醫療影像及報告實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: NASHDiagnosticReport - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="NASHDiagnosticReport"/>
  <meta>
    <profile
             value="https://hapi.fhir.tw/fhir/StructureDefinition/NASH-DiagnosticReport"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DiagnosticReport NASHDiagnosticReport</b></p><a name="NASHDiagnosticReport"> </a><a name="hcNASHDiagnosticReport"> </a><a name="hcNASHDiagnosticReport-en-US"> </a><h2><span title="Codes:{http://loinc.org 22637-3}">Pathology report final diagnosis Narrative</span> (<span title="Codes:{http://loinc.org LP7839-6}">Pathology</span>) </h2><table class="grid"><tr><td>Subject</td><td>No display for Patient </td></tr><tr><td>Reported</td><td>2021-06-23 14:35:32+0000</td></tr><tr><td>Performer</td><td> <a href="Practitioner-TWCorePractitioner.html">Practitioner 大吉 連 (official)</a></td></tr><tr><td>Identifier</td><td> <code>https://www.vghtpe.gov.tw/</code>/123456</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-NASHGrossFinding.html"><span title="Codes:{http://snomed.info/sct 371475003}">Specimen size</span></a></td><td>1.5 x 0.1 x 0.1 cm</td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHNecroinflammatoryGrading.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 1}">Necroinflammatory grading</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Necroinflammatory-Grading 1}">Grade 1 (mild)</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHFibrosisStaging.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 2}">Fibrosis staging</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Fibrosis-Staging 2}">Stage 2</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHBruntScoringSystem.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 3}">Brunt Scoring System</span></a></td><td/><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHSteatosis.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 4}">Steatosis</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Steatosis 2}">20-30%</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHLobularInflammation.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 5}">Lobular inflammation</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Lobular-Inflammation 2}">2-4 foci</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHBallooning.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 6}">Ballooning</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Ballooning 1}">few</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHFibrosisStage.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 7}">Fibrosis stage</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Fibrosis-Stage 2}">Zone 3 perisinusoidal AND periportal fibrosis</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHCRNScoringSystem.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 8}">CRN Scoring System</span></a></td><td/><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHPeriportalBridgingNecrosis.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 10}">Periportal/bridging necrosis</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Periportal-Bridging-Necrosis 1}">mild piecemeal necrosis</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHIntralobularDegenerationNecrosis.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 11}">Intralobular degeneration/necrosis</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Intralobular-Degeneration-Necrosis 1}">mild (acidophilic bodies, ballooning degeneration and/or scattered foci of hepatocellular necrosis in &lt;1/3 of lobules or nodules)</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHPortalInflammation.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 12}">Portal inflammation</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Portal-Inflammation 1}">mild (sprinkling of inflammatory cells in &lt;1/3 of portal tracts)</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHFibrosis.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 13}">Fibrosis</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Fibrosis 1}">fibrous portal expansion</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHKnodellScoreSystem.html"><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Variables 9}">Knodell Histological Activity Index</span></a></td><td><span title="Codes:{https://hapi.fhir.tw/fhir/CodeSystem/NASH-Knodell 4}">輕度病變，可能有輕微的活動性炎症、輕度纖維化和/或輕度細胞增生</span></td><td>Final</td><td>2021-06-21</td></tr><tr><td><a href="Observation-NASHMetavirFibrosisScore.html"><span title="Codes:{http://loinc.org 48794-2}">Fibrosis stage</span></a></td><td><span title="Codes:{http://loinc.org LA9635-9}">No Fibrosis</span></td><td>Final</td><td>2021-06-21</td></tr></table></div>
  </text>
  <identifier>
    <system value="https://www.vghtpe.gov.tw/"/>
    <value value="123456"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LP7839-6"/>
      <display value="Pathology"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="22637-3"/>
      <display value="Pathology report final diagnosis Narrative"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/TWCorePatient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/TWCoreEncounter"/>
  </encounter>
  <issued value="2021-06-23T14:35:32.631Z"/>
  <performer>🔗 
    <reference value="Practitioner/TWCorePractitioner"/>
  </performer>
  <resultsInterpreter>🔗 
    <reference value="Practitioner/TWCorePractitioner"/>
  </resultsInterpreter>
  <specimen>🔗 
    <reference value="Specimen/TWCoreSpecimen"/>
  </specimen>
  <result>🔗 
    <reference value="Observation/NASHGrossFinding"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHNecroinflammatoryGrading"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHFibrosisStaging"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHBruntScoringSystem"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHSteatosis"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHLobularInflammation"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHBallooning"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHFibrosisStage"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHCRNScoringSystem"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHPeriportalBridgingNecrosis"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHIntralobularDegenerationNecrosis"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHPortalInflammation"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHFibrosis"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHKnodellScoreSystem"/>
  </result>
  <result>🔗 
    <reference value="Observation/NASHMetavirFibrosisScore"/>
  </result>
  <imagingStudy>🔗 
    <reference value="ImagingStudy/ImagingStudyBase"/>
  </imagingStudy>
</DiagnosticReport>