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

Lithuanian Lung 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-lung/ and changes regularly. See the Directory of published versions

Questionnaire: Questionnaire: LDCT ESPBI Form (LT Lung)

Oficialus URL: https://hl7.lt/fhir/lung/Questionnaire/questionnaire-ldct-lt-lung Versija: 0.0.1
Active nuo 2026-09-10 Mašiniškai apdorojamas pavadinimas: LdctQuestionnaireLtLung

Structured data-capture form for low-dose chest computed tomography (LDCT) reporting based on ADP Table 7.1 (MDKT dataset).

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. LdctQuestionnaireLtLung Structured data-capture form for low-dose chest computed tomography (LDCT) reporting based on ADP Table 7.1 (MDKT dataset). Questionnaire https://hl7.lt/fhir/lung/Questionnaire/questionnaire-ldct-lt-lung#0.0.1
... grp-general General information 0..1 group Value Set:
.... exam-date LDCT examination date 0..1 dateTime Value Set:
.... previous-exam-date Date of last performed chest LDCT examination (if known) 0..1 dateTime Value Set:
.... ctdivol Volume CT Dose Index – CTDIvol (mGy) 0..1 quantity Value Set:
.... dlp Dose Length Product – DLP (mGy x cm) 0..1 quantity Value Set:
.... technologist-qualification Professional qualification of the technologist 1..1 string Value Set:
.... technologist-first-name Technologist first name 1..1 string Value Set:
.... technologist-last-name Technologist last name 1..1 string Value Set:
.... facility-name Healthcare institution name 0..1 string Value Set:
.... facility-code Healthcare institution code 0..1 string Value Set:
.... facility-address Healthcare institution address 0..1 string Value Set:
.... facility-phone Healthcare institution phone number 0..1 string Value Set:
.... facility-email Healthcare institution email 0..1 string Value Set:
... grp-nodules Nodule findings 0..* group Value Set:
.... nodule-type Type of lesion 0..1 coding Value Set:
Options: 5 options
.... nodule-lobe Lung lobe 0..1 coding Value Set:
Options: 5 options
.... ct-slice-number CT image slice number 0..1 integer Value Set:
.... morphology-spiculated With spicules 0..1 coding Value Set:
Options: 2 options
.... morphology-irregular Irregular contours 0..1 coding Value Set:
Options: 2 options
.... morphology-pleural Related to pleura 0..1 coding Value Set:
Options: 2 options
.... nodule-mean-diameter Size – average diameter (mm) 0..1 quantity Value Set:
.... nodule-long-axis Size – long axis (mm) 0..1 quantity Value Set:
.... nodule-short-axis Size – short axis (mm) 0..1 quantity Value Set:
.... nodule-volume Volume (mm3) 0..1 quantity Value Set:
.... solid-part-mean-diameter Solid part – average diameter (mm) 0..1 quantity Value Set:
.... solid-part-long-axis Solid part – long axis (mm) 0..1 quantity Value Set:
.... solid-part-short-axis Solid part – short axis (mm) 0..1 quantity Value Set:
.... solid-part-volume Solid part – volume (mm3) 0..1 quantity Value Set:
.... nodule-note Note 0..1 text Value Set:
... grp-incidental-lung Significant incidental findings in the lungs 0..1 group Value Set:
.... interstitial-changes Interstitial lung changes (>5% of lung volume) 0..1 coding Value Set:
Options: 2 options
..... interstitial-subtype Type of interstitial changes 0..* coding Enable When: interstitial-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 4 options
.... emphysema Emphysema 0..1 coding Value Set:
Options: 2 options
..... emphysema-severity Emphysema severity 0..1 coding Enable When: emphysema = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... bronchiectasis Bronchiectasis 0..1 coding Value Set:
Options: 2 options
..... bronchiectasis-severity Bronchiectasis severity 0..1 coding Enable When: bronchiectasis = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... pleural-fluid Fluid in the pleural cavity 0..1 coding Value Set:
Options: 2 options
