Lithuanian Prostate Diagnostics Implementation Guide
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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

: DiagnosticReport: Prostate mpMRI (example)

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="diagnosticreport-prostate-mpmri-example"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/prostate/StructureDefinition/mpmri-report-lt-prostate"/>
  </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: DiagnosticReport diagnosticreport-prostate-mpmri-example</b></p><a name="diagnosticreport-prostate-mpmri-example"> </a><a name="hcdiagnosticreport-prostate-mpmri-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-mpmri-report-lt-prostate.html">Diagnostic Report: Prostate mpMRI</a></p></div><h2><span title="Codes:{http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes imaging-report-v0-0-1}, {http://snomed.info/sct 719178004}">Imaging Report V0.0.1</span> (<span title="Codes:{http://loinc.org 18748-4}">Diagnostic imaging study</span>) </h2><table class="grid"><tr><td>Subject</td><td>Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))</td></tr><tr><td>When For</td><td>2025-09-22 10:30:00+0000</td></tr><tr><td>Performer</td><td> <a href="PractitionerRole-practitioner-role-radiologist-example.html">PractitionerRole </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-prostate-pirads-lesion1-example.html"><span title="Codes:{http://snomed.info/sct 1345044005}">Assessment using Prostate Imaging-Reporting and Data System (procedure)</span></a> (<span title="Codes:{http://snomed.info/sct 716913001}">Structure of anterior middle regional part of transition zone of right half prostate</span>)</td><td>5</td><td>Final</td><td><blockquote><div><p>Anterior transition zone lesion (~32 mm), extending across midline. Very high suspicion on mpMRI.</p>
</div></blockquote></td><td>2024-05-27 10:30:00+0000</td></tr><tr><td><a href="Observation-observation-prostate-dwi-score-lesion1-example2.html"><span title="Codes:{http://dicom.nema.org/resources/ontology/DCM 113043}">Diffusion weighted</span></a></td><td>5</td><td>Final</td><td><blockquote><div><p>Marked diffusion restriction in lesion focus.</p>
</div></blockquote></td><td/></tr><tr><td><a href="Observation-observation-prostate-piqual-example.html"><span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-piqual 1}">No mpMRI sequences are of diagnostic quality</span></a></td><td>3</td><td>Final</td><td/><td/></tr><tr><td><a href="Observation-observation-prostate-precise-followup-example.html"><span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component precise-assessment}">PRECISE longitudinal assessment</span></a></td><td><span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category 3}">PRECISE 3 - Stable disease</span></td><td>Final</td><td><blockquote><div><p>Stable disease compared to prior MRI examinations.</p>
</div></blockquote></td><td>2024-05-27 10:30:00+0000</td></tr></table><div><p>Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations.</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://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes"/>
      <code value="imaging-report-v0-0-1"/>
      <display value="Imaging Report V0.0.1"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="719178004"/>
      <display
               value="Multiparametric magnetic resonance imaging of prostate (procedure)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-male-example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-prostate-diagnostic-example"/>
  </encounter>
  <effectiveDateTime value="2025-09-22T10:30:00Z"/>
  <performer>🔗 
    <reference
               value="PractitionerRole/practitioner-role-radiologist-example"/>
  </performer>
  <result>🔗 
    <reference
               value="Observation/observation-prostate-pirads-lesion1-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-prostate-dwi-score-lesion1-example2"/>
  </result>
  <result>🔗 
    <reference value="Observation/observation-prostate-piqual-example"/>
  </result>
  <result>🔗 
    <reference
               value="Observation/observation-prostate-precise-followup-example"/>
  </result>
  <supportingInfo>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0936"/>
        <code value="RSLT"/>
      </coding>
    </type>
    <reference>🔗 
      <reference value="Observation/prostate-psa-example"/>
    </reference>
  </supportingInfo>
  <supportingInfo>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0936"/>
        <code value="RSLT"/>
      </coding>
    </type>
    <reference>🔗 
      <reference value="Observation/prostate-volume-example"/>
    </reference>
  </supportingInfo>
  <supportingInfo>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0936"/>
        <code value="SCI"/>
      </coding>
    </type>
    <reference>🔗 
      <reference value="Observation/prostate-psad-example"/>
    </reference>
  </supportingInfo>
  <composition>🔗 
    <reference value="Composition/composition-prostate-mpmri-example"/>
  </composition>
  <conclusion
              value="Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations."/>
</DiagnosticReport>