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

: Observation: PRECISE assessment, likely progression (example)

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{
  "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" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-prostate-precise-followup-example2</b></p><a name=\"observation-prostate-precise-followup-example2\"> </a><a name=\"hcobservation-prostate-precise-followup-example2\"> </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-precise-assessment-lt-prostate.html\">Observation: PRECISE Longitudinal Assessment</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component precise-assessment}\">PRECISE longitudinal assessment</span></p><p><b>subject</b>: <a href=\"Patient-patient-male-example.html\">Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-prostate-diagnostic-example.html\">Encounter: status = completed; class = ambulatory; type = Screening procedure; actualPeriod = 2025-09-22 10:00:00+0000 --&gt; 2025-09-22 11:00:00+0000</a></p><p><b>effective</b>: 2026-03-15 10:30:00+0000</p><p><b>value</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category 4}\">PRECISE 4 - Likely progression</span></p><p><b>note</b>: </p><blockquote><div><p>Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction.</p>\n</div></blockquote><p><b>derivedFrom</b>: <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></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component new-lesion}\">New lesion indicator</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component change-pattern}\">Change pattern</span></p><p><b>value</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-change-pattern local}\">Local change</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component best-sequence}\">Best MRI sequence for change assessment</span></p><p><b>value</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 113043}\">Diffusion weighted</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component best-sequence}\">Best MRI sequence for change assessment</span></p><p><b>value</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 113041}\">Apparent Diffusion Coefficient</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component size-change-mm}\">Size change in millimeters</span></p><p><b>value</b>: 3 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component dimension-1-mm}\">PSAD dimension 1 (mm, axial)</span></p><p><b>value</b>: 12 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component dimension-2-mm}\">PSAD dimension 2 (mm, axial)</span></p><p><b>value</b>: 9 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component dimension-3-mm}\">PSAD dimension 3 (mm, coronal/sagittal)</span></p><p><b>value</b>: 11 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'mm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component change-volume-cm3}\">Change volume (cm³)</span></p><p><b>value</b>: 0.6 cm3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm3 = 'cm3')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 273575009}\">Likert scale (assessment scale)</span></p><p><b>value</b>: 4</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 350501000146102}\">Prostate Imaging-Reporting and Data System score</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component prior-tnm-stage}\">Prior TNM stage</span></p><p><b>value</b>: cT2 N0 M0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 60405008}\">Structure of capsule of prostate (body structure)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 64739004}\">Seminal vesicle structure (body structure)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 2667000}\">Absent (qualifier value)</span></p></blockquote></div>"
  },
  "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)"
          }
        ]
      }
    }
  ]
}