Lithuanian Cervical Cancer Implementation Guide
0.0.1 - ci-build Lithuania flag

Lithuanian Cervical Cancer 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-cervical/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire: Cervical Colposcopy ESPBI Form

Official URL: https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi Version: 0.0.1
Computable Name: CervicalColposcopyEspbi

ESPBI form for capturing colposcopy examination data in the Lithuanian cervical cancer screening programme.

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CervicalColposcopyEspbi ESPBI form for capturing colposcopy examination data in the Lithuanian cervical cancer screening programme. Questionnaire https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi#0.0.1
... patient Patient identification 1..1 group Value Set:
.... patient.personalCode Personal code 1..1 string Value Set:
.... patient.name Name 1..1 string Value Set:
.... patient.surname Surname 1..1 string Value Set:
... clinicalHistory Previous test history 0..1 group Value Set:
.... clinicalHistory.previousColposcopy Previous colposcopy performed 0..1 coding Value Set:
Options: 2 options
.... clinicalHistory.previousColposcopyDate Previous colposcopy date 0..1 date Value Set:
.... clinicalHistory.indication Indication (reason for colposcopy) 0..1 text Value Set:
... colposcopyPerformed Colposcopy procedure 0..1 group Value Set:
.... colposcopyPerformed.performed Colposcopy performed 0..1 coding Value Set:
Options: 2 options
.... colposcopyPerformed.postponedDate Postponed date 0..1 date Enable When: colposcopyPerformed.performed = Not done (qualifier value) (SNOMED CT#385660001)
Value Set:
.... colposcopyPerformed.procedureDate Procedure date 0..1 date Value Set:
.... colposcopyPerformed.anesthesia Anesthesia used 0..1 coding Value Set:
Options: 2 options
.... adequacy.adequate Adequacy of colposcopy 0..1 coding Value Set:
Options: 2 options
... swedeScore Swede score (0-10) 0..1 group Value Set:
.... swedeScore.acetoWhiteReaction Acetowhite reaction (0-2) 0..1 integer Value Set:
.... swedeScore.marginsAndSurface Margins and surface (0-2) 0..1 integer Value Set:
.... swedeScore.vessels Vessels (0-2) 0..1 integer Value Set:
.... swedeScore.lesionSize Lesion size (0-2) 0..1 integer Value Set:
.... swedeScore.iodineStaining Iodine staining (0-2) 0..1 integer Value Set:
.... swedeScore.totalScore Total Swede score (0-10) 0..1 integer Value Set:
... risk Risk assessment based on Swede score 0..1 group Value Set:
.... risk.riskLevel Risk level 0..1 coding Value Set:
Options: 2 options
... biopsyProcedure Biopsy procedure 0..1 group Value Set:
.... biopsyProcedure.biopsyPerformed Biopsy performed 0..1 coding Value Set:
Options: 2 options
.... biopsyProcedure.procedureType Biopsy procedure type 0..1 coding Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001)
Value Set:
Options: 4 options
... biopsySite Biopsy site 0..1 group Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001)
Value Set:
.... biopsySite.site Biopsy site 0..1 coding Value Set:
Options: 5 options
.... biopsySite.notes Notes 0..1 text Value Set:
... impression Colposcopic impression 0..1 group Value Set:
.... impression.impression Colposcopic impression 0..1 text Value Set:
.... impression.recommendation Recommendation 0..1 text Value Set:
... signatures Signatures 0..1 group Value Set:
.... signatures.examinerName Examiner name 1..1 string Value Set:
.... signatures.examinerSurname Examiner surname 1..1 string Value Set:
.... signatures.examinerPressNumber Examiner press number 1..1 string Value Set:
.... signatures.examDate Examination date 0..1 dateTime Value Set:

doco Documentation for this format

Options Sets

Answer options for clinicalHistory.previousColposcopy

  • http://snomed.info/sct#373066001 ("Yes (qualifier value)")
  • http://snomed.info/sct#373067005 ("No (qualifier value)")

Answer options for colposcopyPerformed.performed

  • http://snomed.info/sct#398166005 ("Performed (qualifier value)")
  • http://snomed.info/sct#385660001 ("Not done (qualifier value)")

Answer options for colposcopyPerformed.anesthesia

  • http://snomed.info/sct#373066001 ("Yes (qualifier value)")
  • http://snomed.info/sct#373067005 ("No (qualifier value)")

Answer options for adequacy.adequate

  • http://snomed.info/sct#398166005 ("Performed (qualifier value)")
  • http://snomed.info/sct#385660001 ("Not done (qualifier value)")

Answer options for risk.riskLevel

  • http://snomed.info/sct#723505004 ("Low risk (qualifier value)")
  • http://snomed.info/sct#723509005 ("High risk (qualifier value)")

Answer options for biopsyProcedure.biopsyPerformed

  • http://snomed.info/sct#373066001 ("Yes (qualifier value)")
  • http://snomed.info/sct#373067005 ("No (qualifier value)")

