This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions
This is the narrative for the resource. See also the XML or JSON format. This example conforms to the profile DiagnosticReport.
NAME | XXXXXXX |
DOB | 10/02/1974 |
REFERRING DR | Smith, Jane |
INDICATIONS | Early menopause on estrogen levels. No period for 18 months |
PROCEDURE | Dual energy x-ray absorptiometry (DEXA) |
Scan Type | Region | Measured | Age | BMD | T-Score | Z-Score | ?BMD(g/cm2) | ?BMD(%) |
AP Spine | L1-L4 | 17/06/2008 | 34.4 | 1.148 g/cm² | -0.4 | -0.5 | - | - |
Left Femur | Neck | 17/06/2008 | 34.4 | 0.891 g/cm² | -1.0 | -0.9 | - | - |
Left Femur | Total | 17/06/2008 | 34.4 | 0.887 g/cm² | -1.2 | -1.3 | - | - |
Right Femur | Neck | 17/06/2008 | 34.4 | 0.885 g/cm² | -1.0 | -1.0 | - | - |
Right Femur | Total | 17/06/2008 | 34.4 | 0.867 g/cm² | -1.4 | -1.4 | - | - |
Assessment:
COMMENT
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.
Thank you for your referral. Dr Peter Ng 17/06/2008
Note: WHO classification of osteoporosis (WHO Technical Report Series 1994: 843) - Normal: T-score equal to -1.0 s.d. or higher - Osteopenia: T-score between -1.0 and -2.5 s.d. - Osteoporosis: T-score equal to -2.5 s.d. or lower - Severe/Established osteoporosis: Osteoporosis with one or more fragility fracture. T-score: The number of s.d. from the mean BMD for a gender-matched young adult population. Z-score: The number of s.d. from the mean BMD for an age-, weight- and gender-matched population. Reference 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. GE LUNAR PRODIGY DENSITOMETER
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.