..... pleural-fluid-laterality Laterality 0..1 coding Enable When: pleural-fluid = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 3 options
..... pleural-fluid-quantity Quantity 0..1 coding Enable When: pleural-fluid = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 3 options
.... pleural-changes Pleural changes 0..1 coding Value Set:
Options: 2 options
..... pleural-suspected-malignant Suspected malignant 0..1 coding Enable When: pleural-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... pleural-asbestosis-plaque Asbestosis pleural plaque 0..1 coding Enable When: pleural-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... pleural-calcification Pleural calcification 0..1 coding Enable When: pleural-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... pneumothorax Pneumothorax 0..1 coding Value Set:
Options: 2 options
..... pneumothorax-laterality Laterality 0..1 coding Enable When: pneumothorax = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 3 options
.... pneumomediastinum Pneumomediastinum 0..1 coding Value Set:
Options: 2 options
.... diaphragm-changes Changes in diaphragms 0..1 coding Value Set:
Options: 2 options
..... diaphragm-suspected-malignant Suspected malignant 0..1 coding Enable When: diaphragm-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... diaphragm-large-hernia Large hernia 0..1 coding Enable When: diaphragm-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... diaphragm-complicated-hernia Complicated hernia 0..1 coding Enable When: diaphragm-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... consolidation Consolidation 0..1 coding Value Set:
Options: 2 options
..... consolidation-inflammatory Likely inflammatory 0..1 coding Enable When: consolidation = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... consolidation-malignant Possibly malignant 0..1 coding Enable When: consolidation = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... tuberculosis Tuberculosis 0..1 coding Value Set:
Options: 2 options
..... tuberculosis-differentiated Suspected tuberculosis differentiated from other diseases 0..1 coding Enable When: tuberculosis = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... coronary-calcification Coronary artery calcification 0..1 coding Value Set:
Options: 2 options
..... coronary-calcification-severity Severity 0..1 coding Enable When: coronary-calcification = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... aortic-valve-calcification Aortic valve calcification 0..1 coding Value Set:
Options: 2 options
..... aortic-valve-severity Severity 0..1 coding Enable When: aortic-valve-calcification = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... thoracic-aortic-aneurysm Thoracic aortic aneurysm (dilation >=45mm) 0..1 coding Value Set:
Options: 2 options
..... thoracic-aneurysm-size Size (mm) 0..1 quantity Enable When: thoracic-aortic-aneurysm = Yes (Lung questionnaire answer options#yes)
Value Set:
.... mediastinal-mass Mediastinal mass 0..* coding Value Set:
Options: 2 options
..... mediastinal-mass-size Size – largest dimension in axial plane (mm) 0..1 quantity Enable When: mediastinal-mass = Yes (Lung questionnaire answer options#yes)
Value Set:
..... mediastinal-mass-density Density texture 0..1 coding Enable When: mediastinal-mass = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 3 options
.... lymphadenopathy Lymphadenopathy (>=15mm) 0..1 coding Value Set:
Options: 2 options
..... lymphadenopathy-location Location(s) 0..* coding Enable When: lymphadenopathy = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 9 options
.... thyroid-nodules Thyroid changes (suspicious nodules) 0..1 coding Value Set:
Options: 2 options
.... pericardial-effusion Fluid in the pericardial cavity (significant) 0..1 coding Value Set:
Options: 2 options
