<?xml version="1.0" encoding="UTF-8"?>

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ConceptMap conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate</b></p><a name="conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate"> </a><a name="hcconceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p></div><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href="CodeSystem-prostate-adpp-questionnaire-item.html">ADPP primary assessment Questionnaire item (linkId)version: 0.0.1)</a> to <a href="CodeSystem-prostate-fhir-mapping-target.html">Prostate questionnaire → FHIR mapping target (illustrative)version: 0.0.1)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>assessment-datetime (Assessment date and time)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>encounter-period (Encounter.period)</td><td>Maps to EncounterLt.period (or effectiveDateTime on Observations created in this visit). Example: Encounter-encounter-prostate-diagnostic-example.</td></tr><tr><td>referral-reason (Reason for referral / programme entry)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>servicerequest-reason (ServiceRequest.reasonCode)</td><td>Populate ServiceRequestLt.reasonCode or Encounter.reasonCode. Example: ServiceRequest-servicerequest-pathology-prostate-order-example (LT Lab CI).</td></tr><tr><td>psa-recorded (PSA measured at this visit (flag))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-psa-serum (Observation: PSA LOINC 2857-1)</td><td>Boolean flag; actual value is ObservationLt with LOINC 2857-1. Example: Observation-observation-prostate-psa-example.</td></tr><tr><td>dre-result (Digital rectal examination (summary))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-dre-finding (Observation: DRE finding)</td><td>No dedicated DRE profile in LT Prostate; use ObservationLt (exam) with SNOMED or national codes. National spreadsheets add texture options (e.g. 276385001 Soft prostate) — extend answerOption and map to valueCodeableConcept.</td></tr><tr><td>family-hx-prostate (Family history: prostate cancer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>family-member-history-cancer (FamilyMemberHistory)</td><td>Use FamilyMemberHistory with SNOMED situation codes (e.g. 414205003) as in national form notes. LT Base FamilyMemberHistory if profiled.</td></tr><tr><td>family-hx-breast (Family history: breast cancer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history)</td><td>Same as family-hx-prostate; different relationship code.</td></tr><tr><td>family-hx-ovarian (Family history: ovarian cancer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history)</td><td>Same pattern as other family history items.</td></tr><tr><td>family-hx-colon (Family history: colorectal cancer)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history)</td><td>Same pattern as other family history items.</td></tr><tr><td>height-cm (Height (cm))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-body-height (Observation: body height (LT VitalSigns patterns))</td><td>LT VitalSigns body height Observation. CI: Observation-observation-body-height-example.</td></tr><tr><td>weight-kg (Weight (kg))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-body-weight (Observation: body weight (LT VitalSigns patterns))</td><td>LT VitalSigns body weight Observation.</td></tr><tr><td>bmi-kg-m2 (BMI (kg/m²))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-bmi (Observation: BMI (derived or LOINC))</td><td>BMI Observation (LOINC 39156-5 or SNOMED 60621009). May be derived from height/weight.</td></tr><tr><td>first-psa-ngml (First PSA (ng/ml))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-prior-psa (Observation: prior PSA value with effective time)</td><td>ObservationLt PSA with effectiveDate aligned to first-psa-date.</td></tr><tr><td>first-psa-date</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-prior-psa (Observation: prior PSA value with effective time)</td><td>Observation.effective for the first PSA Observation.</td></tr><tr><td>second-psa-ngml (Second PSA (ng/ml))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-prior-psa (Observation: prior PSA value with effective time)</td><td>Second PSA Observation instance with effectiveDate from second-psa-date.</td></tr><tr><td>second-psa-date</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-prior-psa (Observation: prior PSA value with effective time)</td><td>Observation.effective for the second PSA Observation.</td></tr><tr><td>prior-mpmri (Prior mpMRI documented)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-mpmri-history (Observation or Procedure: prior mpMRI / PI-RADS summary)</td><td>Procedure or ImagingStudy + DiagnosticReport summary; or Observation with history context. Link to PI-RADS via prior-mpmri-pirads.</td></tr><tr><td>prior-mpmri-pirads (Prior mpMRI PI-RADS category)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>observation-mpmri-history (Observation or Procedure: prior mpMRI / PI-RADS summary)</td><td>Align with PIRADSAssessmentLtProstate or past report narrative; not a substitute for full mpMRI bundle.</td></tr><tr><td>prior-prostatectomy</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>procedure-prior-prostate-surgery (Procedure: prior prostate surgery)</td><td>Procedure completed (ProcedureLt); national form also captures date — add Observation or Procedure.performedPeriod when available.</td></tr><tr><td>prior-prostate-radiation (Prior prostate radiotherapy)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>procedure-prior-prostate-radiation (Procedure: prior prostate radiotherapy)</td><td>Procedure or History of radiation therapy (429479009) as situation Observation.</td></tr><tr><td>anticoagulant-use</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>medicationstatement-anticoagulant (MedicationStatement: anticoagulant use)</td><td>MedicationStatement or MedicationRequest; not profiled in this IG.</td></tr><tr><td>complaints-anamnesis (Complaints, anamnesis)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>clinical-impression-or-note (Encounter / DocumentReference / ClinicalImpression for free-text programme notes)</td><td>Free text: Encounter.reasonCode text, ClinicalImpression.summary, or DocumentReference.</td></tr><tr><td>specialist-additional-info (Additional information for specialist)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#related-to" title="related-to">is related to</a></td><td>clinical-impression-or-note (Encounter / DocumentReference / ClinicalImpression for free-text programme notes)</td><td>Same as complaints-anamnesis; often copied to ServiceRequest.note or referral DocumentReference.</td></tr></table></div>
