FHIRsmith: Observation/Observation-observation-polyp-found-example.json

FHIR IG analytics

Package	lt.hl7.fhir.colorectal
Resource Type	Observation
Id	Observation-observation-polyp-found-example.json
FHIR Version	R5

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Narrative

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

English

Generated Narrative: Observation observation-polyp-found-example

Language: en

Profile: Colon Polyp Observation (LT Colorectal)

status: Final

category: Exam

code: Polyp of large intestine (disorder)

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

effective: 2026-02-26

performer: Practitioner Dr. Petras Kazlauskas(official)

value: Yes (qualifier value)

note:

Polyp noted during withdrawal.

bodySite: Transverse colon structure (body structure)

component
code: Polyp size, largest dimension (observable entity)
value: 15 mm (Details: UCUM codemm = 'mm')

component
code: Paris classification
value: IIa (Flat elevated)

component
code: NICE classification
value: Type II

component
code: Endoscopic prediction of histology
value: Adenoma of large intestine (disorder)

component
code: Access to polyp
value: Easy

component
code: SMSA Total Score
value: 9

component
code: SMSA Level
value: Level III (9-12 points)

Lithuanian

Generated Narrative: Observation observation-polyp-found-example

Language: en

Profile: Colon Polyp Observation (LT Colorectal)

status: Final

category: Exam

code: Polyp of large intestine (disorder)

subject: Jonas Petrauskas(official) Male, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005 (use: usual, ))

effective: 2026-02-26

performer: Practitioner Dr. Petras Kazlauskas(official)

value: Yes (qualifier value)

note:

Polyp noted during withdrawal.

bodySite: Transverse colon structure (body structure)

component
code: Polyp size, largest dimension (observable entity)
value: 15 mm (Details: UCUM codemm = 'mm')

component
code: Paris classification
value: IIa (Flat elevated)

component
code: NICE classification
value: Type II

component
code: Endoscopic prediction of histology
value: Adenoma of large intestine (disorder)

component
code: Access to polyp
value: Easy

component
code: SMSA Total Score
value: 9

component
code: SMSA Level
value: Level III (9-12 points)

Source1

{
  "resourceType": "Observation",
  "id": "observation-polyp-found-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/colorectal/StructureDefinition/observation-polyp-lt-colorectal"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "exam",
          "display": "Exam"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "399505005",
        "display": "Polyp of large intestine (disorder)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patient-male-example"
  },
  "effectiveDateTime": "2026-02-26",
  "performer": [
    {
      "reference": "Practitioner/practitioner-example"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "373066001",
        "display": "Yes (qualifier value)"
      }
    ]
  },
  "note": [
    {
      "text": "Polyp noted during withdrawal."
    }
  ],
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "485005",
        "display": "Transverse colon structure (body structure)"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373197004",
            "display": "Polyp size, largest dimension (observable entity)"
          }
        ]
      },
      "valueQuantity": {
        "value": 15,
        "unit": "mm",
        "system": "http://unitsofmeasure.org",
        "code": "mm"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-paris"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "paris-iia",
            "display": "IIa (Flat elevated)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-nice"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "nice-2",
            "display": "Type II"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-hist-predict"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "399432003",
            "display": "Adenoma of large intestine (disorder)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-access"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "access-easy",
            "display": "Easy"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-smsa-score"
          }
        ]
      },
      "valueInteger": 9
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "comp-smsa-level"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
            "code": "smsa-lvl-3",
            "display": "Level III (9-12 points)"
          }
        ]
      }
    }
  ]
}