{
  "resourceType" : "Observation",
  "id" : "observation-prostate-precise-followup-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/prostate/StructureDefinition/precise-assessment-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: Observation observation-prostate-precise-followup-example</b></p><a name=\"lt-observation-prostate-precise-followup-example\"> </a><a name=\"lt-hcobservation-prostate-precise-followup-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-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>: 2024-05-27 10:30:00+0000</p><p><b>value</b>: <span title=\"Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category 3}\">PRECISE 3 - Stable disease</span></p><p><b>note</b>: </p><blockquote><div><p>Stable disease compared to prior MRI examinations.</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></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" : "2024-05-27T10:30:00Z",
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category",
      "code" : "3",
      "display" : "PRECISE 3 - Stable disease"
    }]
  },
  "note" : [{
    "text" : "Stable disease compared to prior MRI examinations."
  }],
  "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"
      }]
    }
  }]
}