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

: Observation: PRECISE assessment, likely progression (example)

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<Observation xmlns="http://hl7.org/fhir">
  <id value="observation-prostate-precise-followup-example2"/>
  <meta>
    <profile
             value="https://hl7.lt/fhir/prostate/StructureDefinition/precise-assessment-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-precise-followup-example2</b></p><a name="lt-observation-prostate-precise-followup-example2"> </a><a name="lt-hcobservation-prostate-precise-followup-example2"> </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 (use: usual, ))</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>: 2026-03-15 10:30:00+0000</p><p><b>value</b>: <span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category 4}">PRECISE 4 - Likely progression</span></p><p><b>note</b>: </p><blockquote><div><p>Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction.</p>
</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><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 113041}">Apparent Diffusion Coefficient</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 size-change-mm}">Size change in millimeters</span></p><p><b>value</b>: 3 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm = 'mm')</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 dimension-1-mm}">PSAD dimension 1 (mm, axial)</span></p><p><b>value</b>: 12 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm = 'mm')</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 dimension-2-mm}">PSAD dimension 2 (mm, axial)</span></p><p><b>value</b>: 9 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm = 'mm')</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 dimension-3-mm}">PSAD dimension 3 (mm, coronal/sagittal)</span></p><p><b>value</b>: 11 mm<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemm = 'mm')</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 change-volume-cm3}">Change volume (cm³)</span></p><p><b>value</b>: 0.6 cm3<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecm3 = 'cm3')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 273575009}">Likert scale (assessment scale)</span></p><p><b>value</b>: 4</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 350501000146102}">Prostate Imaging-Reporting and Data System score</span></p><p><b>value</b>: 3</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component prior-tnm-stage}">Prior TNM stage</span></p><p><b>value</b>: cT2 N0 M0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 60405008}">Structure of capsule of prostate (body structure)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 2667000}">Absent (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 64739004}">Seminal vesicle structure (body structure)</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 2667000}">Absent (qualifier value)</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <code>
    <coding>
      <system
              value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
      <code value="precise-assessment"/>
      <display value="PRECISE longitudinal assessment"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/patient-male-example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/encounter-prostate-diagnostic-example"/>
  </encounter>
  <effectiveDateTime value="2026-03-15T10:30:00Z"/>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category"/>
      <code value="4"/>
      <display value="PRECISE 4 - Likely progression"/>
    </coding>
  </valueCodeableConcept>
  <note>
    <text
          value="Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction."/>
  </note>
  <derivedFrom>🔗 
    <reference value="ImagingStudy/imagingstudy-prostate-mpmri-example"/>
  </derivedFrom>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="new-lesion"/>
        <display value="New lesion indicator"/>
      </coding>
    </code>
    <valueBoolean value="false"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="change-pattern"/>
        <display value="Change pattern"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-change-pattern"/>
        <code value="local"/>
        <display value="Local change"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="best-sequence"/>
        <display value="Best MRI sequence for change assessment"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://dicom.nema.org/resources/ontology/DCM"/>
        <code value="113043"/>
        <display value="Diffusion weighted"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="best-sequence"/>
        <display value="Best MRI sequence for change assessment"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://dicom.nema.org/resources/ontology/DCM"/>
        <code value="113041"/>
        <display value="Apparent Diffusion Coefficient"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="size-change-mm"/>
        <display value="Size change in millimeters"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="3"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="dimension-1-mm"/>
        <display value="PSAD dimension 1 (mm, axial)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="12"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="dimension-2-mm"/>
        <display value="PSAD dimension 2 (mm, axial)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="9"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="dimension-3-mm"/>
        <display value="PSAD dimension 3 (mm, coronal/sagittal)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="11"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mm"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="change-volume-cm3"/>
        <display value="Change volume (cm³)"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="0.6"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="cm3"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="273575009"/>
        <display value="Likert scale (assessment scale)"/>
      </coding>
    </code>
    <valueInteger value="4"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="350501000146102"/>
        <display value="Prostate Imaging-Reporting and Data System score"/>
      </coding>
    </code>
    <valueInteger value="3"/>
  </component>
  <component>
    <code>
      <coding>
        <system
                value="https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component"/>
        <code value="prior-tnm-stage"/>
        <display value="Prior TNM stage"/>
      </coding>
    </code>
    <valueString value="cT2 N0 M0"/>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="60405008"/>
        <display value="Structure of capsule of prostate (body structure)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="64739004"/>
        <display value="Seminal vesicle structure (body structure)"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="2667000"/>
        <display value="Absent (qualifier value)"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>