Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Breast Diagnostics Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-breast/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire: Mammogram ESPBI Form (LT Breast)

Oficialus URL: https://hl7.lt/fhir/breast/Questionnaire/questionnaire-mammogram-lt-breast Versija: 0.0.1
Mašiniškai apdorojamas pavadinimas: MammogramQuestionnaireLtBreast

Structured data-capture form for mammogram reporting based on ADP Table 7.1.

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. MammogramQuestionnaireLtBreast Structured data-capture form for mammogram reporting based on ADP Table 7.1. Questionnaire https://hl7.lt/fhir/breast/Questionnaire/questionnaire-mammogram-lt-breast#0.0.1
... grp-exam-context Examination context 0..1 group Value Set:
.... exam-date Date of test 0..1 dateTime Value Set:
.... radiation-dose Radiation dose (mGy) 0..1 quantity Value Set:
.... technologist-name Radiology technologist 0..1 string Value Set:
.... equipment-name Equipment name 0..1 string Value Set:
.... facility-name Facility name 0..1 string Value Set:
... grp-palpable-changes Palpable / visible changes 0..1 group Value Set:
.... skin-formations Skin formations 0..1 coding Value Set:
Options: 2 options
.... scars Scars 0..1 coding Value Set:
Options: 2 options
.... nipple-inversion Nipple inversion 0..1 coding Value Set:
Options: 2 options
.... prior-breast-surgery Prior breast surgery 0..1 coding Value Set:
Options: 2 options
.... breast-injuries Breast injuries 0..1 coding Value Set:
Options: 2 options
.... breast-diseases Breast diseases 0..1 coding Value Set:
Options: 2 options
.... other-information Other information 0..1 text Value Set:
... grp-gland-density Gland density 0..1 group Value Set:
.... acr-density ACR breast density category 0..1 coding Value Set:
Options: 4 options
.... right-changes-present Changes present 0..1 coding Value Set:
Options: 2 options
.... right-formations Formations 0..1 coding Value Set:
Options: 2 options
..... right-formations-quadrant Quadrant location 0..1 coding Value Set:
Options: 4 options
.... right-calcifications Calcifications 0..1 coding Value Set:
Options: 2 options
.... right-deformation Deformation 0..1 coding Value Set:
Options: 2 options
.... right-asymmetric-tissue Asymmetric tissue 0..1 coding Value Set:
Options: 2 options
.... right-dataset-size Dataset size (mm) 0..1 quantity Value Set:
... grp-findings-left Findings – left breast 0..1 group Value Set:
.... left-changes-present Changes present 0..1 coding Value Set:
Options: 2 options
.... left-formations Formations 0..1 coding Value Set:
Options: 2 options
..... left-formations-quadrant Quadrant location 0..1 coding Value Set:
Options: 4 options
.... left-calcifications Calcifications 0..1 coding Value Set:
Options: 2 options
.... left-deformation Deformation 0..1 coding Value Set:
Options: 2 options
.... left-asymmetric-tissue Asymmetric tissue 0..1 coding Value Set:
Options: 2 options
.... left-dataset-size Dataset size (mm) 0..1 quantity Value Set:
... grp-dynamics Dynamic changes compared to previous examination 0..1 group Value Set:
.... dynamics Dynamic changes 0..1 coding Value Set:
Options: 2 options
Related changes 0..1 group Value Set:
.... skin-changes Skin changes 0..1 coding Value Set:
Options: 2 options
.... nipple-changes Nipple changes 0..1 coding Value Set:
Options: 2 options
.... lymph-node-changes Lymph node changes 0..1 coding Value Set:
Options: 2 options
... grp-conclusion Conclusion 0..1 group Value Set:
.... birads-conclusion BI-RADS conclusion 0..1 coding Value Set:
Options: 6 options
.... recommendations Recommendations 0..* coding Value Set:
Options: 6 options
.... conclusion-notes Notes 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for skin-formations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for scars

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for nipple-inversion

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for prior-breast-surgery

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for breast-injuries

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for breast-diseases

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for acr-density

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#acr-a ("ACR A – Almost entirely fatty")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#acr-b ("ACR B – Scattered areas of fibroglandular density")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#acr-c ("ACR C – Heterogeneously dense")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#acr-d ("ACR D – Extremely dense")

Answer options for right-changes-present

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for right-formations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for right-formations-quadrant

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#uoq ("Upper outer quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#uiq ("Upper inner quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#loq ("Lower outer quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#liq ("Lower inner quadrant")

Answer options for right-calcifications

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for right-deformation

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for right-asymmetric-tissue

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for left-changes-present

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for left-formations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for left-formations-quadrant

