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FHIR IG analytics

Packagelt.hl7.fhir.cervical
Resource TypeDiagnosticReport
IdDiagnosticReport-diagnosticreport-histopathology-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-histopathology-example

Histologic test (procedure) (Pathology study)

SubjectJanette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))
When For2025-04-10 09:00:00+0200
Reported2025-04-15 16:00:00+0200
Performer Practitioner Dr. Petras Kazlauskas(official)
Identifier urn:oid:2.16.840.1.113883.4.330.1/HIST-CERV-2025-0042

Report Details

CodeValueFlags
Pathology report (record artifact)Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)Final
Tumor sizeFinal

High-grade squamous intraepithelial lesion (HSIL/CIN2). Clear surgical margins. No lymphovascular invasion.

Coded Conclusions:

  • Carcinoma in situ of cervix uteri, unspecified

Lithuanian


Generated Narrative: DiagnosticReport diagnosticreport-histopathology-example

Histologic test (procedure) (Pathology study)

SubjectJanette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))
When For2025-04-10 09:00:00+0200
Reported2025-04-15 16:00:00+0200
Performer Practitioner Dr. Petras Kazlauskas(official)
Identifier urn:oid:2.16.840.1.113883.4.330.1/HIST-CERV-2025-0042

Report Details

CodeValueFlags
Pathology report (record artifact)Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)Final
Tumor sizeFinal

High-grade squamous intraepithelial lesion (HSIL/CIN2). Clear surgical margins. No lymphovascular invasion.

Coded Conclusions:

  • Carcinoma in situ of cervix uteri, unspecified

Source1

{
  "resourceType": "DiagnosticReport",
  "id": "diagnosticreport-histopathology-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/cervical/StructureDefinition/histopathology-diagnostic-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": "HIST-CERV-2025-0042"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "11526-1",
          "display": "Pathology study"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "714797009",
        "display": "Histologic test (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-female-example"
  },
  "effectiveDateTime": "2025-04-10T09:00:00+02:00",
  "issued": "2025-04-15T16:00:00+02:00",
  "performer": [
    {
      "reference": "Practitioner/practitioner-example"
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/specimen-cervical-biopsy-example"
    }
  ],
  "result": [
    {
      "reference": "Observation/observation-histopathology-conclusion-example"
    },
    {
      "reference": "Observation/observation-tumor-measurement-cervical-example"
    }
  ],
  "conclusion": "High-grade squamous intraepithelial lesion (HSIL/CIN2). Clear surgical margins. No lymphovascular invasion.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/icd-10",
          "code": "D06.9",
          "display": "Carcinoma in situ of cervix uteri, unspecified"
        }
      ]
    }
  ]
}