{ "resourceType": "DiagnosticReport", "id": "102", "text": { "status": "generated", "div": "
\n\t\t\t\n \n

DXA BONE DENSITOMETRY

\n\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\n \n
NAMEXXXXXXX
DOB10/02/1974
REFERRING DRSmith, Jane
INDICATIONSEarly menopause on estrogen levels. No period for 18 months
PROCEDUREDual energy x-ray absorptiometry (DEXA)
\n\t\t\t\n \n

Bone Mineral Density

\n\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\t\n \n \n\t\t\t\t\n \n \n\t\t\t\n \n
Scan TypeRegionMeasuredAgeBMDT-ScoreZ-Score?BMD(g/cm2)?BMD(%)
AP SpineL1-L417/06/200834.41.148 g/cm²-0.4-0.5--
Left FemurNeck17/06/200834.40.891 g/cm²-1.0-0.9--
Left FemurTotal17/06/200834.40.887 g/cm²-1.2-1.3--
Right FemurNeck17/06/200834.40.885 g/cm²-1.0-1.0--
Right FemurTotal17/06/200834.40.867 g/cm²-1.4-1.4--
\n\t\t\t\n \n

Assessment:

\n\t\t\t\n \n \n\t\t\t\n \n

\n\t\t\t\t\n \n COMMENT\n\t\t\t\n \n

\n\t\t\t\n \n

Osteopenia on measured BMD. The estimated 10-year probability of fracture based on present age, gender and measured BMD is less than 10%. This absolute fracture risk remains low. A follow-up assessment may be considered in 2 to 3 years to monitor the trend in BMD.

\n\t\t\t\n \n

Thank you for your referral. Dr Peter Ng 17/06/2008

\n\t\t\t\n \n 
\nNote:\nWHO classification of osteoporosis (WHO Technical Report Series 1994: 843)\n- Normal: T-score equal to -1.0 s.d. or higher\n- Osteopenia: T-score  between -1.0 and -2.5 s.d.\n- Osteoporosis: T-score equal to -2.5 s.d. or lower\n- Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture.\nT-score: The number of s.d. from the mean BMD for a gender-matched young adult population.\nZ-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population.\nReference for 10-year probability of fracture risk: Kanis JA, Johnell O, Oden A, Dawson A,  De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos.Int. 2001;12(12):989-995.\nGE LUNAR PRODIGY DENSITOMETER\n
\n\t\t\n \n
" }, "contained": [ { "resourceType": "Observation", "id": "r1", "_id": { "fhir_comments": [ " Here is one of the measurements above encoded as an observation for example purposes. " ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "24701-5", "display": "Femur DXA Bone density" } ] }, "subject": { "reference": "Patient/pat2" }, "performer": [ { "fhir_comments": [ " well, actually. this isn't the patient, but it'll do for now " ], "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Imaging Diagnostics" } ], "valueQuantity": { "value": 0.887, "unit": "g/cm²", "system": "http://unitsofmeasure.org", "code": "g/cm-2" }, "bodySite": { "coding": [ { "system": "http://snomed.info/sct", "code": "71341001:272741003=7771000" } ] } } ], "status": "final", "code": { "fhir_comments": [ " femur, laterality = left ", " first, various administrative/context stuff " ], "coding": [ { "system": "http://loinc.org", "code": "38269-7" } ], "text": "DXA BONE DENSITOMETRY" }, "subject": { "reference": "Patient/pat2" }, "effectiveDateTime": "2008-06-17", "issued": "2008-06-18T09:23:00+10:00", "_issued": { "fhir_comments": [ " all this report is final " ] }, "performer": { "fhir_comments": [ " well, actually. this isn't the patient, but it'll do for now " ], "reference": "Organization/1832473e-2fe0-452d-abe9-3cdb9879522f", "display": "Acme Imaging Diagnostics" }, "result": [ { "reference": "#r1" } ], "codedDiagnosis": [ { "fhir_comments": [ " the imaging service marks this to help find categories of patient " ], "coding": [ { "system": "http://snomed.info/sct", "code": "391040000", "display": "At risk of osteoporotic fracture" } ] } ] }