FHIR IG analytics| Package | lt.hl7.fhir.cervical |
| Resource Type | Composition |
| Id | Composition-composition-cervical-screening-episode-example.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: Composition composition-cervical-screening-episode-example
Language: en
Profile: Cervical Composition (LT Cervical)
IM Document DiagnosticReport Reference: Diagnostic Report for 'Diagnostic studies report (record artifact)' for '->Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))'
identifier: urn:oid:2.16.840.1.113883.4.330.1/CERVICAL-COMP-2025-0001
status: Final
type: Imaging Report V0.0.1
category: Diagnostic imaging study
date: 2025-03-20
author: PractitionerRole Gynecologist (occupation)
title: Cervical Cancer Screening Episode
event
Details
Concept Ultrasound
event
Details
Concept Screening for malignant neoplasm of cervix (procedure)
Lithuanian
Generated Narrative: Composition composition-cervical-screening-episode-example
Language: en
Profile: Cervical Composition (LT Cervical)
IM Document DiagnosticReport Reference: Diagnostic Report for 'Diagnostic studies report (record artifact)' for '->Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))'
identifier: urn:oid:2.16.840.1.113883.4.330.1/CERVICAL-COMP-2025-0001
status: Final
type: Imaging Report V0.0.1
category: Diagnostic imaging study
date: 2025-03-20
author: PractitionerRole Gynecologist (occupation)
title: Cervical Cancer Screening Episode
event
Details
Concept Ultrasound
event
Details
Concept Screening for malignant neoplasm of cervix (procedure)
FHIR
FHIRsmith{
"resourceType": "Composition",
"id": "composition-cervical-screening-episode-example",
"meta": {
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/cervical-composition-lt-cervical"
]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-composition-diagnosticReportReference",
"valueReference": {
"reference": "DiagnosticReport/diagnosticreport-cervical-report-example"
}
}
],
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.4.330.1",
"value": "CERVICAL-COMP-2025-0001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
"code": "imaging-report-v0-0-1",
"display": "Imaging Report V0.0.1"
},
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report (record artifact)"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "18748-4",
"display": "Diagnostic imaging study"
}
]
}
],
"subject": [
{
"reference": "Patient/patient-female-example"
}
],
"date": "2025-03-20",
"author": [
{
"reference": "PractitionerRole/practitioner-role-example"
}
],
"title": "Cervical Cancer Screening Episode",
"event": [
{
"detail": [
{
"concept": {
"coding": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "US",
"display": "Ultrasound"
}
]
}
}
]
},
{
"detail": [
{
"concept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "71341001",
"display": "Screening for malignant neoplasm of cervix (procedure)"
}
]
}
}
]
}
],
"section": [
{
"title": "Imaging Study",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18726-0"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Not applicable for this cervical screening episode.</p></div>"
},
"entry": [
{
"display": "No imaging study"
}
]
},
{
"title": "Order",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55115-0",
"display": "Requested imaging studies information Document"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Cervical cancer screening referral.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "Comparison",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18834-2",
"display": "Radiology Comparison study (narrative)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No prior studies available for comparison.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "Clinical History",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11329-0",
"display": "History general Narrative - Reported"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Regular menstrual cycle, day 14. No hormone therapy. No previous conization.</p></div>"
},
"entry": [
{
"reference": "Observation/observation-clinical-history-routine-example"
}
]
},
{
"title": "Colposcopy Procedure",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55111-9",
"display": "Current imaging procedure descriptions Document"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Colposcopy performed on 2025-02-10.</p></div>"
},
"entry": [
{
"reference": "Procedure/procedure-colposcopy-example"
}
]
},
{
"title": "Findings",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "59776-5",
"display": "Findings"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>HPV 16 detected. Cytology: LSIL. Colposcopy: adequate, Swede score 3, low risk.</p></div>"
},
"entry": [
{
"reference": "Observation/observation-hpv-result-example"
},
{
"reference": "Observation/observation-cytology-conclusion-example"
},
{
"reference": "Observation/observation-colposcopy-finding-example"
}
]
},
{
"title": "Impression",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19005-8",
"display": "Radiology Imaging study [Impression] (narrative)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Low-risk findings. Follow-up in 12 months recommended.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "Recommendations",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "18783-1",
"display": "Radiology Study recommendation (narrative)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Repeat HPV and cytology in 12 months.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "Communications",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "73568-8",
"display": "Communication of critical results [Description] Document"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>No additional communications.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "HPV Testing",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "35904009",
"display": "Human papillomavirus deoxyribonucleic acid detection (procedure)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>HPV DNA detected: type 16.</p></div>"
},
"entry": [
{
"reference": "DiagnosticReport/diagnosticreport-hpv-example"
}
]
},
{
"title": "Cervical Cytology (Pap Test)",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "416107004",
"display": "Cervical cytology test (procedure)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Cytology conclusion: LSIL.</p></div>"
},
"entry": [
{
"reference": "DiagnosticReport/diagnosticreport-cytology-example"
}
]
},
{
"title": "Colposcopy Examination",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "392003006",
"display": "Colposcopy (procedure)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Colposcopy: adequate, Swede score 3, low risk.</p></div>"
},
"entry": [
{
"reference": "DiagnosticReport/diagnosticreport-colposcopy-example"
}
]
},
{
"title": "Lifestyle Factors",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "443781008",
"display": "Assessment of lifestyle (procedure)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-tobacco-use-example.html\">Tobacco Use</a> and <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-lifestyle/Observation-observation-physical-activity-example.html\">Physical Activity</a> examples from the Lifestyle IG.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
},
{
"title": "Vital Signs",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "118227000",
"display": "Vital signs finding (finding)"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <a href=\"https://build.fhir.org/ig/HL7LT/ig-lt-vitalsigns/Observation-observation-bmi-example.html\">BMI</a> example from the VitalSigns IG.</p></div>"
},
"emptyReason": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code": "unavailable",
"display": "Unavailable"
}
]
}
}
]
}