Answer options for biopsyProcedure.procedureType

  • http://snomed.info/sct#51675008 ("Punch biopsy of cervix (procedure)")
  • http://snomed.info/sct#23140002 ("Loop electrosurgical excision procedure of cervix (procedure)")
  • http://snomed.info/sct#54535009 ("Cone biopsy of cervix (procedure)")
  • http://snomed.info/sct#5288900 ("Endocervical curettage (procedure)")

Answer options for biopsySite.site

  • http://snomed.info/sct#127900007 ("Left superior quadrant of uterine cervix")
  • http://snomed.info/sct#127902004 ("Right superior quadrant of uterine cervix")
  • http://snomed.info/sct#127901006 ("Right inferior quadrant of uterine cervix")
  • http://snomed.info/sct#127899002 ("Left inferior quadrant of uterine cervix")
  • http://snomed.info/sct#56739004 ("Cervical canal of uterus")

Language: en

Patient identification*

  • linkId: patient
  • Answers:

Personal code*

  • linkId: patient.personalCode
  • Answers:

Name*

  • linkId: patient.name
  • Answers:

Surname*

  • linkId: patient.surname
  • Answers:

Previous test history

  • linkId: clinicalHistory
  • Answers:

Previous colposcopy performed

Previous colposcopy date

  • linkId: clinicalHistory.previousColposcopyDate
  • Answers:

Indication (reason for colposcopy)

  • linkId: clinicalHistory.indication
  • Answers:

Colposcopy procedure

  • linkId: colposcopyPerformed
  • Answers:

Colposcopy performed

Postponed date

  • linkId: colposcopyPerformed.postponedDate
  • Enable When: todo
  • Answers:

Procedure date

  • linkId: colposcopyPerformed.procedureDate
  • Answers:

Anesthesia used

Colposcopy adequacy

  • linkId: adequacy
  • Answers:

Adequacy of colposcopy

Swede score (0-10)

  • linkId: swedeScore
  • Answers:

Acetowhite reaction (0-2)

  • linkId: swedeScore.acetoWhiteReaction
  • Answers:

Margins and surface (0-2)

  • linkId: swedeScore.marginsAndSurface
  • Answers:

Vessels (0-2)

  • linkId: swedeScore.vessels
  • Answers:

Lesion size (0-2)

  • linkId: swedeScore.lesionSize
  • Answers:

Iodine staining (0-2)

  • linkId: swedeScore.iodineStaining
  • Answers:

Total Swede score (0-10)

  • linkId: swedeScore.totalScore
  • Answers:

Risk assessment based on Swede score

  • linkId: risk
  • Answers:

Risk level

Biopsy procedure

  • linkId: biopsyProcedure
  • Answers:

Biopsy performed

Biopsy procedure type

Biopsy site

  • linkId: biopsySite
  • Enable When: todo
  • Answers:

Biopsy site

Notes

  • linkId: biopsySite.notes
  • Answers:

Colposcopic impression

  • linkId: impression
  • Answers:

Colposcopic impression

  • linkId: impression.impression
  • Answers:

Recommendation

  • linkId: impression.recommendation
  • Answers:

Signatures

  • linkId: signatures
  • Answers:

Examiner name*

  • linkId: signatures.examinerName
  • Answers:

Examiner surname*

  • linkId: signatures.examinerSurname
  • Answers:

Examiner press number*

  • linkId: signatures.examinerPressNumber
  • Answers:

Examination date

  • linkId: signatures.examDate
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. patient Value Set:
... patient.personalCode Value Set:
... patient.name Value Set:
... patient.surname Value Set:
.. clinicalHistory Value Set:
... clinicalHistory.previousColposcopy Value Set:
Options: 2 options
... clinicalHistory.previousColposcopyDate Value Set:
... clinicalHistory.indication Value Set:
.. colposcopyPerformed Value Set:
... colposcopyPerformed.performed Value Set:
Options: 2 options
... colposcopyPerformed.postponedDate Enable When: Not done yet
Value Set:
... colposcopyPerformed.procedureDate Value Set:
... colposcopyPerformed.anesthesia Value Set:
Options: 2 options
.. adequacy Value Set:
... adequacy.adequate Value Set:
Options: 2 options
.. swedeScore Value Set:
... swedeScore.acetoWhiteReaction Value Set:
... swedeScore.marginsAndSurface Value Set:
... swedeScore.vessels Value Set:
... swedeScore.lesionSize Value Set:
... swedeScore.iodineStaining Value Set:
... swedeScore.totalScore Value Set:
.. risk Value Set:
... risk.riskLevel Value Set:
Options: 2 options
.. biopsyProcedure Value Set:
... biopsyProcedure.biopsyPerformed Value Set:
Options: 2 options
... biopsyProcedure.procedureType Enable When: Not done yet
Value Set:
Options: 4 options
.. biopsySite Enable When: Not done yet
Value Set:
... biopsySite.site Value Set:
Options: 5 options
... biopsySite.notes Value Set:
.. impression Value Set:
... impression.impression Value Set:
... impression.recommendation Value Set:
.. signatures Value Set:
... signatures.examinerName Value Set:
... signatures.examinerSurname Value Set:
... signatures.examinerPressNumber Value Set:
... signatures.examDate Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire