Lithuanian Colorectal 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-colorectal/ and changes regularly. See the Directory of published versions

Questionnaires

Questionnaires

This page describes the ESPBI (Electronic Health Services and Cooperation Infrastructure) questionnaire forms used in the Lithuanian colorectal cancer screening programme.

Colonoscopy ESPBI Form

The Colonoscopy ESPBI Questionnaire captures the structured data collected during a colonoscopy procedure as part of the national colorectal cancer screening programme. It follows the ESPBI IS form structure defined by Lithuanian healthcare regulations.

Form Structure

The questionnaire is organized into the following groups:

Group	Content	Maps to Profile
Basic Info	Procedure date, anesthesia, video colonoscope, withdrawal time	Procedure, Encounter
Bowel Preparation	Quality assessment, BBPS scoring by segment, dietary recommendations, split-dose, written info	Bowel Preparation Quality examples, BBPS Left colon sample, BBPS Transverse colon sample
Colonoscope Reach	Furthest anatomical point reached	​ObservationColonoscopeReachLtColorectal
Polyp Findings	Location, size, Paris/NICE classification, SMSA score, removal method	Polyp examples
Tumor Findings	Location, description, biopsy status	Tumor examples
Complications	Presence, type, wall injury (Sydney), bleeding control	​Complication profiles, Wall Injury
Conclusions	Diagnostic conclusions	Conclusion examples
Recommendations	Follow-up interval	CarePlan

Narrative Mapping to FHIR Profiles

Each questionnaire item maps to structured FHIR resources:

• Bowel preparation → Observation instances documenting BBPS scores per segment and overall quality
• ​Colonoscope reach → ObservationColonoscopeReachLtColorectal with anatomical site from ColonoscopeReachLtColorectalVS
• Polyp findings → Observation instances with Paris classification, NICE classification, SMSA scoring, and polypectomy details
• Tumor findings → Observation instances with anatomical location and biopsy status
• ​Complications → Complication Presence, Complication Type, and Wall Injury Detail

Cross-IG Integration

The questionnaire references clinical context from other Lithuanian FHIR IGs:

• Lifestyle factors: Tobacco use, Physical activity from the Lifestyle IG
• Vital signs: BMI from the VitalSigns IG

Examples

• Colonoscopy ESPBI Questionnaire
• Colonoscopy ESPBI QuestionnaireResponse (example)