<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-prostate-gleason-gradegroup-example"/>
  <meta>
    <profile value="https://hl7.lt/fhir/prostate/StructureDefinition/gleason-isup-observation-lt-prostate"/>
  </meta>
  <language value="lt"/>
  <text>
    <status value="generated"/><div xml:lang="lt" lang="lt"><hr/><p><b>Lithuanian</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation observation-prostate-gleason-gradegroup-example</b></p><a name="lt-observation-prostate-gleason-gradegroup-example"> </a><a name="lt-hcobservation-prostate-gleason-gradegroup-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-gleason-isup-observation-lt-prostate.html">Observation: Gleason / ISUP Grade Group</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 372278000}">Gleason score (observable entity)</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 (use: usual, ))</a></p><p><b>focus</b>: <a href="BodyStructure-bodyStructure-prostate-lesion1-example.html">BodyStructure: morphology = Morphologically abnormal structure; description = MRI-visible anterior transition zone lesion (~32 mm), predominantly right-sided with extension across midline to the left (mid-gland).</a></p><p><b>effective</b>: 2024-05-27 09:00:00+0000</p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 1279715000}">ISUP Grade Group 1 (Gleason 3+3)</span></p><p><b>note</b>: </p><blockquote><div><p>Histopathology shows Gleason score 3+3. Patient managed with active surveillance.</p>
</div></blockquote></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="372278000"/>
      <display value="Gleason score (observable entity)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patient-male-example"/>
  </subject>
  <focus>
    <reference value="BodyStructure/bodyStructure-prostate-lesion1-example"/>
  </focus>
  <effectiveDateTime value="2024-05-27T09:00:00Z"/>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1279715000"/>
      <display value="ISUP Grade Group 1 (Gleason 3+3)"/>
    </coding>
  </valueCodeableConcept>
  <note>
    <text value="Histopathology shows Gleason score 3+3. Patient managed with active surveillance."/>
  </note>
</Observation>