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Packagehl7.fhir.us.mcode.r4b
Resource TypeDiagnosticReport
IdDiagnosticReport-us-core-diagnosticreport-lab-jenny-m.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: DiagnosticReport us-core-diagnosticreport-lab-jenny-m

Pathology report final diagnosis Narrative (Laboratory)

SubjectJenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))
When For2018-04-01 00:00:00+0000
Reported2018-04-05 00:00:00+0000
Performer Practitioner Owen Oncologist

Report Details

CodeValueFlagsWhen For
Status of invasion by tumorNegative (qualifier value)Final
Margin involvement in Breast tumorUninvolved by invasive carcinomaFinal
Sentinel lymph nodes with metastasis [#] in Cancer specimenFinal
Size TumorFinal
DCIS intraductal extension in Breast cancer specimen Qualitative by Light microscopyDCIS present with extensive intraductal component (EIC)Final
HER2 [Interpretation] in TissueNegativeFinal2018-03-10
Estrogen receptor Ag [Presence] in Breast cancer specimen by Immune stainPositiveFinal2018-03-10
Progesterone receptor Ag [Presence] in Breast cancer specimen by Immune stainNegativeFinal2018-03-10
Histologic grade [Score] in Breast cancer specimen by NottinghamNottingham grade 2Final

Source1

{
  "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"
    }
  ]
}