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FHIR IG analytics

Packagelt.hl7.fhir.prostate
Resource TypeDiagnosticReport
IdDiagnosticReport-diagnosticReport-prostate-mpmri-report-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-prostate-mpmri-report-example

Imaging Report V0.0.1 (Diagnostic imaging study)

SubjectTomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))
When For2024-05-27 10:30:00+0000
Performer PractitionerRole

Report Details

CodeValueFlagsNote
Prostate Imaging-Reporting and Data System score (Structure of anterior middle regional part of transition zone of right half prostate)5Final

Anterior transition zone lesion (~32 mm), extending across midline. Very high suspicion on mpMRI.

T2 Weighted MR Signal Intensity5Final

T2 score 5 in transition zone lesion.

Diffusion weighted5Final

Marked diffusion restriction (DWI score 5).

Apparent Diffusion Coefficient5Final

Low ADC corresponding to restricted diffusion (ADC score 5).

T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity5Final

Dynamic contrast enhancement reported as positive (+).

PRECISE longitudinal assessmentPRECISE 3 - Stable diseaseFinal

Stable disease compared to prior MRI examinations.

PI-RADS 5 lesion in the anterior transition zone (~32 mm), extending across midline. PRECISE 3 stable disease. No seminal vesicle invasion, no neurovascular bundle involvement, no regional lymphadenopathy. Possible capsular contact anteriorly.


Lithuanian


Generated Narrative: DiagnosticReport diagnosticReport-prostate-mpmri-report-example

Imaging Report V0.0.1 (Diagnostic imaging study)

SubjectTomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))
When For2024-05-27 10:30:00+0000
Performer PractitionerRole

Report Details

CodeValueFlagsNote
Prostate Imaging-Reporting and Data System score (Structure of anterior middle regional part of transition zone of right half prostate)5Final

Anterior transition zone lesion (~32 mm), extending across midline. Very high suspicion on mpMRI.

T2 Weighted MR Signal Intensity5Final

T2 score 5 in transition zone lesion.

Diffusion weighted5Final

Marked diffusion restriction (DWI score 5).

Apparent Diffusion Coefficient5Final

Low ADC corresponding to restricted diffusion (ADC score 5).

T1 Weighted Dynamic Contrast Enhanced MR Signal Intensity5Final

Dynamic contrast enhancement reported as positive (+).

PRECISE longitudinal assessmentPRECISE 3 - Stable diseaseFinal

Stable disease compared to prior MRI examinations.

PI-RADS 5 lesion in the anterior transition zone (~32 mm), extending across midline. PRECISE 3 stable disease. No seminal vesicle invasion, no neurovascular bundle involvement, no regional lymphadenopathy. Possible capsular contact anteriorly.


Source1

{
  "resourceType": "DiagnosticReport",
  "id": "diagnosticReport-prostate-mpmri-report-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/prostate/StructureDefinition/mpmri-report-prostate-lt"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "18748-4",
          "display": "Diagnostic imaging study"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes",
        "code": "imaging-report-v0-0-1",
        "display": "Imaging Report V0.0.1"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "719178004",
        "display": "Multiparametric magnetic resonance imaging of prostate (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example-male-patient"
  },
  "encounter": {
    "reference": "example-encounter1"
  },
  "effectiveDateTime": "2024-05-27T10:30:00Z",
  "performer": [
    {
      "reference": "PractitionerRole/example-radiologist-role"
    }
  ],
  "result": [
    {
      "reference": "Observation/observation-prostate-pirads-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-t2-score-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-dwi-score-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-adc-score-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-dce-score-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-precise-followup-example"
    }
  ],
  "supportingInfo": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "RSLT"
          }
        ]
      },
      "reference": {
        "reference": "Observation/observation-prostate-psa-example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "RSLT"
          }
        ]
      },
      "reference": {
        "reference": "Observation/observation-prostate-volume-example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "SCI"
          }
        ]
      },
      "reference": {
        "reference": "Observation/observation-prostate-psad-example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "RSLT"
          }
        ]
      },
      "reference": {
        "reference": "Observation/observation-prostate-gleason-gradegroup-example"
      }
    }
  ],
  "composition": {
    "reference": "Composition-prostate-mpmri-report-example"
  },
  "conclusion": "PI-RADS 5 lesion in the anterior transition zone (~32 mm), extending across midline. PRECISE 3 stable disease. No seminal vesicle invasion, no neurovascular bundle involvement, no regional lymphadenopathy. Possible capsular contact anteriorly."
}