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

• Pasakojimo turinys
• XML
• JSON

: DiagnosticReport: LDCT Screening Report (example)

Neapdorotas xml | Atsisiųsti

<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-lung-report-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/lung/StructureDefinition/lung-report-lt-lung"/>
  </meta>
  <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-lung-report-example</b></p><a name="lt-diagnosticreport-lung-report-example"> </a><a name="lt-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>
</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>
</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>
</div></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18748-4"/>
      <display value="Diagnostic imaging study"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="4321000179101"/>
      <display value="Computed tomography imaging report (record artifact)"/>
    </coding>
    <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>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient-male"/>
  </subject>
  <effectiveDateTime value="2025-11-20T14:30:00Z"/>
  <issued value="2025-11-20T16:00:00+02:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/example-practitioner-role"/>
  </performer>
  <result>🔗 
    <reference value="Observation/observation-lung-rads-4a-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-pulmonary-nodule-solid-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-incidental-coronary-calcification-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-lung-recommendation-3m-example"/>
  </result>
  <composition>🔗 
    <reference value="Composition/lung-composition-ldct-example"/>
  </composition>
  <conclusion
              value="LUNG-RADS 4A: Suspicious solid nodule in right upper lobe (9mm). Moderate coronary artery calcification. Recommend 3-month follow-up LDCT."/>
</DiagnosticReport>