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Narrative

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

Source1

{
  "resourceType": "ServiceRequest",
  "id": "servicerequest-pathology-order-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/lab/StructureDefinition/pathology-order-lt-lab"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://hospital.lt/sid/document-number",
      "value": "ret4421"
    }
  ],
  "status": "active",
  "intent": "order",
  "priority": "asap",
  "code": {
    "concept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "252416005",
          "display": "Histopathology test (procedure)"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/patient-example"
  },
  "encounter": {
    "display": "Beverly Waver's encounter on 2014-02-14"
  },
  "occurrencePeriod": {
    "start": "2025-01-10",
    "end": "2025-01-31"
  },
  "authoredOn": "2023-01-15T09:30:10+02:00",
  "requester": {
    "reference": "Practitioner/practitioner-example"
  },
  "reason": [
    {
      "concept": {
        "text": "For consideration of Grommets"
      }
    },
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "268547008",
            "display": "Screening for malignant neoplasm of breast"
          }
        ]
      }
    }
  ],
  "supportingInfo": [
    {
      "reference": {
        "reference": "Procedure/procedure-breast-biopsy-example"
      }
    }
  ],
  "specimen": [
    {
      "reference": "Specimen/specimen-right-breast-example"
    },
    {
      "reference": "Specimen/specimen-left-breast-example"
    }
  ],
  "note": [
    {
      "authorString": "Serena Shrink",
      "time": "2025-01-10T10:00:00+02:00",
      "text": "Suspicion of adenocarcinoma based on colonoscopy findings. Please perform routine histopathological examination, including H&E staining and assessment for dysplasia or malignancy. If indicated, proceed with immunohistochemistry for tumour markers."
    }
  ]
}