..... pericardial-effusion-severity Severity 0..1 coding Enable When: pericardial-effusion = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... esophageal-changes Changes in the esophagus 0..1 coding Value Set:
Options: 2 options
..... esophageal-lumen-expansion Significant lumen expansion 0..1 coding Enable When: esophageal-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... esophageal-mass Mass 0..1 coding Enable When: esophageal-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... abdominal-aortic-aneurysm Abdominal aortic aneurysm 0..1 coding Value Set:
Options: 2 options
.... breast-findings Suspicious findings in the breasts 0..* coding Value Set:
Options: 2 options
..... breast-laterality Location 0..1 coding Enable When: breast-findings = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... liver-lesions Liver lesions 0..1 coding Value Set:
Options: 2 options
..... liver-multiplicity Number of lesions 0..1 coding Enable When: liver-lesions = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... liver-texture Texture 0..1 coding Enable When: liver-lesions = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 4 options
.... kidney-lesions Kidney lesions 0..1 coding Value Set:
Options: 2 options
..... kidney-size Size – largest dimension in axial plane (mm) 0..1 quantity Enable When: kidney-lesions = Yes (Lung questionnaire answer options#yes)
Value Set:
..... kidney-laterality Location 0..1 coding Enable When: kidney-lesions = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... kidney-density Density 0..1 coding Enable When: kidney-lesions = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 4 options
.... bone-changes Changes in bones 0..1 coding Value Set:
Options: 2 options
.... adrenal-formations Adrenal formations 0..1 coding Value Set:
Options: 2 options
..... adrenal-laterality Laterality 0..1 coding Enable When: adrenal-formations = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... adrenal-size Size – largest dimension in axial plane (mm) 0..1 quantity Enable When: adrenal-formations = Yes (Lung questionnaire answer options#yes)
Value Set:
..... adrenal-density Density (HV) 0..1 quantity Enable When: adrenal-formations = Yes (Lung questionnaire answer options#yes)
Value Set:
.... gallbladder-changes Changes in the gallbladder 0..1 coding Value Set:
Options: 2 options
..... gallbladder-cholecystitis Suspected signs of acute cholecystitis 0..1 coding Enable When: gallbladder-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
..... gallbladder-masses Infiltration with masses 0..1 coding Enable When: gallbladder-changes = Yes (Lung questionnaire answer options#yes)
Value Set:
Options: 2 options
.... additional-findings-text Additional findings (free text) 0..1 text Value Set:
... grp-notes Additional notes 0..1 group Value Set:
.... notes Notes (includes all additional findings) 0..1 text Value Set:
... grp-conclusion Conclusion and recommendations 0..1 group Value Set:
.... lung-rads-category LUNG-RADS findings category 1..1 coding Value Set:
Options: 7 options
.... lung-rads-s-modifier S modifier – significant incidental finding contributing to category 0..1 coding Value Set:
Options: 2 options
.... recommendation Recommendation 1..1 coding Value Set:
Options: 8 options
.... conclusion-notes Conclusion notes 0..1 text Value Set:
.... specialist-qualification Professional qualification of the specialist 1..1 string Value Set:
.... specialist-first-name First name 1..1 string Value Set:
.... specialist-last-name Last name 1..1 string Value Set:
.... conclusion-institution-name Institution name 0..1 string Value Set:
.... conclusion-institution-code Institution code 0..1 string Value Set:
.... conclusion-institution-address Institution address 0..1 string Value Set:
.... conclusion-institution-phone Institution phone number 0..1 string Value Set:
.... conclusion-institution-email Institution email 0..1 string Value Set:

doco Documentation for this format

Options Sets

Answer options for nodule-type

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#solid ("Solid")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#part-solid ("Part solid")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#ground-glass ("Ground glass nodule")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#calcified ("Calcified")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#cavitary ("Cavitary")

Answer options for nodule-lobe

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right-upper ("Upper lobe of the right lung")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right-middle ("Middle lobe of the right lung")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right-lower ("Lower lobe of the right lung")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left-upper ("Upper lobe of the left lung")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left-lower ("Lower lobe of the left lung")

Answer options for morphology-spiculated

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

Answer options for morphology-irregular

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

Answer options for morphology-pleural

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

Answer options for interstitial-changes

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

Answer options for interstitial-subtype

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#non-subpleural ("Non-subpleural")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#subpleural-non-fibrotic ("Subpleural non-fibrotic")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#subpleural-fibrous ("Subpleural fibrous")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#respiratory-bronchiolitis ("Respiratory bronchiolitis (RB-IPL)")

Answer options for emphysema

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

Answer options for emphysema-severity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate (25-50%)")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#severe ("Severe / expressed (>50%)")

Answer options for bronchiectasis

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

Answer options for bronchiectasis-severity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#severe ("Expressed")

Answer options for pleural-fluid

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

Answer options for pleural-fluid-laterality

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left ("Left")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#bilateral ("Bilateral")

Answer options for pleural-fluid-quantity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#small-amount ("Small amount")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate amount")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#large-amount ("Large amount")

Answer options for pleural-changes

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

Answer options for pleural-suspected-malignant

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

Answer options for pleural-asbestosis-plaque

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

Answer options for pleural-calcification

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#local ("Local")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#diffuse ("Diffuse")

Answer options for pneumothorax

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

Answer options for pneumothorax-laterality

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left ("Left")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#bilateral ("Bilateral")

Answer options for pneumomediastinum

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

Answer options for diaphragm-changes

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

Answer options for diaphragm-suspected-malignant

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

Answer options for diaphragm-large-hernia

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

Answer options for diaphragm-complicated-hernia

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

Answer options for consolidation

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

Answer options for consolidation-inflammatory

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

Answer options for consolidation-malignant

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

Answer options for tuberculosis

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

Answer options for tuberculosis-differentiated

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

Answer options for coronary-calcification

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

Answer options for coronary-calcification-severity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#severe ("Severe / expressed")

Answer options for aortic-valve-calcification

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

Answer options for aortic-valve-severity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#severe ("Severe / expressed")

Answer options for thoracic-aortic-aneurysm

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

Answer options for mediastinal-mass

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

Answer options for mediastinal-mass-density

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#cystic ("Cystic")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#solid-texture ("Solid")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#calcified-density ("Calcified")

Answer options for lymphadenopathy

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

Answer options for lymphadenopathy-location

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#neck ("Neck")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#paraclavicular ("Paraclavicular")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#mediastinal ("Mediastinal")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#hilar-right ("Hilar - right")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#hilar-left ("Hilar - left")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#hilar-both ("Hilar - both")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#axillary-right ("Axillary - right")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#axillary-left ("Axillary - left")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#axillary-both ("Axillary - both")

Answer options for thyroid-nodules

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

Answer options for pericardial-effusion

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

Answer options for pericardial-effusion-severity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#moderate ("Moderate")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#severe ("Severe / large")

Answer options for esophageal-changes

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

Answer options for esophageal-lumen-expansion

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

Answer options for esophageal-mass

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

Answer options for abdominal-aortic-aneurysm

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

Answer options for breast-findings

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

Answer options for breast-laterality

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right ("Right breast")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left ("Left breast")

Answer options for liver-lesions

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

Answer options for liver-multiplicity

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#singular ("One")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#multiple ("Multiple")

Answer options for liver-texture

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#cystic ("Cystic")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#solid-texture ("Solid")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#mixed-complex ("Mixed-complex")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#calcified-density ("Calcified")

Answer options for kidney-lesions

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

Answer options for kidney-laterality

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right ("Right kidney")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left ("Left kidney")

Answer options for kidney-density

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#cystic ("Cystic")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#solid-texture ("Solid")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#mixed-complex ("Mixed-complex")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#calcified-density ("Calcified")

Answer options for bone-changes

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

Answer options for adrenal-formations

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

Answer options for adrenal-laterality

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#left ("Left")

Answer options for gallbladder-changes

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

Answer options for gallbladder-cholecystitis

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

Answer options for gallbladder-masses

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

Answer options for lung-rads-category

  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-0 ("LUNG-RADS 0 – Images cannot be evaluated")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-1 ("LUNG-RADS 1 – No findings detected in the lungs")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-2 ("LUNG-RADS 2 – Very likely benign formation")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-3 ("LUNG-RADS 3 – Likely benign formation")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-4a ("LUNG-RADS 4A – Detected suspicious formation")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-4b ("LUNG-RADS 4B – Detected very suspicious formation")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-4x ("LUNG-RADS 4X – Detected extremely suspicious formation")

