HL7 FHIR JP Core ImplementationGuide - Local Development build (v1.3.0-dev) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: DiagnosticReportPathologyExample - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReportPathologyExample"/>
  <meta>
    <profile
             value="http://jpfhir.jp/fhir/core/StructureDefinition/JP_DiagnosticReport_Pathology"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport DiagnosticReportPathologyExample</b></p><a name="DiagnosticReportPathologyExample"> </a><a name="hcDiagnosticReportPathologyExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-jp-diagnosticreport-pathology.html">JP Core DiagnosticReport Pathology Profile</a></p></div><h2><span title="Codes:{http://loinc.org 60568-3}">Pathology Synoptic report</span> (<span title="Codes:{http://loinc.org LP7839-6}">病理</span>) </h2><table class="grid"><tr><td>Subject</td><td>太郎 田中 (official) Male, DoB: 1970-01-01 ( urn:oid:1.2.392.100495.20.3.51.11311234567#JP_local_patient_identifier_11311234567_NamingSystem#12345678)</td></tr><tr><td>When For</td><td>2024-01-15 16:00:00+0900</td></tr><tr><td>Reported</td><td>2024-01-15 16:30:00+0900</td></tr><tr><td>Identifier</td><td> <code>http://example.org/pathology/report-id</code>/PATH-2024-00123</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-ObservationPathologyGross.html"><span title="Codes:{http://loinc.org 22634-0}">Pathology report gross observation</span></a></td><td>3mm大の粘膜片3個。いずれも灰白色調で、明らかな腫瘍性変化は認めず。</td><td>Final</td><td>2024-01-15 10:00:00+0900</td></tr><tr><td><a href="Observation-ObservationPathologyMicro.html"><span title="Codes:{http://loinc.org 22635-7}">Pathology report microscopic observation</span></a></td><td>慢性炎症細胞浸潤を伴う胃粘膜組織。腸上皮化生を認める。悪性所見なし。</td><td>Final</td><td>2024-01-15 14:00:00+0900</td></tr><tr><td><a href="Observation-ObservationPathologyImmuno.html"><span title="Codes:{http://loinc.org 85336-0}">Helicobacter pylori immunohistochemistry</span></a></td><td><span title="Codes:{http://snomed.info/sct 10828004}">陽性</span></td><td>Final</td><td>2024-01-15 15:00:00+0900</td></tr><tr><td><a href="Observation-ObservationPathologyDiagnosis.html"><span title="Codes:{http://loinc.org 22637-3}">Pathology report final diagnosis</span></a></td><td><span title="Codes:{http://snomed.info/sct 235653009}">ヘリコバクター・ピロリ関連慢性胃炎</span></td><td>Final</td><td/></tr></table><p>胃体部小弯：慢性胃炎、H. pylori陽性</p><p><b>Coded Conclusions:</b></p><ul><li><span title="Codes:{http://snomed.info/sct 235653009}">Helicobacter pylori associated chronic gastritis</span></li></ul></div>
  </text>
  <identifier>
    <system value="http://example.org/pathology/report-id"/>
    <value value="PATH-2024-00123"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LP7839-6"/>
      <display value="病理"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60568-3"/>
      <display value="Pathology Synoptic report"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/PatientPathologyExample"/>
  </subject>
  <effectiveDateTime value="2024-01-15T16:00:00+09:00"/>
  <issued value="2024-01-15T16:30:00+09:00"/>
  <specimen>🔗 
    <reference value="Specimen/SpecimenPathologyBiopsy"/>
  </specimen>
  <result>🔗 
    <reference value="Observation/ObservationPathologyGross"/>
    <display value="肉眼所見"/>
  </result>
  <result>🔗 
    <reference value="Observation/ObservationPathologyMicro"/>
    <display value="顕微鏡所見"/>
  </result>
  <result>🔗 
    <reference value="Observation/ObservationPathologyImmuno"/>
    <display value="免疫染色"/>
  </result>
  <result>🔗 
    <reference value="Observation/ObservationPathologyDiagnosis"/>
    <display value="最終診断"/>
  </result>
  <conclusion value="胃体部小弯：慢性胃炎、H. pylori陽性"/>
  <conclusionCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="235653009"/>
      <display value="Helicobacter pylori associated chronic gastritis"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>