@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:DiagnosticReport ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "DiagnosticReportLC"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://hapi.fhir.tw/fhir/StructureDefinition/DiagnosticReport-LC"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: DiagnosticReport DiagnosticReportLC

Pathology report final diagnosis Narrative (Pathology)

SubjectNo display for Patient
Reported2021-06-23 14:35:32+0000
Performer Practitioner 大吉 連 (official)
Identifier https://www.vghtpe.gov.tw//123456

Report Details

CodeValueFlagsWhen For
Pathology report gross observation NarrativeThe specimen received in formalin has 3 parts. Part (A) consists of a piece of lung, labeled RLL segment and measures 6.5 x 3.3 x1.8 cm. A gray white firm tumor, 1.2 x 0.5 x 0.5 cm, is noted 0.8 cm from the bronchial cut end, 0.1 cm from visceral pleura.Part (B) consists of groups of lymph nodes labeled as above.Part (C) is a piece of lung labeled 'RLL margin', measuring 3.8x 1.8 x 1 cm. Representative parts are taken for sections in 5 blocks. (A:bronchial and vascular cut end, B:stapled margin,C:tumor, D:specimen labeled 'RLL margin', E:interlobar LNs)(WKW)Final2021-06-21
Histology type in Cancer specimen Narrativeadenocarcinoma,acinar predominantFinal2021-06-21
Pattern (attribute)acinar(90%),lepidic(10%)Final2021-06-21
Cell type in Specimennon-mucinous tumor cellsFinal2021-06-21
Surgical margins cancer involvementfree of tumor involvementFinal2021-06-21
Structure of parenchyma of lung (body structure)congestionFinal2021-06-21
Size Tumor0.6x0.4cmFinal2021-06-21
Deepest extent of invasion [Type] in Specimen0.6 cm (Details: UCUM codecm = 'cm')Final2021-06-21
Lymph-vascular invasion Cancer specimenabsentFinal2021-06-21
Perineural invasion [Presence] in Cancer specimenabsentFinal2021-06-21
Pleural invasionabsent(PL0)Final2021-06-21
Spread Through Air Spaces(STAS)absentFinal2021-06-21
Tumor necrosis (morphologic abnormality)absentFinal2021-06-21
Primary tumor.pathology Cancertumor <=1 cm or less in greatest dimension(pT1a)Final2021-06-21
Regional lymph nodes.pathology [Class] Cancerall without metastatic tumor(pN0)Final2021-06-21
Distant metastases.pathology [Class] CancerError: unknownFinal2021-06-21
Stage group.other CancerpT1aN0Final2021-06-21
World Health Organization tumor classification (observable entity)Grade group 2 (microscopic measurement)Final2021-06-21
Ancillary studiesTumor cell positive for TTF-1 and negative for p40;Multinucleate giant cell negative for CKFinal2021-06-21

Adenocarcinoma, acinar predominant, pT1aN0

" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://www.vghtpe.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "123456" ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ a loinc:LP7839-6 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LP7839-6" ] ; fhir:display [ fhir:v "Pathology" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ a loinc:22637-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "22637-3" ] ; fhir:display [ fhir:v "Pathology report final diagnosis Narrative" ] ] ) ] ; # fhir:subject [ fhir:link ; fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:encounter [ fhir:link ; fhir:reference [ fhir:v "Encounter/TWCoreEncounter" ] ] ; # fhir:issued [ fhir:v "2021-06-23T14:35:32.631Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:link ; fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ) ; # fhir:resultsInterpreter ( [ fhir:link ; fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ) ; # fhir:specimen ( [ fhir:link ; fhir:reference [ fhir:v "Specimen/TWCoreSpecimen" ] ] ) ; # fhir:result ( [ fhir:link ; fhir:reference [ fhir:v "Observation/GrossFinding" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Histologictype" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Histologicpattern" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Celltype" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Resectionmargin" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Nontumorousparenchyma" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Totaltumorsize" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Sizeofinvasivefocus" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Angiolymphaticinvasion" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Perineuralinvasion" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Pleuralinvasion" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/SpreadThroughAirSpaces" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Tumornecrosis" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Tcategory" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Lymphnodes" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Metastasis" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Pathologicalstaging" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Tumorgrading" ] ] [ fhir:link ; fhir:reference [ fhir:v "Observation/Ancillarystudies" ] ] ) ; # fhir:imagingStudy ( [ fhir:link ; fhir:reference [ fhir:v "ImagingStudy/ImagingStudyBase" ] ] ) ; # fhir:conclusion [ fhir:v "Adenocarcinoma, acinar predominant, pT1aN0"] . # # -------------------------------------------------------------------------------------