Answer options for lung-rads-s-modifier

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

Answer options for recommendation

  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#repeat-36m ("Repeat LDCT after 36 months")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#repeat-1m ("Repeat LDCT after 1 month")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#insufficient-prior-images ("Insufficient data - previous images required")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#followup-12m ("Follow-up LDCT after 12 months")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#followup-6m ("Follow-up LDCT after 6 months")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#followup-3m ("Follow-up LDCT after 3 months")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#pulmonologist-consult ("Refer for pulmonologist consultation")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-recommendation#specialist-consult ("Refer for specialist consultation")

General information

  • linkId: grp-general
  • Answers:

LDCT examination date

  • linkId: exam-date
  • Answers:

Date of last performed chest LDCT examination (if known)

  • linkId: previous-exam-date
  • Answers:

Volume CT Dose Index – CTDIvol (mGy)

  • linkId: ctdivol
  • Answers:

Dose Length Product – DLP (mGy x cm)

  • linkId: dlp
  • Answers:

Professional qualification of the technologist*

  • linkId: technologist-qualification
  • Answers:

Technologist first name*

  • linkId: technologist-first-name
  • Answers:

Technologist last name*

  • linkId: technologist-last-name
  • Answers:

Healthcare institution name

  • linkId: facility-name
  • Answers:

Healthcare institution code

  • linkId: facility-code
  • Answers:

Healthcare institution address

  • linkId: facility-address
  • Answers:

Healthcare institution phone number

  • linkId: facility-phone
  • Answers:

Healthcare institution email

  • linkId: facility-email
  • Answers:

Nodule findings

  • linkId: grp-nodules
  • Answers:

Type of lesion

Lung lobe

CT image slice number

  • linkId: ct-slice-number
  • Answers:

With spicules

Irregular contours

Related to pleura

Size – average diameter (mm)

  • linkId: nodule-mean-diameter
  • Answers:

Size – long axis (mm)

  • linkId: nodule-long-axis
  • Answers:

Size – short axis (mm)

  • linkId: nodule-short-axis
  • Answers:

Volume (mm3)

  • linkId: nodule-volume
  • Answers:

Solid part – average diameter (mm)

  • linkId: solid-part-mean-diameter
  • Answers:

Solid part – long axis (mm)

  • linkId: solid-part-long-axis
  • Answers:

Solid part – short axis (mm)

  • linkId: solid-part-short-axis
  • Answers:

Solid part – volume (mm3)

  • linkId: solid-part-volume
  • Answers:

Note

  • linkId: nodule-note
  • Answers:

Significant incidental findings in the lungs

  • linkId: grp-incidental-lung
  • Answers:

Interstitial lung changes (>5% of lung volume)

Type of interstitial changes

Emphysema

Emphysema severity

Bronchiectasis

Bronchiectasis severity

Fluid in the pleural cavity

Laterality

Quantity

Pleural changes

Suspected malignant

Asbestosis pleural plaque

Pleural calcification

Pneumothorax

Laterality

Pneumomediastinum

Changes in diaphragms

Suspected malignant

Large hernia

Complicated hernia

Consolidation

Likely inflammatory

Possibly malignant

Tuberculosis

Suspected tuberculosis differentiated from other diseases

Significant incidental findings not in the lungs

  • linkId: grp-incidental-extra
  • Answers:

Coronary artery calcification

Severity

Aortic valve calcification

Severity

Thoracic aortic aneurysm (dilation >=45mm)

Size (mm)

  • linkId: thoracic-aneurysm-size
  • Enable When: todo
  • Answers:

Mediastinal mass

Size – largest dimension in axial plane (mm)

  • linkId: mediastinal-mass-size
  • Enable When: todo
  • Answers:

Density texture

Lymphadenopathy (>=15mm)

Location(s)

Thyroid changes (suspicious nodules)

Fluid in the pericardial cavity (significant)

