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

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: Cervical Cytology and HPV ESPBI Form

Oficialus URL: https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-cytology-hpv-espbi Versija: 0.0.1
Mašiniškai apdorojamas pavadinimas: CervicalCytologyHpvESPBI

ESPBI form for cervical cancer screening: HPV testing and cytological examination. Based on ADP Table 7.1 (cervical cancer prevention program cytology and HPV kit).

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CervicalCytologyHpvESPBI ESPBI form for cervical cancer screening: HPV testing and cytological examination. Based on ADP Table 7.1 (cervical cancer prevention program cytology and HPV kit). Questionnaire https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-cytology-hpv-espbi#0.0.1
... facility Healthcare institution 0..1 group Value Set:
.... facility.name Institution name 0..1 string Value Set:
.... facility.code Institution code 0..1 string Value Set:
.... facility.division Division / department 0..1 string Value Set:
... patient Patient identification 0..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:
.... patient.address Address 0..1 string Value Set:
... referringDoctor Referring physician 0..1 group Value Set:
.... referringDoctor.name Doctor name 1..1 string Value Set:
.... referringDoctor.phone Phone number 0..1 string Value Set:
.... referringDoctor.email Email 0..1 string Value Set:
.... orderedTest.testType Test type 0..1 coding Value Set:
Options: 4 options
... sampleCollection Sample collection 0..1 group Value Set:
.... sampleCollection.collectionDate Collection date and time 1..1 dateTime Value Set:
.... sampleCollection.sampleCode Sample code 0..1 string Value Set:
.... sampleCollection.collectorName Collector name 1..1 string Value Set:
.... sampleCollection.collectorSurname Collector surname 1..1 string Value Set:
.... sampleCollection.professionalQualification Professional qualification 0..1 string Value Set:
... clinicalHistory Other clinical information 0..1 group Value Set:
.... clinicalHistory.cycleDay Day of menstrual cycle 0..1 integer Value Set:
.... clinicalHistory.menopauseAge Age at menopause (years) 0..1 integer Value Set:
.... clinicalHistory.hormoneTherapy Hormone therapy 0..1 coding Value Set:
Options: 2 options
.... clinicalHistory.pregnancy Pregnancy 0..1 coding Value Set:
Options: 2 options
.... clinicalHistory.lactation Lactation 0..1 coding Value Set:
Options: 2 options
.... clinicalHistory.radiotherapy Radiotherapy 0..1 group Value Set:
..... clinicalHistory.radiotherapy.status Radiotherapy received 0..1 coding Value Set:
Options: 2 options
..... clinicalHistory.radiotherapy.yearsAgo Years ago 0..1 integer Value Set:
.... clinicalHistory.chemotherapy Chemotherapy 0..1 group Value Set:
..... clinicalHistory.chemotherapy.status Chemotherapy received 0..1 coding Value Set:
Options: 2 options
..... clinicalHistory.chemotherapy.yearsAgo Years ago 0..1 integer Value Set:
.... clinicalHistory.iud Intrauterine device (IUD) 0..1 coding Value Set:
Options: 2 options
.... clinicalHistory.conization Conization 0..1 group Value Set:
..... clinicalHistory.conization.status Conization performed 0..1 coding Value Set:
Options: 3 options
..... clinicalHistory.conization.date Date of conization 0..1 date Value Set:
... sampleSite Sample collection site 0..1 group Value Set:
.... sampleSite.site Anatomical site 0..* coding Value Set:
Options: 4 options
... hpvVaccination HPV vaccination status 0..1 group Value Set:
.... hpvVaccination.status Vaccination status 0..1 coding Value Set:
Options: 3 options
... hpvResults HPV test results 0..1 group Value Set:
.... hpvResults.overallResult Overall HPV result 0..1 coding Value Set:
Options: 3 options
.... hpvResults.genotype Detected HPV genotypes 0..1 group Value Set:
..... hpvResults.genotype.hpv16 HPV 16 0..1 boolean Value Set:
..... hpvResults.genotype.hpv18 HPV 18 0..1 boolean Value Set:
..... hpvResults.genotype.hpv31 HPV 31 0..1 boolean Value Set:
..... hpvResults.genotype.hpv33 HPV 33 0..1 boolean Value Set:
..... hpvResults.genotype.hpv35 HPV 35 0..1 boolean Value Set:
..... hpvResults.genotype.hpv39 HPV 39 0..1 boolean Value Set:
..... hpvResults.genotype.hpv45 HPV 45 0..1 boolean Value Set:
..... hpvResults.genotype.hpv51 HPV 51 0..1 boolean Value Set:
..... hpvResults.genotype.hpv52 HPV 52 0..1 boolean Value Set:
..... hpvResults.genotype.hpv56 HPV 56 0..1 boolean Value Set:
..... hpvResults.genotype.hpv58 HPV 58 0..1 boolean Value Set:
..... hpvResults.genotype.hpv59 HPV 59 0..1 boolean Value Set:
..... hpvResults.genotype.hpv66 HPV 66 0..1 boolean Value Set:
..... hpvResults.genotype.hpv68 HPV 68 0..1 boolean Value Set:
.... hpvResults.riskGroup HPV risk group 0..1 coding Value Set:
Options: 4 options
... cytologyResults Cytology examination results 0..1 group Value Set:
.... cytologyResults.institution Examining institution 1..1 string Value Set:
.... cytologyResults.specimenType Specimen type 0..1 coding Value Set:
Options: 2 options
.... cytologyResults.suitability Specimen suitability 0..1 coding Value Set:
Options: 5 options
.... cytologyResults.pathogens Pathogen findings 0..1 group Value Set:
..... cytologyResults.pathogens.candida Candida 0..1 boolean Value Set:
..... cytologyResults.pathogens.trichomonas Trichomonas 0..1 boolean Value Set:
..... cytologyResults.pathogens.actinomyces Actinomyces 0..1 boolean Value Set:
..... cytologyResults.pathogens.herpes Herpes simplex 0..1 boolean Value Set:
.... cytologyResults.bethesdaDiagnosis Bethesda diagnosis 0..1 coding Value Set:
Options: 9 options
... immunocytochemistry Immunocytochemistry (p16/Ki-67) 0..1 group Value Set:
.... immunocytochemistry.p16Ki67Result p16/Ki-67 dual staining result 0..1 coding Value Set:
Options: 2 options
... conductedBy Test conducted by 0..1 group Value Set:
.... conductedBy.name Name 1..1 string Value Set:
.... conductedBy.surname Surname 1..1 string Value Set:
.... conductedBy.pressNumber Press number (stamp) 1..1 string Value Set:
.... conductedBy.responseDate Response date 1..1 dateTime Value Set:
... confirmedBy Test confirmed by 0..1 group Value Set:
.... confirmedBy.name Name 1..1 string Value Set:
.... confirmedBy.surname Surname 1..1 string Value Set:
.... confirmedBy.pressNumber Press number (stamp) 1..1 string Value Set:
.... confirmedBy.confirmationDate Confirmation date 1..1 dateTime Value Set:

doco Documentation for this format

Options Sets

Answer options for orderedTest.testType

  • http://snomed.info/sct#416107004 ("Cervical cytology test (procedure)")
  • http://snomed.info/sct#609040007 ("Microscopic cytologic examination of smear of specimen from female genital tract prepared using Papanicolaou technique (procedure)")
  • http://snomed.info/sct#35904009 ("Human papillomavirus deoxyribonucleic acid detection (procedure)")
  • http://snomed.info/sct#395126005 ("Immunocytochemistry test (procedure)")

Answer options for clinicalHistory.hormoneTherapy

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

Answer options for clinicalHistory.pregnancy

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

Answer options for clinicalHistory.lactation

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

Answer options for clinicalHistory.radiotherapy.status

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

Answer options for clinicalHistory.chemotherapy.status

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

Answer options for clinicalHistory.iud

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

Answer options for clinicalHistory.conization.status

  • http://snomed.info/sct#373066001 ("Yes (qualifier value)")
  • http://snomed.info/sct#373067005 ("No (qualifier value)")
  • http://snomed.info/sct#261665006 ("Unknown (qualifier value)")

Answer options for sampleSite.site

  • http://snomed.info/sct#36973007 ("Endocervical structure (body structure)")
  • http://snomed.info/sct#28349006 ("Exocervical structure (body structure)")
  • http://snomed.info/sct#76784001 ("Vaginal structure (body structure)")
  • http://snomed.info/sct#45292006 ("Vulval structure (body structure)")

