{ "resourceType" : "Observation", "id" : "observation-prostate-precise-followup-example2", "meta" : { "profile" : ["https://hl7.lt/fhir/prostate/StructureDefinition/precise-assessment-lt-prostate"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

English

Generated Narrative: Observation observation-prostate-precise-followup-example2

Language: en

Profile: Observation: PRECISE Longitudinal Assessment

status: Final

code: PRECISE longitudinal assessment

subject: Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001\u00a0(use:\u00a0usual,\u00a0))

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.

\n

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)

" }, "status" : "final", "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "precise-assessment", "display" : "PRECISE longitudinal assessment" }] }, "subject" : { "reference" : "Patient/patient-male-example" }, "encounter" : { "reference" : "Encounter/encounter-prostate-diagnostic-example" }, "effectiveDateTime" : "2026-03-15T10:30:00Z", "valueCodeableConcept" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category", "code" : "4", "display" : "PRECISE 4 - Likely progression" }] }, "note" : [{ "text" : "Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction." }], "derivedFrom" : [{ "reference" : "ImagingStudy/imagingstudy-prostate-mpmri-example" }], "component" : [{ "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "new-lesion", "display" : "New lesion indicator" }] }, "valueBoolean" : false }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "change-pattern", "display" : "Change pattern" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-change-pattern", "code" : "local", "display" : "Local change" }] } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "best-sequence", "display" : "Best MRI sequence for change assessment" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "113043", "display" : "Diffusion weighted" }] } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "best-sequence", "display" : "Best MRI sequence for change assessment" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "113041", "display" : "Apparent Diffusion Coefficient" }] } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "size-change-mm", "display" : "Size change in millimeters" }] }, "valueQuantity" : { "value" : 3, "system" : "http://unitsofmeasure.org", "code" : "mm" } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "dimension-1-mm", "display" : "PSAD dimension 1 (mm, axial)" }] }, "valueQuantity" : { "value" : 12, "system" : "http://unitsofmeasure.org", "code" : "mm" } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "dimension-2-mm", "display" : "PSAD dimension 2 (mm, axial)" }] }, "valueQuantity" : { "value" : 9, "system" : "http://unitsofmeasure.org", "code" : "mm" } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "dimension-3-mm", "display" : "PSAD dimension 3 (mm, coronal/sagittal)" }] }, "valueQuantity" : { "value" : 11, "system" : "http://unitsofmeasure.org", "code" : "mm" } }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "change-volume-cm3", "display" : "Change volume (cm³)" }] }, "valueQuantity" : { "value" : 0.6, "system" : "http://unitsofmeasure.org", "code" : "cm3" } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "273575009", "display" : "Likert scale (assessment scale)" }] }, "valueInteger" : 4 }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "350501000146102", "display" : "Prostate Imaging-Reporting and Data System score" }] }, "valueInteger" : 3 }, { "code" : { "coding" : [{ "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component", "code" : "prior-tnm-stage", "display" : "Prior TNM stage" }] }, "valueString" : "cT2 N0 M0" }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "60405008", "display" : "Structure of capsule of prostate (body structure)" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "2667000", "display" : "Absent (qualifier value)" }] } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "64739004", "display" : "Seminal vesicle structure (body structure)" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "2667000", "display" : "Absent (qualifier value)" }] } }] }