Severity

Changes in the esophagus

Significant lumen expansion

Mass

Abdominal aortic aneurysm

Suspicious findings in the breasts

Location

Liver lesions

Number of lesions

Texture

Kidney lesions

Size – largest dimension in axial plane (mm)

  • linkId: kidney-size
  • Enable When: todo
  • Answers:

Location

Density

Changes in bones

Adrenal formations

Laterality

Size – largest dimension in axial plane (mm)

  • linkId: adrenal-size
  • Enable When: todo
  • Answers:

Density (HV)

  • linkId: adrenal-density
  • Enable When: todo
  • Answers:

Changes in the gallbladder

Suspected signs of acute cholecystitis

Infiltration with masses

Additional findings (free text)

  • linkId: additional-findings-text
  • Answers:

Additional notes

  • linkId: grp-notes
  • Answers:

Notes (includes all additional findings)

  • linkId: notes
  • Answers:

Conclusion and recommendations

  • linkId: grp-conclusion
  • Answers:

LUNG-RADS findings category*

S modifier – significant incidental finding contributing to category

Recommendation*

Conclusion notes

  • linkId: conclusion-notes
  • Answers:

Professional qualification of the specialist*

  • linkId: specialist-qualification
  • Answers:

First name*

  • linkId: specialist-first-name
  • Answers:

Last name*

  • linkId: specialist-last-name
  • Answers:

Institution name

  • linkId: conclusion-institution-name
  • Answers:

Institution code

  • linkId: conclusion-institution-code
  • Answers:

Institution address

  • linkId: conclusion-institution-address
  • Answers:

Institution phone number

  • linkId: conclusion-institution-phone
  • Answers:

Institution email

  • linkId: conclusion-institution-email
  • Answers:

