Lithuanian Prostate Diagnostics 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-prostate/ and changes regularly. See the Directory of published versions

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: Composition: Prostate programme document (example)

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<Composition xmlns="http://hl7.org/fhir">
  <id value="composition-prostate-programme-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/prostate/StructureDefinition/prostate-composition-lt-prostate"/>
  </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 composition-prostate-programme-example</b></p><a name="composition-prostate-programme-example"> </a><a name="hccomposition-prostate-programme-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-prostate-composition-lt-prostate.html">Composition: Prostate programme document (LT)</a></p></div><p><b>IM Document DiagnosticReport Reference</b>: <a href="DiagnosticReport-diagnosticreport-prostate-programme-report-example.html">Diagnostic Report for 'Imaging Report V0.0.1' for '-&gt;Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))'</a></p><p><b>identifier</b>: <code>https://hl7.lt/fhir/prostate/composition-id</code>/PROSTATE-PROGRAMME-2024-0001</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>: 2024-05-27 10:30:00+0200</p><p><b>author</b>: <a href="PractitionerRole-practitioner-role-radiologist-example.html">PractitionerRole </a></p><p><b>title</b>: Prostate programme — mpMRI summary</p><p><b>custodian</b>: <a href="Organization-organization-lt-example.html">Organization Vilniaus miesto ligoninė</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 MR}">Magnetic Resonance</span></td><td><a href="ImagingStudy-imagingstudy-prostate-mpmri-example.html">ImagingStudy: identifier = urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.840.113619.2.55.3.604688433.781.1591782334.467; status = available; modality = Magnetic Resonance; started = 2024-05-27 10:00:00+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 103693007}">Diagnostic procedure (procedure)</span></td><td><a href="Procedure-procedure-prostate-mpmri-example.html">Procedure Multiparametric magnetic resonance imaging of prostate</a></td></tr></table></blockquote></div>
  </text>
  <extension
             url="http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference">
    <valueReference>🔗 
      <reference
                 value="DiagnosticReport/diagnosticreport-prostate-programme-report-example"/>
    </valueReference>
  </extension>
  <identifier>
    <system value="https://hl7.lt/fhir/prostate/composition-id"/>
    <value value="PROSTATE-PROGRAMME-2024-0001"/>
  </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="2024-05-27T10:30:00+02:00"/>
  <author>🔗 
    <reference
               value="PractitionerRole/practitioner-role-radiologist-example"/>
  </author>
  <title value="Prostate programme — mpMRI summary"/>
  <custodian>🔗 
    <reference value="Organization/organization-lt-example"/>
  </custodian>
  <event>
    <detail>
      <concept>
        <coding>
          <system value="http://dicom.nema.org/resources/ontology/DCM"/>
          <code value="MR"/>
          <display value="Magnetic Resonance"/>
        </coding>
      </concept>
      <reference>🔗 
        <reference value="ImagingStudy/imagingstudy-prostate-mpmri-example"/>
      </reference>
    </detail>
  </event>
  <event>
    <detail>
      <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="103693007"/>
          <display value="Diagnostic procedure (procedure)"/>
        </coding>
      </concept>
      <reference>🔗 
        <reference value="Procedure/procedure-prostate-mpmri-example"/>
      </reference>
    </detail>
  </event>
  <section>
    <title value="Imaging Study"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18726-0"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Multiparametric prostate MRI performed.</div>
    </text>
    <entry>🔗 
      <reference value="ImagingStudy/imagingstudy-prostate-mpmri-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>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">mpMRI ordered under prostate programme pathway.</div>
    </text>
  </section>
  <section>
    <title value="Clinical 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">Elevated PSA; active surveillance context.</div>
    </text>
    <entry>🔗 
      <reference value="Observation/observation-prostate-psa-example"/>
    </entry>
  </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>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Multiparametric prostate MRI with contrast.</div>
    </text>
    <entry>🔗 
      <reference value="Procedure/procedure-prostate-mpmri-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>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Compared with prior prostate MRI when available.</div>
    </text>
    <entry>🔗 
      <reference value="ImagingStudy/imagingstudy-prostate-mpmri-example"/>
    </entry>
  </section>
  <section>
    <title value="Findings"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59776-5"/>
        <display value="Findings"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Anterior transition zone lesion PI-RADS 5; see structured observations.</div>
    </text>
    <entry>🔗 
      <reference value="Observation/imfinding-prostate-lesion1-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>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">High-suspicion lesion; PRECISE 3 stable. Pathology if biopsy performed is documented separately in LT Lab.</div>
    </text>
    <entry>🔗 
      <reference value="Observation/imfinding-prostate-lesion1-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>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Continue programme follow-up per urology.</div>
    </text>
  </section>
</Composition>