Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania vėliava

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

Pavyzdys DiagnosticReport: DiagnosticReport: Prostate programme report (example)

Lithuanian

Imaging Report V0.0.1 (Diagnostic imaging study)

SubjectTomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))
When For2024-05-27 10:30:00+0000
Reported2024-05-27 10:35:00+0000
Performer PractitionerRole
Identifier https://hl7.lt/fhir/prostate/sid/diagnostic-report/PR-PROG-2024-0001

Report Details

CodeValueFlagsNoteWhen For
Morphologically abnormal structureFinal
Assessment using Prostate Imaging-Reporting and Data System (procedure) (Structure of anterior middle regional part of transition zone of right half prostate)5Final

Anterior transition zone lesion (~32 mm), extending across midline. Very high suspicion on mpMRI.

T2 Weighted MR Signal Intensity5Final

T2 score 5 in transition zone lesion.

Diffusion weighted5Final

Marked diffusion restriction (DWI score 5).

Apparent Diffusion Coefficient5Final

Low ADC corresponding to restricted diffusion (ADC score 5).

T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity5Final

Dynamic contrast enhancement reported as positive (+).

No mpMRI sequences are of diagnostic quality3Final2025-09-22 10:30:00+0000
PRECISE longitudinal assessmentPRECISE 3 - Stable diseaseFinal

Stable disease compared to prior MRI examinations.

Gleason score (observable entity)ISUP Grade Group 1 (Gleason 3+3)Final

Histopathology shows Gleason score 3+3. Patient managed with active surveillance.

2024-05-27 09:00:00+0000

PI-RADS 5 lesion; PI-QUAL adequate; PRECISE 3 stable. Programme imaging results in linked Observations.