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

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)

Official URL: https://hl7.lt/fhir/lung/Questionnaire/questionnaire-ldct-lt-lung Version: 0.0.1
Computable Name: LdctQuestionnaireLtLung

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

Language: en

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-name Radiology technologist (qualification, name) 0..1 string Value Set:
.... facility-name Healthcare institution name and code 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
.... emphysema Emphysema 0..1 coding Value Set:
Options: 2 options
..... emphysema-severity Emphysema severity 0..1 coding Value Set:
Options: 2 options
.... bronchiectasis Bronchiectasis 0..1 coding Value Set:
Options: 2 options
.... pleural-fluid Fluid in the pleural cavity 0..1 coding Value Set:
Options: 2 options
.... pleural-changes Pleural changes 0..1 coding Value Set:
Options: 2 options
.... pneumothorax Pneumothorax 0..1 coding Value Set:
Options: 2 options
.... pneumomediastinum Pneumomediastinum 0..1 coding Value Set:
Options: 2 options
.... diaphragm-changes Changes in diaphragms 0..1 coding Value Set:
Options: 2 options
.... consolidation Consolidation 0..1 coding Value Set:
Options: 2 options
.... tuberculosis Tuberculosis 0..1 coding Value Set:
Options: 2 options
.... coronary-calcification Coronary artery calcification 0..1 coding Value Set:
Options: 2 options
.... aortic-valve-calcification Aortic valve calcification 0..1 coding Value Set:
Options: 2 options
.... thoracic-aortic-aneurysm Thoracic aortic aneurysm (dilation >=45mm) 0..1 coding Value Set:
Options: 2 options
.... mediastinal-mass Mediastinal mass 0..1 coding Value Set:
Options: 2 options
.... lymphadenopathy Lymphadenopathy (>=15mm) 0..1 coding Value Set:
Options: 2 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
.... esophageal-changes Changes in the esophagus 0..1 coding 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..1 coding Value Set:
Options: 2 options
.... liver-lesions Liver lesions 0..1 coding Value Set:
Options: 2 options
.... kidney-lesions Kidney lesions 0..1 coding Value Set:
Options: 2 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
.... gallbladder-changes Changes in the gallbladder 0..1 coding Value Set:
Options: 2 options
... 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 0..1 coding Value Set:
Options: 8 options
.... conclusion-notes Conclusion notes 0..1 text Value Set:
.... specialist-name Specialist who formulated conclusions (qualification, name) 0..1 string Value Set:
.... conclusion-institution Institution where conclusions were formulated (name, code) 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 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 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-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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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")
  • https://tx.hl7.lt/fhir/CodeSystem/lung-questionnaire-options#lung-rads-s ("LUNG-RADS S – Additional recommendation")

Language: en

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:

Radiology technologist (qualification, name)

  • linkId: technologist-name
  • Answers:

Healthcare institution name and code

  • linkId: facility-name
  • 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)

Emphysema

Emphysema severity

Bronchiectasis

Fluid in the pleural cavity

Pleural changes

Pneumothorax

Pneumomediastinum

Changes in diaphragms

Consolidation

Tuberculosis

Significant incidental findings not in the lungs

  • linkId: grp-incidental-extra
  • Answers:

Coronary artery calcification

Aortic valve calcification

Thoracic aortic aneurysm (dilation >=45mm)

Mediastinal mass

Lymphadenopathy (>=15mm)

Thyroid changes (suspicious nodules)

Fluid in the pericardial cavity (significant)

Changes in the esophagus

Abdominal aortic aneurysm

Suspicious findings in the breasts

Liver lesions

Kidney lesions

Changes in bones

Adrenal formations

Changes in the gallbladder

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

Conclusion notes

  • linkId: conclusion-notes
  • Answers:

Specialist who formulated conclusions (qualification, name)

  • linkId: specialist-name
  • Answers:

Institution where conclusions were formulated (name, code)

  • linkId: conclusion-institution
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-general Value Set:
... exam-date Value Set:
... previous-exam-date Value Set:
... ctdivol Value Set:
... technologist-name Value Set:
... facility-name 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
... emphysema Value Set:
Options: 2 options
.... emphysema-severity Value Set:
Options: 2 options
... bronchiectasis Value Set:
Options: 2 options
... pleural-fluid Value Set:
Options: 2 options
... pleural-changes Value Set:
Options: 2 options
... pneumothorax Value Set:
Options: 2 options
... pneumomediastinum Value Set:
Options: 2 options
... diaphragm-changes Value Set:
Options: 2 options
... consolidation Value Set:
Options: 2 options
... tuberculosis Value Set:
Options: 2 options
.. grp-incidental-extra Value Set:
... coronary-calcification Value Set:
Options: 2 options
... aortic-valve-calcification Value Set:
Options: 2 options
... thoracic-aortic-aneurysm Value Set:
Options: 2 options
... mediastinal-mass Value Set:
Options: 2 options
... lymphadenopathy Value Set:
Options: 2 options
... thyroid-nodules Value Set:
Options: 2 options
... pericardial-effusion Value Set:
Options: 2 options
... esophageal-changes Value Set:
Options: 2 options
... abdominal-aortic-aneurysm Value Set:
Options: 2 options
... breast-findings Value Set:
Options: 2 options
... liver-lesions Value Set:
Options: 2 options
... kidney-lesions Value Set:
Options: 2 options
... bone-changes Value Set:
Options: 2 options
... adrenal-formations Value Set:
Options: 2 options
... gallbladder-changes Value Set:
Options: 2 options
.. grp-notes Value Set:
... notes Value Set:
.. grp-conclusion Value Set:
... lung-rads-category Value Set:
Options: 8 options
... conclusion-notes Value Set:
... specialist-name Value Set:
... conclusion-institution Value Set:

doco Documentation for this format

Test this Questionnaire

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Responses for this Questionnaire