{
  "resourceType" : "DiagnosticReport",
  "id" : "diagnosticreport-prostate-mpmri-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/prostate/StructureDefinition/mpmri-report-lt-prostate"]
  },
  "language" : "lt",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport diagnosticreport-prostate-mpmri-example</b></p><a name=\"lt-diagnosticreport-prostate-mpmri-example\"> </a><a name=\"lt-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\u00a0(use:\u00a0usual,\u00a0))</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>\n</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>\n</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>\n</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>\n</div></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "18748-4",
      "display" : "Diagnostic imaging study"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
      "code" : "imaging-report-v0-0-1",
      "display" : "Imaging Report V0.0.1"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "719178004",
      "display" : "Multiparametric magnetic resonance imaging of prostate (procedure)"
    }]
  },
  "subject" : {
    "reference" : "Patient/patient-male-example"
  },
  "encounter" : {
    "reference" : "Encounter/encounter-prostate-diagnostic-example"
  },
  "effectiveDateTime" : "2025-09-22T10:30:00Z",
  "performer" : [{
    "reference" : "PractitionerRole/practitioner-role-radiologist-example"
  }],
  "result" : [{
    "reference" : "Observation/observation-prostate-pirads-lesion1-example"
  },
  {
    "reference" : "Observation/observation-prostate-dwi-score-lesion1-example2"
  },
  {
    "reference" : "Observation/observation-prostate-piqual-example"
  },
  {
    "reference" : "Observation/observation-prostate-precise-followup-example"
  }],
  "supportingInfo" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0936",
        "code" : "RSLT"
      }]
    },
    "reference" : {
      "reference" : "Observation/prostate-psa-example"
    }
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0936",
        "code" : "RSLT"
      }]
    },
    "reference" : {
      "reference" : "Observation/prostate-volume-example"
    }
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0936",
        "code" : "SCI"
      }]
    },
    "reference" : {
      "reference" : "Observation/prostate-psad-example"
    }
  }],
  "composition" : {
    "reference" : "Composition/composition-prostate-mpmri-example"
  },
  "conclusion" : "Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations."
}