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Packagelt.hl7.fhir.cervical
Resource TypeDiagnosticReport
IdDiagnosticReport-diagnosticreport-cervical-report-example.json
FHIR VersionR5

Resources that use this resource

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Resources that this resource uses

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Narrative

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


English


Generated Narrative: DiagnosticReport diagnosticreport-cervical-report-example

Diagnostic studies report (record artifact) (Diagnostic imaging study)

SubjectJanette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))
When For2025-03-15 10:00:00+0200
Reported2025-03-20 14:30:00+0200
Performer PractitionerRole Gynecologist (occupation)
Identifier urn:oid:2.16.840.1.113883.4.330.1/CERVICAL-RPT-2025-0001

Report Details

CodeValueFlagsNoteWhen For
Human papillomavirus deoxyribonucleic acid detection (procedure)Human papillomavirus deoxyribonucleic acid detected, high risk on cervical specimen (finding)Final2025-01-12
Cervical cytology test (procedure)Low-grade squamous intraepithelial lesion on cervical Papanicolaou smear (finding)Final2025-01-12
Colposcopy (procedure)Specimen satisfactory for evaluation (finding)Final

Transformation zone fully visible. Acetowhite changes limited.

HPV 16 positive, LSIL on cytology, low-risk colposcopy (Swede score 3). Follow-up recommended in 12 months.


Lithuanian


Generated Narrative: DiagnosticReport diagnosticreport-cervical-report-example

Diagnostic studies report (record artifact) (Diagnostic imaging study)

SubjectJanette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))
When For2025-03-15 10:00:00+0200
Reported2025-03-20 14:30:00+0200
Performer PractitionerRole Gynecologist (occupation)
Identifier urn:oid:2.16.840.1.113883.4.330.1/CERVICAL-RPT-2025-0001

Report Details

CodeValueFlagsNoteWhen For
Human papillomavirus deoxyribonucleic acid detection (procedure)Human papillomavirus deoxyribonucleic acid detected, high risk on cervical specimen (finding)Final2025-01-12
Cervical cytology test (procedure)Low-grade squamous intraepithelial lesion on cervical Papanicolaou smear (finding)Final2025-01-12
Colposcopy (procedure)Specimen satisfactory for evaluation (finding)Final

Transformation zone fully visible. Acetowhite changes limited.

HPV 16 positive, LSIL on cytology, low-risk colposcopy (Swede score 3). Follow-up recommended in 12 months.


Source1

{
  "resourceType": "DiagnosticReport",
  "id": "diagnosticreport-cervical-report-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/cervical/StructureDefinition/cervical-report-lt-cervical"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "urn:oid:2.16.840.1.113883.4.330.1",
      "value": "CERVICAL-RPT-2025-0001"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "18748-4",
          "display": "Diagnostic imaging study"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "721981007",
        "display": "Diagnostic studies report (record artifact)"
      },
      {
        "system": "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
        "code": "imaging-report-v0-0-1",
        "display": "Imaging Report V0.0.1"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-female-example"
  },
  "effectiveDateTime": "2025-03-15T10:00:00+02:00",
  "issued": "2025-03-20T14:30:00+02:00",
  "performer": [
    {
      "reference": "PractitionerRole/practitioner-role-example"
    }
  ],
  "result": [
    {
      "reference": "Observation/observation-hpv-result-example"
    },
    {
      "reference": "Observation/observation-cytology-conclusion-example"
    },
    {
      "reference": "Observation/observation-colposcopy-finding-example"
    }
  ],
  "composition": {
    "reference": "Composition/composition-cervical-screening-episode-example"
  },
  "conclusion": "HPV 16 positive, LSIL on cytology, low-risk colposcopy (Swede score 3). Follow-up recommended in 12 months."
}