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#uoq ("Upper outer quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#uiq ("Upper inner quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#loq ("Lower outer quadrant")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#liq ("Lower inner quadrant")

Answer options for left-calcifications

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for left-deformation

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for left-asymmetric-tissue

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for dynamics

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#dynamics-none ("Image without negative dynamics")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#dynamics-negative ("Negative dynamics observed")

Answer options for skin-changes

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for nipple-changes

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for lymph-node-changes

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#no ("No")

Answer options for birads-conclusion

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-0 ("BI-RADS 0 – Incomplete examination")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-1 ("BI-RADS 1 – No changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-2 ("BI-RADS 2 – Benign changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-3 ("BI-RADS 3 – Possibly benign changes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-4 ("BI-RADS 4 – Suspicious malignant finding")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-5 ("BI-RADS 5 – Highly probable malignant finding")

Answer options for recommendations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-mammographic-control ("Mammographic control")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-additional-mammography ("Additional mammography")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-ultrasound ("Ultrasound examination")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-mri ("MRI examination")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-biopsy ("Biopsy indicated")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-consultation ("Consultation with breast specialist")

Language: en

Examination context

  • linkId: grp-exam-context
  • Answers:

Date of test

  • linkId: exam-date
  • Answers:

Radiation dose (mGy)

  • linkId: radiation-dose
  • Answers:

Radiology technologist

  • linkId: technologist-name
  • Answers:

Equipment name

  • linkId: equipment-name
  • Answers:

Facility name

  • linkId: facility-name
  • Answers:

Palpable / visible changes

  • linkId: grp-palpable-changes
  • Answers:

Skin formations

Scars

Nipple inversion

Prior breast surgery

Breast injuries

Breast diseases

Other information

  • linkId: other-information
  • Answers:

Gland density

  • linkId: grp-gland-density
  • Answers:

ACR breast density category

Findings – right breast

  • linkId: grp-findings-right
  • Answers:

Changes present

Formations

Quadrant location

Calcifications

Deformation

Asymmetric tissue

Dataset size (mm)

  • linkId: right-dataset-size
  • Answers:

Findings – left breast

  • linkId: grp-findings-left
  • Answers:

Changes present

Formations

Quadrant location

Calcifications

Deformation

Asymmetric tissue

Dataset size (mm)

  • linkId: left-dataset-size
  • Answers:

Dynamic changes compared to previous examination

  • linkId: grp-dynamics
  • Answers:

Dynamic changes

Related changes

  • linkId: grp-related-changes
  • Answers:

Skin changes

Nipple changes

Lymph node changes

Conclusion

  • linkId: grp-conclusion
  • Answers:

BI-RADS conclusion

Recommendations

Notes

  • linkId: conclusion-notes
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-exam-context Value Set:
... exam-date Value Set:
... radiation-dose Value Set:
... technologist-name Value Set:
... facility-name Value Set:
.. grp-palpable-changes Value Set:
... skin-formations Value Set:
Options: 2 options
... scars Value Set:
Options: 2 options
... nipple-inversion Value Set:
Options: 2 options
... prior-breast-surgery Value Set:
Options: 2 options
... breast-injuries Value Set:
Options: 2 options
... breast-diseases Value Set:
Options: 2 options
... other-information Value Set:
.. grp-gland-density Value Set:
... acr-density Value Set:
Options: 4 options
.. grp-findings-right Value Set:
... right-changes-present Value Set:
Options: 2 options
... right-formations Value Set:
Options: 2 options
.... right-formations-quadrant Value Set:
Options: 4 options
... right-calcifications Value Set:
Options: 2 options
... right-deformation Value Set:
Options: 2 options
... right-asymmetric-tissue Value Set:
Options: 2 options
... right-dataset-size Value Set:
.. grp-findings-left Value Set:
... left-changes-present Value Set:
Options: 2 options
... left-formations Value Set:
Options: 2 options
.... left-formations-quadrant Value Set:
Options: 4 options
... left-calcifications Value Set:
Options: 2 options
... left-deformation Value Set:
Options: 2 options
... left-asymmetric-tissue Value Set:
Options: 2 options
... left-dataset-size Value Set:
.. grp-dynamics Value Set:
... dynamics Value Set:
Options: 2 options
.. grp-related-changes Value Set:
... skin-changes Value Set:
Options: 2 options
... nipple-changes Value Set:
Options: 2 options
... lymph-node-changes Value Set:
Options: 2 options
.. grp-conclusion Value Set:
... birads-conclusion Value Set:
Options: 6 options
... recommendations Value Set:
Options: 6 options
... conclusion-notes Value Set:

doco Documentation for this format

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