Answer options for hpvVaccination.status

  • http://snomed.info/sct#171258008 ("Up-to-date with immunizations (finding)")
  • http://snomed.info/sct#171259000 ("Not up to date with immunizations (finding)")
  • http://snomed.info/sct#171278000 ("Immunization status unknown (finding)")

Answer options for hpvResults.overallResult

  • http://snomed.info/sct#77851000146104 ("High risk human papillomavirus deoxyribonucleic acid not detected (finding)")
  • http://snomed.info/sct#125154007 ("Specimen unsatisfactory for evaluation (finding)")
  • http://snomed.info/sct#720005005 ("Human papillomavirus deoxyribonucleic acid detected, high risk on cervical specimen (finding)")

Answer options for hpvResults.riskGroup

  • https://tx.hl7.lt/fhir/CodeSystem/hpv-risk-group#highest ("Highest risk genotype group (16, 18)")
  • https://tx.hl7.lt/fhir/CodeSystem/hpv-risk-group#medium ("Medium-risk genotype group (31, 33, 35, 45, 52, 58)")
  • https://tx.hl7.lt/fhir/CodeSystem/hpv-risk-group#lower ("Lower risk genotype group (39, 51, 56, 59, 68)")
  • https://tx.hl7.lt/fhir/CodeSystem/hpv-risk-group#low ("Low-risk HPV genotype group (53, 66, others)")

Answer options for cytologyResults.specimenType

  • http://snomed.info/sct#1179252003 ("Slide submitted as specimen (specimen)")
  • http://snomed.info/sct#430346005 ("Liquid based cytologic material (specimen)")

Answer options for cytologyResults.suitability

  • http://snomed.info/sct#125152006 ("Specimen satisfactory for evaluation (finding)")
  • http://snomed.info/sct#373880007 ("Specimen rejected / not processed (finding)")
  • http://snomed.info/sct#125160007 ("Unsatisfactory for evaluation due to broken slide (finding)")
  • http://snomed.info/sct#125159002 ("Sample unlabeled (finding)")
  • http://snomed.info/sct#281268007 ("Insufficient sample (finding)")

Answer options for cytologyResults.bethesdaDiagnosis

  • http://snomed.info/sct#373887005 ("Negative for intraepithelial lesion or malignancy (finding)")
  • http://snomed.info/sct#441087007 ("Atypical squamous cells of undetermined significance on cervical Papanicolaou smear (finding)")
  • http://snomed.info/sct#62051000119105 ("Low-grade squamous intraepithelial lesion on cervical Papanicolaou smear (finding)")
  • http://snomed.info/sct#441088002 ("Atypical squamous cells on cervical Papanicolaou smear cannot exclude high-grade squamous intraepithelial lesion (finding)")
  • http://snomed.info/sct#62061000119107 ("High-grade squamous intraepithelial lesion on cervical Papanicolaou smear (finding)")
  • http://snomed.info/sct#1162767002 ("Squamous cell carcinoma (morphologic abnormality)")
  • http://snomed.info/sct#373883009 ("Atypical glandular cells, favor neoplastic (morphologic abnormality)")
  • http://snomed.info/sct#51642000 ("Adenocarcinoma in situ (morphologic abnormality)")
  • http://snomed.info/sct#373885002 ("Endometrial cells in a woman forty years of age or older, negative for squamous intraepithelial lesion (finding)")

Answer options for immunocytochemistry.p16Ki67Result

  • http://snomed.info/sct#10828004 ("Positive (qualifier value)")
  • http://snomed.info/sct#260385009 ("Negative (qualifier value)")

Language: en

Healthcare institution

  • linkId: facility
  • Answers:

Institution name

  • linkId: facility.name
  • Answers:

Institution code

  • linkId: facility.code
  • Answers:

Division / department

  • linkId: facility.division
  • Answers:

Patient identification

  • linkId: patient
  • Answers:

Personal code*

  • linkId: patient.personalCode
  • Answers:

Name*

  • linkId: patient.name
  • Answers:

Surname*

  • linkId: patient.surname
  • Answers:

Address

  • linkId: patient.address
  • Answers:

Referring physician

  • linkId: referringDoctor
  • Answers:

Doctor name*

  • linkId: referringDoctor.name
  • Answers:

Phone number

  • linkId: referringDoctor.phone
  • Answers:

Email

  • linkId: referringDoctor.email
  • Answers:

Commissioned test

  • linkId: orderedTest
  • Answers:

Test type

Sample collection

  • linkId: sampleCollection
  • Answers:

Collection date and time*

  • linkId: sampleCollection.collectionDate
  • Answers:

Sample code

  • linkId: sampleCollection.sampleCode
  • Answers:

Collector name*

  • linkId: sampleCollection.collectorName
  • Answers:

Collector surname*

  • linkId: sampleCollection.collectorSurname
  • Answers:

Professional qualification

  • linkId: sampleCollection.professionalQualification
  • Answers:

Other clinical information

  • linkId: clinicalHistory
  • Answers:

Day of menstrual cycle

  • linkId: clinicalHistory.cycleDay
  • Answers:

Age at menopause (years)

  • linkId: clinicalHistory.menopauseAge
  • Answers:

Hormone therapy

Pregnancy

Lactation

Radiotherapy

  • linkId: clinicalHistory.radiotherapy
  • Answers:

Radiotherapy received

Years ago

  • linkId: clinicalHistory.radiotherapy.yearsAgo
  • Answers:

Chemotherapy

  • linkId: clinicalHistory.chemotherapy
  • Answers:

Chemotherapy received

Years ago

  • linkId: clinicalHistory.chemotherapy.yearsAgo
  • Answers:

Intrauterine device (IUD)

Conization

  • linkId: clinicalHistory.conization
  • Answers:

Conization performed

Date of conization

  • linkId: clinicalHistory.conization.date
  • Answers:

Sample collection site

  • linkId: sampleSite
  • Answers:

Anatomical site

HPV vaccination status

  • linkId: hpvVaccination
  • Answers:

Vaccination status

HPV test results

  • linkId: hpvResults
  • Answers:

Overall HPV result

Detected HPV genotypes

  • linkId: hpvResults.genotype
  • Answers:

HPV 16

  • linkId: hpvResults.genotype.hpv16
  • Answers:

HPV 18

  • linkId: hpvResults.genotype.hpv18
  • Answers:

HPV 31

  • linkId: hpvResults.genotype.hpv31
  • Answers:

HPV 33

  • linkId: hpvResults.genotype.hpv33
  • Answers:

HPV 35

  • linkId: hpvResults.genotype.hpv35
  • Answers:

HPV 39

  • linkId: hpvResults.genotype.hpv39
  • Answers:

HPV 45

  • linkId: hpvResults.genotype.hpv45
  • Answers:

HPV 51

  • linkId: hpvResults.genotype.hpv51
  • Answers:

HPV 52

  • linkId: hpvResults.genotype.hpv52
  • Answers:

HPV 56

  • linkId: hpvResults.genotype.hpv56
  • Answers:

HPV 58

  • linkId: hpvResults.genotype.hpv58
  • Answers:

HPV 59

  • linkId: hpvResults.genotype.hpv59
  • Answers:

HPV 66

  • linkId: hpvResults.genotype.hpv66
  • Answers:

HPV 68

  • linkId: hpvResults.genotype.hpv68
  • Answers:

HPV risk group

Cytology examination results

  • linkId: cytologyResults
  • Answers:

Examining institution*

  • linkId: cytologyResults.institution
  • Answers:

Specimen type

Specimen suitability

Pathogen findings

  • linkId: cytologyResults.pathogens
  • Answers:

Candida

  • linkId: cytologyResults.pathogens.candida
  • Answers:

Trichomonas

  • linkId: cytologyResults.pathogens.trichomonas
  • Answers:

Actinomyces

  • linkId: cytologyResults.pathogens.actinomyces
  • Answers:

Herpes simplex

  • linkId: cytologyResults.pathogens.herpes
  • Answers:

Bethesda diagnosis

Immunocytochemistry (p16/Ki-67)

  • linkId: immunocytochemistry
  • Answers:

p16/Ki-67 dual staining result

Test conducted by

  • linkId: conductedBy
  • Answers:

Name*

  • linkId: conductedBy.name
  • Answers:

Surname*

  • linkId: conductedBy.surname
  • Answers:

Press number (stamp)*

  • linkId: conductedBy.pressNumber
  • Answers:

Response date*

  • linkId: conductedBy.responseDate
  • Answers:

Test confirmed by

  • linkId: confirmedBy
  • Answers:

Name*

  • linkId: confirmedBy.name
  • Answers:

Surname*

  • linkId: confirmedBy.surname
  • Answers:

Press number (stamp)*

  • linkId: confirmedBy.pressNumber
  • Answers:

Confirmation date*

  • linkId: confirmedBy.confirmationDate
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. facility Value Set:
... facility.name Value Set:
... facility.code Value Set:
... facility.division Value Set:
.. patient Value Set:
... patient.personalCode Value Set:
... patient.name Value Set:
... patient.surname Value Set:
... patient.address Value Set:
.. referringDoctor Value Set:
... referringDoctor.name Value Set:
... referringDoctor.phone Value Set:
... referringDoctor.email Value Set:
.. orderedTest Value Set:
... orderedTest.testType Value Set:
Options: 4 options
.. sampleCollection Value Set:
... sampleCollection.collectionDate Value Set:
... sampleCollection.sampleCode Value Set:
... sampleCollection.collectorName Value Set:
... sampleCollection.collectorSurname Value Set:
... sampleCollection.professionalQualification Value Set:
.. clinicalHistory Value Set:
... clinicalHistory.cycleDay Value Set:
... clinicalHistory.menopauseAge Value Set:
... clinicalHistory.hormoneTherapy Value Set:
Options: 2 options
... clinicalHistory.pregnancy Value Set:
Options: 2 options
... clinicalHistory.lactation Value Set:
Options: 2 options
... clinicalHistory.radiotherapy Value Set:
.... clinicalHistory.radiotherapy.status Value Set:
Options: 2 options
.... clinicalHistory.radiotherapy.yearsAgo Value Set:
... clinicalHistory.chemotherapy Value Set:
.... clinicalHistory.chemotherapy.status Value Set:
Options: 2 options
.... clinicalHistory.chemotherapy.yearsAgo Value Set:
... clinicalHistory.iud Value Set:
Options: 2 options
... clinicalHistory.conization Value Set:
.... clinicalHistory.conization.status Value Set:
Options: 3 options
.... clinicalHistory.conization.date Value Set:
.. sampleSite Value Set:
... sampleSite.site Value Set:
Options: 4 options
.. hpvVaccination Value Set:
... hpvVaccination.status Value Set:
Options: 3 options
.. hpvResults Value Set:
... hpvResults.overallResult Value Set:
Options: 3 options
... hpvResults.genotype Value Set:
.... hpvResults.genotype.hpv16 Value Set:
.... hpvResults.genotype.hpv18 Value Set:
.... hpvResults.genotype.hpv31 Value Set:
.... hpvResults.genotype.hpv33 Value Set:
.... hpvResults.genotype.hpv35 Value Set:
.... hpvResults.genotype.hpv39 Value Set:
.... hpvResults.genotype.hpv45 Value Set:
.... hpvResults.genotype.hpv51 Value Set:
.... hpvResults.genotype.hpv52 Value Set:
.... hpvResults.genotype.hpv56 Value Set:
.... hpvResults.genotype.hpv58 Value Set:
.... hpvResults.genotype.hpv59 Value Set:
.... hpvResults.genotype.hpv66 Value Set:
.... hpvResults.genotype.hpv68 Value Set:
... hpvResults.riskGroup Value Set:
Options: 4 options
.. cytologyResults Value Set:
... cytologyResults.institution Value Set:
... cytologyResults.specimenType Value Set:
Options: 2 options
... cytologyResults.suitability Value Set:
Options: 5 options
... cytologyResults.pathogens Value Set:
.... cytologyResults.pathogens.candida Value Set:
.... cytologyResults.pathogens.trichomonas Value Set:
.... cytologyResults.pathogens.actinomyces Value Set:
.... cytologyResults.pathogens.herpes Value Set:
... cytologyResults.bethesdaDiagnosis Value Set:
Options: 9 options
.. immunocytochemistry Value Set:
... immunocytochemistry.p16Ki67Result Value Set:
Options: 2 options
.. conductedBy Value Set:
... conductedBy.name Value Set:
... conductedBy.surname Value Set:
... conductedBy.pressNumber Value Set:
... conductedBy.responseDate Value Set:
.. confirmedBy Value Set:
... confirmedBy.name Value Set:
... confirmedBy.surname Value Set:
... confirmedBy.pressNumber Value Set:
... confirmedBy.confirmationDate Value Set:

doco Documentation for this format

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