FHIRsmith: DiagnosticReport/DiagnosticReport-diagnosticreport-prostate-mpmri-example.json

FHIR IG analytics

Package	lt.hl7.fhir.prostate
Resource Type	DiagnosticReport
Id	DiagnosticReport-diagnosticreport-prostate-mpmri-example.json
FHIR Version	R5

Resources that use this resource

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Resources that this resource uses

No resources found

Narrative

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

English

Generated Narrative: DiagnosticReport diagnosticreport-prostate-mpmri-example

Language: en

Profile: Diagnostic Report: Prostate mpMRI

Imaging Report V0.0.1 (Diagnostic imaging study)

Subject

Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))

When For

2025-09-22 10:30:00+0000

Performer

PractitionerRole

Report Details

Code

Value

Flags

Note

When For

Assessment using Prostate Imaging-Reporting and Data System (procedure) (Structure of anterior middle regional part of transition zone of right half prostate)

Final

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

2024-05-27 10:30:00+0000

Diffusion weighted

Final

Marked diffusion restriction in lesion focus.

No mpMRI sequences are of diagnostic quality

Final

PRECISE longitudinal assessment

PRECISE 3 - Stable disease

Final

Stable disease compared to prior MRI examinations.

2024-05-27 10:30:00+0000

Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations.

Lithuanian

Generated Narrative: DiagnosticReport diagnosticreport-prostate-mpmri-example

Language: en

Profile: Diagnostic Report: Prostate mpMRI

Imaging Report V0.0.1 (Diagnostic imaging study)

Subject

Tomas Kazlauskas(official) Male, DoB: 1980-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-20001 (use: usual, ))

When For

2025-09-22 10:30:00+0000

Performer

PractitionerRole

Report Details

Code

Value

Flags

Note

When For

Assessment using Prostate Imaging-Reporting and Data System (procedure) (Structure of anterior middle regional part of transition zone of right half prostate)

Final

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

2024-05-27 10:30:00+0000

Diffusion weighted

Final

Marked diffusion restriction in lesion focus.

No mpMRI sequences are of diagnostic quality

Final

PRECISE longitudinal assessment

PRECISE 3 - Stable disease

Final

Stable disease compared to prior MRI examinations.

2024-05-27 10:30:00+0000

Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations.

Source1

{
  "resourceType": "DiagnosticReport",
  "id": "diagnosticreport-prostate-mpmri-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/prostate/StructureDefinition/mpmri-report-lt-prostate"
    ]
  },
  "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/patient-male-example"
  },
  "encounter": {
    "reference": "Encounter/encounter-prostate-diagnostic-example"
  },
  "effectiveDateTime": "2025-09-22T10:30:00Z",
  "performer": [
    {
      "reference": "PractitionerRole/practitioner-role-radiologist-example"
    }
  ],
  "result": [
    {
      "reference": "Observation/observation-prostate-pirads-lesion1-example"
    },
    {
      "reference": "Observation/observation-prostate-dwi-score-lesion1-example2"
    },
    {
      "reference": "Observation/observation-prostate-piqual-example"
    },
    {
      "reference": "Observation/observation-prostate-precise-followup-example"
    }
  ],
  "supportingInfo": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "RSLT"
          }
        ]
      },
      "reference": {
        "reference": "Observation/prostate-psa-example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "RSLT"
          }
        ]
      },
      "reference": {
        "reference": "Observation/prostate-volume-example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0936",
            "code": "SCI"
          }
        ]
      },
      "reference": {
        "reference": "Observation/prostate-psad-example"
      }
    }
  ],
  "composition": {
    "reference": "Composition/composition-prostate-mpmri-example"
  },
  "conclusion": "Multiparametric prostate MRI performed. Peripheral zone focus with high suspicion. See linked observations."
}