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

Example Observation: Observation: PRECISE assessment, likely progression (example)

English

status: Final

code: PRECISE longitudinal assessment

subject: Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))

encounter: Encounter: status = completed; class = ambulatory; type = Screening procedure; actualPeriod = 2025-09-22 10:00:00+0000 --> 2025-09-22 11:00:00+0000

effective: 2026-03-15 10:30:00+0000

value: PRECISE 4 - Likely progression

note:

Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction.

derivedFrom: 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

component

code: New lesion indicator

value: false

component

code: Change pattern

value: Local change

component

code: Best MRI sequence for change assessment

value: Diffusion weighted

component

code: Best MRI sequence for change assessment

value: Apparent Diffusion Coefficient

component

code: Size change in millimeters

value: 3 mm (Details: UCUM codemm = 'mm')

component

code: PSAD dimension 1 (mm, axial)

value: 12 mm (Details: UCUM codemm = 'mm')

component

code: PSAD dimension 2 (mm, axial)

value: 9 mm (Details: UCUM codemm = 'mm')

component

code: PSAD dimension 3 (mm, coronal/sagittal)

value: 11 mm (Details: UCUM codemm = 'mm')

component

code: Change volume (cm³)

value: 0.6 cm3 (Details: UCUM codecm3 = 'cm3')

component

code: Likert scale (assessment scale)

value: 4

component

code: Prostate Imaging-Reporting and Data System score

value: 3

component

code: Prior TNM stage

value: cT2 N0 M0

component

code: Structure of capsule of prostate (body structure)

value: Absent (qualifier value)

component

code: Seminal vesicle structure (body structure)

value: Absent (qualifier value)