FHIR IG analytics| Package | lt.hl7.fhir.prostate |
| Resource Type | Observation |
| Id | Observation-observation-prostate-precise-followup-example2.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: Observation observation-prostate-precise-followup-example2
Language: en
status: Final
code: PRECISE longitudinal assessment
effective: 2026-03-15 10:30:00+0000
value: PRECISE 4 - Likely progression
note:
Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction.
component
code: New lesion indicator
value: false
component
code: Change pattern
value: Local change
component
code: Best MRI sequence for change assessment
value: Diffusion weighted
component
code: Best MRI sequence for change assessment
value: Apparent Diffusion Coefficient
component
code: Size change in millimeters
value: 3 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 1 (mm, axial)
value: 12 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 2 (mm, axial)
value: 9 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 3 (mm, coronal/sagittal)
value: 11 mm (Details: UCUM codemm = 'mm')
component
code: Change volume (cm³)
value: 0.6 cm3 (Details: UCUM codecm3 = 'cm3')
component
code: Likert scale (assessment scale)
value: 4
component
code: Prostate Imaging-Reporting and Data System score
value: 3
component
code: Prior TNM stage
value: cT2 N0 M0
component
code: Structure of capsule of prostate (body structure)
value: Absent (qualifier value)
component
code: Seminal vesicle structure (body structure)
value: Absent (qualifier value)
Lithuanian
Generated Narrative: Observation observation-prostate-precise-followup-example2
Language: en
status: Final
code: PRECISE longitudinal assessment
effective: 2026-03-15 10:30:00+0000
value: PRECISE 4 - Likely progression
note:
Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction.
component
code: New lesion indicator
value: false
component
code: Change pattern
value: Local change
component
code: Best MRI sequence for change assessment
value: Diffusion weighted
component
code: Best MRI sequence for change assessment
value: Apparent Diffusion Coefficient
component
code: Size change in millimeters
value: 3 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 1 (mm, axial)
value: 12 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 2 (mm, axial)
value: 9 mm (Details: UCUM codemm = 'mm')
component
code: PSAD dimension 3 (mm, coronal/sagittal)
value: 11 mm (Details: UCUM codemm = 'mm')
component
code: Change volume (cm³)
value: 0.6 cm3 (Details: UCUM codecm3 = 'cm3')
component
code: Likert scale (assessment scale)
value: 4
component
code: Prostate Imaging-Reporting and Data System score
value: 3
component
code: Prior TNM stage
value: cT2 N0 M0
component
code: Structure of capsule of prostate (body structure)
value: Absent (qualifier value)
component
code: Seminal vesicle structure (body structure)
value: Absent (qualifier value)
FHIR
FHIRsmith{
"resourceType": "Observation",
"id": "observation-prostate-precise-followup-example2",
"meta": {
"profile": [
"https://hl7.lt/fhir/prostate/StructureDefinition/precise-assessment-lt-prostate"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"status": "final",
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "precise-assessment",
"display": "PRECISE longitudinal assessment"
}
]
},
"subject": {
"reference": "Patient/patient-male-example"
},
"encounter": {
"reference": "Encounter/encounter-prostate-diagnostic-example"
},
"effectiveDateTime": "2026-03-15T10:30:00Z",
"valueCodeableConcept": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-category",
"code": "4",
"display": "PRECISE 4 - Likely progression"
}
]
},
"note": [
{
"text": "Follow-up MRI shows likely progression compared to prior study; progression driven by lesion growth and increased DWI restriction."
}
],
"derivedFrom": [
{
"reference": "ImagingStudy/imagingstudy-prostate-mpmri-example"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "new-lesion",
"display": "New lesion indicator"
}
]
},
"valueBoolean": false
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "change-pattern",
"display": "Change pattern"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-change-pattern",
"code": "local",
"display": "Local change"
}
]
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "best-sequence",
"display": "Best MRI sequence for change assessment"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "113043",
"display": "Diffusion weighted"
}
]
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "best-sequence",
"display": "Best MRI sequence for change assessment"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "113041",
"display": "Apparent Diffusion Coefficient"
}
]
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "size-change-mm",
"display": "Size change in millimeters"
}
]
},
"valueQuantity": {
"value": 3,
"system": "http://unitsofmeasure.org",
"code": "mm"
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "dimension-1-mm",
"display": "PSAD dimension 1 (mm, axial)"
}
]
},
"valueQuantity": {
"value": 12,
"system": "http://unitsofmeasure.org",
"code": "mm"
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "dimension-2-mm",
"display": "PSAD dimension 2 (mm, axial)"
}
]
},
"valueQuantity": {
"value": 9,
"system": "http://unitsofmeasure.org",
"code": "mm"
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "dimension-3-mm",
"display": "PSAD dimension 3 (mm, coronal/sagittal)"
}
]
},
"valueQuantity": {
"value": 11,
"system": "http://unitsofmeasure.org",
"code": "mm"
}
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "change-volume-cm3",
"display": "Change volume (cm³)"
}
]
},
"valueQuantity": {
"value": 0.6,
"system": "http://unitsofmeasure.org",
"code": "cm3"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "273575009",
"display": "Likert scale (assessment scale)"
}
]
},
"valueInteger": 4
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "350501000146102",
"display": "Prostate Imaging-Reporting and Data System score"
}
]
},
"valueInteger": 3
},
{
"code": {
"coding": [
{
"system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-precise-component",
"code": "prior-tnm-stage",
"display": "Prior TNM stage"
}
]
},
"valueString": "cT2 N0 M0"
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "60405008",
"display": "Structure of capsule of prostate (body structure)"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent (qualifier value)"
}
]
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "64739004",
"display": "Seminal vesicle structure (body structure)"
}
]
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent (qualifier value)"
}
]
}
}
]
}