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Narrative

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Source1

{
  "resourceType": "DiagnosticReport",
  "id": "pathology-report-example",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://hospital.lt/sid/pathology-report-number",
      "value": "3f69e0a5-2177-4540-baab-7a5d0877428f"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/pathology-order-example"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "PAT",
          "display": "Pathology (gross & histopath, not surgical)"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "371528001",
        "display": "Pathology report (record artifact)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example-patient"
  },
  "effectiveDateTime": "2022-10-25T13:35:00+01:00",
  "performer": [
    {
      "reference": "Practitioner/example-practitioner"
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/specimen-right-breast-example"
    },
    {
      "reference": "Specimen/specimen-left-breast-example"
    }
  ],
  "result": [
    {
      "reference": "Observation/specimen-aqequacy-observation-example"
    },
    {
      "reference": "Observation/observation-estrogen-status"
    },
    {
      "reference": "Observation/observation-progesterone-status"
    }
  ],
  "composition": {
    "reference": "Composition/pathology-composition-example"
  },
  "conclusion": "Histopathological examination of the breast tissue specimens confirms the presence of invasive ductal carcinoma in the right breast and benign fibrocystic changes in the left breast.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "254837009",
          "display": "Malignant tumor of breast"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "443761000124",
          "display": "Benign fibrocystic changes (disorder)"
        }
      ]
    }
  ]
}