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FHIR IG analytics

Packagelt.hl7.fhir.cervical
Resource TypeObservation
IdObservation-observation-histopathology-conclusion-example.json
FHIR VersionR5

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Narrative

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


English


Generated Narrative: Observation observation-histopathology-conclusion-example

status: Final

category: Laboratory

code: Pathology report (record artifact)

subject: Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

effective: 2025-04-10 09:00:00+0200

performer: Practitioner Dr. Petras Kazlauskas(official)

value: Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.4.330.1#SPEC-CERV-2025-0042; type = Tissue specimen (specimen); receivedTime = 2025-04-10 10:30:00+0200

component

code: Histologic grade of neoplasm (observable entity)

value: American Joint Committee on Cancer grade G2 (qualifier value)

component

code: Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)

value: pLVI-0: not detected

component

code: Surgical margin observable (observable entity)

value: Excision - clear margin (finding)


Lithuanian


Generated Narrative: Observation observation-histopathology-conclusion-example

status: Final

category: Laboratory

code: Pathology report (record artifact)

subject: Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

effective: 2025-04-10 09:00:00+0200

performer: Practitioner Dr. Petras Kazlauskas(official)

value: Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)

specimen: Specimen: identifier = urn:oid:2.16.840.1.113883.4.330.1#SPEC-CERV-2025-0042; type = Tissue specimen (specimen); receivedTime = 2025-04-10 10:30:00+0200

component

code: Histologic grade of neoplasm (observable entity)

value: American Joint Committee on Cancer grade G2 (qualifier value)

component

code: Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)

value: pLVI-0: not detected

component

code: Surgical margin observable (observable entity)

value: Excision - clear margin (finding)


Source1

{
  "resourceType": "Observation",
  "id": "observation-histopathology-conclusion-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/cervical/StructureDefinition/histopathology-conclusion-lt-cervical"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory",
          "display": "Laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "371528001",
        "display": "Pathology report (record artifact)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-female-example"
  },
  "effectiveDateTime": "2025-04-10T09:00:00+02:00",
  "performer": [
    {
      "reference": "Practitioner/practitioner-example"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "400049009",
        "display": "Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)"
      }
    ]
  },
  "specimen": {
    "reference": "Specimen/specimen-cervical-biopsy-example"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "371469007",
            "display": "Histologic grade of neoplasm (observable entity)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "1228850007",
            "display": "American Joint Committee on Cancer grade G2 (qualifier value)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "371513001",
            "display": "Presence of direct invasion by primary malignant neoplasm to lymphatic vessel and/or small blood vessel (observable entity)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://tx.hl7.lt/fhir/CodeSystem/plvi-classification",
            "code": "plvi-0",
            "display": "pLVI-0: not detected"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "396631001",
            "display": "Surgical margin observable (observable entity)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "310342002",
            "display": "Excision - clear margin (finding)"
          }
        ]
      }
    }
  ]
}