{
  "resourceType" : "Composition",
  "id" : "composition-prostate-mpmri-report-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/base/StructureDefinition/imaging-composition-lt"]
  },
  "language" : "lt",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-prostate-mpmri-report-example</b></p><a name=\"lt-composition-prostate-mpmri-report-example\"> </a><a name=\"lt-hccomposition-prostate-mpmri-report-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=\"https://build.fhir.org/ig/HL7LT/ig-lt-base/StructureDefinition-imaging-composition-lt.html\">ImagingCompositionLt</a></p></div><p><b>IM Document DiagnosticReport Reference</b>: <a href=\"DiagnosticReport-diagnosticReport-prostate-mpmri-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\u00a0(use:\u00a0usual,\u00a0))'</a></p><p><b>identifier</b>: <code>https://hl7.lt/fhir/prostate/composition-id</code>/mpmri-report-example2-0001</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+0000</p><p><b>author</b>: <a href=\"PractitionerRole-practitioner-role-radiologist-example.html\">PractitionerRole </a></p><p><b>title</b>: Multiparametric prostate MRI report</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>"
  },
  "extension" : [{
    "url" : "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference",
    "valueReference" : {
      "reference" : "DiagnosticReport/diagnosticReport-prostate-mpmri-report-example"
    }
  }],
  "identifier" : [{
    "system" : "https://hl7.lt/fhir/prostate/composition-id",
    "value" : "mpmri-report-example2-0001"
  }],
  "status" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
      "code" : "imaging-report-v0-0-1",
      "display" : "Imaging Report V0.0.1"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "18748-4",
      "display" : "Diagnostic imaging study"
    }]
  }],
  "subject" : [{
    "reference" : "Patient/patient-male-example"
  }],
  "date" : "2024-05-27T10:30:00Z",
  "author" : [{
    "reference" : "PractitionerRole/practitioner-role-radiologist-example"
  }],
  "title" : "Multiparametric prostate MRI report",
  "event" : [{
    "detail" : [{
      "concept" : {
        "coding" : [{
          "system" : "http://dicom.nema.org/resources/ontology/DCM",
          "code" : "MR",
          "display" : "Magnetic Resonance"
        }]
      },
      "reference" : {
        "reference" : "ImagingStudy/imagingstudy-prostate-mpmri-example"
      }
    }]
  },
  {
    "detail" : [{
      "concept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "103693007",
          "display" : "Diagnostic procedure (procedure)"
        }]
      },
      "reference" : {
        "reference" : "Procedure/procedure-prostate-mpmri-example"
      }
    }]
  }],
  "section" : [{
    "title" : "Imaging Study",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18726-0"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Multiparametric prostate MRI performed. PI-RADS 5 anterior transition zone lesion (~32 mm). PRECISE 3 stable disease.</div>"
    },
    "entry" : [{
      "reference" : "ImagingStudy/imagingstudy-prostate-mpmri-example"
    }]
  },
  {
    "title" : "Order",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55115-0",
        "display" : "Requested imaging studies information Document"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Order information not specified.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason",
        "code" : "unknown",
        "display" : "Unknown"
      }]
    }
  },
  {
    "title" : "History",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "11329-0",
        "display" : "History general Narrative - Reported"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Clinical history not documented.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason",
        "code" : "unknown",
        "display" : "Unknown"
      }]
    }
  },
  {
    "title" : "Procedure",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "55111-9",
        "display" : "Current imaging procedure descriptions Document"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Procedure details not included.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason",
        "code" : "unknown",
        "display" : "Unknown"
      }]
    }
  },
  {
    "title" : "Comparison",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18834-2",
        "display" : "Radiology Comparison study (narrative)"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No prior studies available.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason",
        "code" : "unknown",
        "display" : "Unknown"
      }]
    }
  },
  {
    "title" : "Findings",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "59776-5",
        "display" : "Findings"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Anterior transition zone lesion with PI-RADS 5. No seminal vesicle or neurovascular bundle invasion. Possible capsular contact anteriorly.</div>"
    },
    "entry" : [{
      "reference" : "Observation/imfinding-prostate-lesion1-example"
    }]
  },
  {
    "title" : "Impression",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "19005-8",
        "display" : "Radiology Imaging study [Impression] (narrative)"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">PI-RADS 5 lesion in the anterior transition zone (~32 mm), extending across midline. PRECISE 3 stable disease. Imaging features consistent with high-suspicion malignancy.</div>"
    },
    "entry" : [{
      "reference" : "Observation/imfinding-prostate-lesion1-example"
    }]
  },
  {
    "title" : "Recommendation",
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "18783-1",
        "display" : "Radiology Study recommendation (narrative)"
      }]
    },
    "text" : {
      "status" : "generated",
      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Recommendations pending clinical review.</p></div>"
    },
    "emptyReason" : {
      "coding" : [{
        "system" : "http://hl7.eu/fhir/imaging-r5/ValueSet/ImSectionEmptyReason",
        "code" : "unknown",
        "display" : "Unknown"
      }]
    }
  }]
}