FHIR IG analytics| Package | hl7.fhir.us.mcode.r4 |
| Resource Type | DiagnosticReport |
| Id | DiagnosticReport-us-core-diagnosticreport-lab-jenny-m.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: DiagnosticReport us-core-diagnosticreport-lab-jenny-m
| Subject | Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, )) |
| When For | 2018-04-01 00:00:00+0000 |
| Reported | 2018-04-05 00:00:00+0000 |
| Performer | Practitioner Owen Oncologist |
Report Details
| Code | Value | Flags | When For |
| Status of invasion by tumor | Negative (qualifier value) | Final | |
| Margin involvement in Breast tumor | Uninvolved by invasive carcinoma | Final | |
| Sentinel lymph nodes with metastasis [#] in Cancer specimen | Final | ||
| Size Tumor | Final | ||
| DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopy | DCIS present with extensive intraductal component (EIC) | Final | |
| HER2 [Interpretation] in Tissue | Negative | Final | 2018-03-10 |
| Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stain | Positive | Final | 2018-03-10 |
| Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stain | Negative | Final | 2018-03-10 |
| Histologic grade [Score] in Breast cancer specimen by Nottingham | Nottingham grade 2 | Final |
{
"resourceType": "DiagnosticReport",
"id": "us-core-diagnosticreport-lab-jenny-m",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22637-3",
"display": "Pathology report final diagnosis Narrative"
}
]
},
"subject": {
"reference": "Patient/cancer-patient-jenny-m"
},
"effectiveDateTime": "2018-04-01T00:00:00Z",
"issued": "2018-04-05T00:00:00Z",
"performer": [
{
"reference": "Practitioner/us-core-practitioner-owen-oncologist"
}
],
"resultsInterpreter": [
{
"reference": "Practitioner/us-core-practitioner-peter-pathologist"
}
],
"specimen": [
{
"reference": "Specimen/tumor-specimen-left-breast-jenny-m"
}
],
"result": [
{
"reference": "Observation/us-core-observation-lab-tumor-invasion-jenny-m"
},
{
"reference": "Observation/us-core-observation-lab-tumor-margins-jenny-m"
},
{
"reference": "Observation/us-core-observation-lab-sentinel-nodes-jenny-m"
},
{
"reference": "Observation/tumor-size-jenny-m"
},
{
"reference": "Observation/us-core-observation-lab-tumor-dcis-jenny-m"
},
{
"reference": "Observation/tumor-marker-test-her2-jenny-m"
},
{
"reference": "Observation/tumor-marker-test-er-jenny-m"
},
{
"reference": "Observation/tumor-marker-test-pr-jenny-m"
},
{
"reference": "Observation/us-core-observation-lab-tumor-grade-jenny-m"
}
]
}