LinkIDDescription & Constraintsdoco
.. grp-general Value Set:
... exam-date Value Set:
... previous-exam-date Value Set:
... ctdivol Value Set:
... technologist-qualification Value Set:
... technologist-first-name Value Set:
... technologist-last-name Value Set:
... facility-name Value Set:
... facility-code Value Set:
... facility-address Value Set:
... facility-phone Value Set:
... facility-email Value Set:
.. grp-nodules Value Set:
... nodule-type Value Set:
Options: 5 options
... nodule-lobe Value Set:
Options: 5 options
... ct-slice-number Value Set:
... morphology-spiculated Value Set:
Options: 2 options
... morphology-irregular Value Set:
Options: 2 options
... morphology-pleural Value Set:
Options: 2 options
... nodule-mean-diameter Value Set:
... nodule-long-axis Value Set:
... nodule-short-axis Value Set:
... nodule-volume Value Set:
... solid-part-mean-diameter Value Set:
... solid-part-long-axis Value Set:
... solid-part-short-axis Value Set:
... solid-part-volume Value Set:
... nodule-note Value Set:
.. grp-incidental-lung Value Set:
... interstitial-changes Value Set:
Options: 2 options
.... interstitial-subtype Enable When: Not done yet
Value Set:
Options: 4 options
... emphysema Value Set:
Options: 2 options
.... emphysema-severity Enable When: Not done yet
Value Set:
Options: 2 options
... bronchiectasis Value Set:
Options: 2 options
.... bronchiectasis-severity Enable When: Not done yet
Value Set:
Options: 2 options
... pleural-fluid Value Set:
Options: 2 options
.... pleural-fluid-laterality Enable When: Not done yet
Value Set:
Options: 3 options
.... pleural-fluid-quantity Enable When: Not done yet
Value Set:
Options: 3 options
... pleural-changes Value Set:
Options: 2 options
.... pleural-suspected-malignant Enable When: Not done yet
Value Set:
Options: 2 options
.... pleural-asbestosis-plaque Enable When: Not done yet
Value Set:
Options: 2 options
.... pleural-calcification Enable When: Not done yet
Value Set:
Options: 2 options
... pneumothorax Value Set:
Options: 2 options
.... pneumothorax-laterality Enable When: Not done yet
Value Set:
Options: 3 options
... pneumomediastinum Value Set:
Options: 2 options
... diaphragm-changes Value Set:
Options: 2 options
.... diaphragm-suspected-malignant Enable When: Not done yet
Value Set:
Options: 2 options
.... diaphragm-large-hernia Enable When: Not done yet
Value Set:
Options: 2 options
.... diaphragm-complicated-hernia Enable When: Not done yet
Value Set:
Options: 2 options
... consolidation Value Set:
Options: 2 options
.... consolidation-inflammatory Enable When: Not done yet
Value Set:
Options: 2 options
.... consolidation-malignant Enable When: Not done yet
Value Set:
Options: 2 options
... tuberculosis Value Set:
Options: 2 options
.... tuberculosis-differentiated Enable When: Not done yet
Value Set:
Options: 2 options
.. grp-incidental-extra Value Set:
... coronary-calcification Value Set:
Options: 2 options
.... coronary-calcification-severity Enable When: Not done yet
Value Set:
Options: 2 options
... aortic-valve-calcification Value Set:
Options: 2 options
.... aortic-valve-severity Enable When: Not done yet
Value Set:
Options: 2 options
... thoracic-aortic-aneurysm Value Set:
Options: 2 options
.... thoracic-aneurysm-size Enable When: Not done yet
Value Set:
... mediastinal-mass Value Set:
Options: 2 options
.... mediastinal-mass-size Enable When: Not done yet
Value Set:
.... mediastinal-mass-density Enable When: Not done yet
Value Set:
Options: 3 options
... lymphadenopathy Value Set:
Options: 2 options
.... lymphadenopathy-location Enable When: Not done yet
Value Set:
Options: 9 options
... thyroid-nodules Value Set:
Options: 2 options
... pericardial-effusion Value Set:
Options: 2 options
.... pericardial-effusion-severity Enable When: Not done yet
Value Set:
Options: 2 options
... esophageal-changes Value Set:
Options: 2 options
.... esophageal-lumen-expansion Enable When: Not done yet
Value Set:
Options: 2 options
.... esophageal-mass Enable When: Not done yet
Value Set:
Options: 2 options
... abdominal-aortic-aneurysm Value Set:
Options: 2 options
... breast-findings Value Set:
Options: 2 options
.... breast-laterality Enable When: Not done yet
Value Set:
Options: 2 options
... liver-lesions Value Set:
Options: 2 options
.... liver-multiplicity Enable When: Not done yet
Value Set:
Options: 2 options
.... liver-texture Enable When: Not done yet
Value Set:
Options: 4 options
... kidney-lesions Value Set:
Options: 2 options
.... kidney-size Enable When: Not done yet
Value Set:
.... kidney-laterality Enable When: Not done yet
Value Set:
Options: 2 options
.... kidney-density Enable When: Not done yet
Value Set:
Options: 4 options
... bone-changes Value Set:
Options: 2 options
... adrenal-formations Value Set:
Options: 2 options
.... adrenal-laterality Enable When: Not done yet
Value Set:
Options: 2 options
.... adrenal-size Enable When: Not done yet
Value Set:
.... adrenal-density Enable When: Not done yet
Value Set:
... gallbladder-changes Value Set:
Options: 2 options
.... gallbladder-cholecystitis Enable When: Not done yet
Value Set:
Options: 2 options
.... gallbladder-masses Enable When: Not done yet
Value Set:
Options: 2 options
... additional-findings-text Value Set:
.. grp-notes Value Set:
... notes Value Set:
.. grp-conclusion Value Set:
... lung-rads-category Value Set:
Options: 7 options
... lung-rads-s-modifier Value Set:
Options: 2 options
... recommendation Value Set:
Options: 8 options
... conclusion-notes Value Set:
... specialist-qualification Value Set:
... specialist-first-name Value Set:
... specialist-last-name Value Set:
... conclusion-institution-name Value Set:
... conclusion-institution-code Value Set:
... conclusion-institution-address Value Set:
... conclusion-institution-phone Value Set:
... conclusion-institution-email Value Set:

doco Documentation for this format

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