></table></div>
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      <system value="http://snomed.info/sct"/>
      <code value="1362105002"/>
      <display value="Lung Imaging Reporting and Data System category"/>
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  <subject>
    <reference value="Patient/example-patient-male"/>
  </subject>
  <effectiveDateTime value="2025-09-22T10:45:00Z"/>
  <performer>
    <reference value="Practitioner/example-practitioner"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="https://tx.hl7.lt/fhir/CodeSystem/lung-rads-category"/>
      <code value="4A"/>
      <display value="Category 4A – Suspicious"/>
    </coding>
  </valueCodeableConcept>
  <note>
    <text value="Suspicious pulmonary lesion detected. Significant incidental extrapulmonary finding also present; overall assessment expressed as 4AS."/>
  </note>
  <method>
    <text value="LUNG-RADS v2022"/>
  </method>
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    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="246513007"/>
        <display value="Revision value"/>
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    <valueCodeableConcept>
      <coding>
        <system value="https://tx.hl7.lt/fhir/CodeSystem/lung-rads-modifier"/>
        <code value="S"/>
        <display value="Modifier S – Significant incidental finding"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>