  </text>
  <url value="https://hl7.lt/fhir/prostate/ConceptMap/prostate-adpp-questionnaire-to-fhir"/>
  <version value="0.1.0"/>
  <name value="ProstateAdppQuestionnaireToFhir"/>
  <title value="ADPP Questionnaire items to FHIR mapping"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-03-24"/>
  <publisher value="Lithuanian Medical Library"/>
  <contact>
    <name value="Lithuanian Medical Library"/>
    <telecom>
      <system value="url"/>
      <value value="https://medicinosnk.lt"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@medicinosnk.lt"/>
    </telecom>
  </contact>
  <description value="Maps ADPP primary assessment Questionnaire linkIds to LT Base / VitalSigns / Lifestyle / Lab patterns. Not a substitute for $extract or national transform logic."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="LT"/>
    </coding>
  </jurisdiction>
  <group>
    <source value="https://tx.hl7.lt/fhir/CodeSystem/prostate-adpp-questionnaire-item|0.0.1"/>
    <target value="https://tx.hl7.lt/fhir/CodeSystem/prostate-fhir-mapping-target|0.0.1"/>
    <element>
      <code value="assessment-datetime"/>
      <display value="Assessment date and time"/>
      <target>
        <code value="encounter-period"/>
        <display value="Encounter.period"/>
        <relationship value="related-to"/>
        <comment value="Maps to EncounterLt.period (or effectiveDateTime on Observations created in this visit). Example: Encounter-encounter-prostate-diagnostic-example."/>
      </target>
    </element>
    <element>
      <code value="referral-reason"/>
      <display value="Reason for referral / programme entry"/>
      <target>
        <code value="servicerequest-reason"/>
        <display value="ServiceRequest.reasonCode"/>
        <relationship value="related-to"/>
        <comment value="Populate ServiceRequestLt.reasonCode or Encounter.reasonCode. Example: ServiceRequest-servicerequest-pathology-prostate-order-example (LT Lab CI)."/>
      </target>
    </element>
    <element>
      <code value="psa-recorded"/>
      <display value="PSA measured at this visit (flag)"/>
      <target>
        <code value="observation-psa-serum"/>
        <display value="Observation: PSA LOINC 2857-1"/>
        <relationship value="related-to"/>
        <comment value="Boolean flag; actual value is ObservationLt with LOINC 2857-1. Example: Observation-observation-prostate-psa-example."/>
      </target>
    </element>
    <element>
      <code value="dre-result"/>
      <display value="Digital rectal examination (summary)"/>
      <target>
        <code value="observation-dre-finding"/>
        <display value="Observation: DRE finding"/>
        <relationship value="related-to"/>
        <comment value="No dedicated DRE profile in LT Prostate; use ObservationLt (exam) with SNOMED or national codes. National spreadsheets add texture options (e.g. 276385001 Soft prostate) — extend answerOption and map to valueCodeableConcept."/>
      </target>
    </element>
    <element>
      <code value="family-hx-prostate"/>
      <display value="Family history: prostate cancer"/>
      <target>
        <code value="family-member-history-cancer"/>
        <display value="FamilyMemberHistory"/>
        <relationship value="related-to"/>
        <comment value="Use FamilyMemberHistory with SNOMED situation codes (e.g. 414205003) as in national form notes. LT Base FamilyMemberHistory if profiled."/>
      </target>
    </element>
    <element>
      <code value="family-hx-breast"/>
      <display value="Family history: breast cancer"/>
      <target>
        <code value="family-member-history-cancer"/>
        <relationship value="related-to"/>
        <comment value="Same as family-hx-prostate; different relationship code."/>
      </target>
    </element>
    <element>
      <code value="family-hx-ovarian"/>
      <display value="Family history: ovarian cancer"/>
      <target>
        <code value="family-member-history-cancer"/>
        <relationship value="related-to"/>
        <comment value="Same pattern as other family history items."/>
      </target>
    </element>
    <element>
      <code value="family-hx-colon"/>
      <display value="Family history: colorectal cancer"/>
      <target>
        <code value="family-member-history-cancer"/>
        <relationship value="related-to"/>
        <comment value="Same pattern as other family history items."/>
      </target>
    </element>
    <element>
      <code value="height-cm"/>
      <display value="Height (cm)"/>
      <target>
        <code value="observation-body-height"/>
        <relationship value="related-to"/>
        <comment value="LT VitalSigns body height Observation. CI: Observation-observation-body-height-example."/>
      </target>
    </element>
    <element>
      <code value="weight-kg"/>
      <display value="Weight (kg)"/>
      <target>
        <code value="observation-body-weight"/>
        <relationship value="related-to"/>
        <comment value="LT VitalSigns body weight Observation."/>
      </target>
    </element>
    <element>
      <code value="bmi-kg-m2"/>
      <display value="BMI (kg/m²)"/>
      <target>
        <code value="observation-bmi"/>
        <relationship value="related-to"/>
        <comment value="BMI Observation (LOINC 39156-5 or SNOMED 60621009). May be derived from height/weight."/>
      </target>
    </element>
    <element>
      <code value="first-psa-ngml"/>
      <display value="First PSA (ng/ml)"/>
      <target>
        <code value="observation-prior-psa"/>
        <relationship value="related-to"/>
        <comment value="ObservationLt PSA with effectiveDate aligned to first-psa-date."/>
      </target>
    </element>
    <element>
      <code value="first-psa-date"/>
      <display value="First PSA date"/>
      <target>
        <code value="observation-prior-psa"/>
        <relationship value="related-to"/>
        <comment value="Observation.effective for the first PSA Observation."/>
      </target>
    </element>
    <element>
      <code value="second-psa-ngml"/>
      <display value="Second PSA (ng/ml)"/>
      <target>
        <code value="observation-prior-psa"/>
        <relationship value="related-to"/>
        <comment value="Second PSA Observation instance with effectiveDate from second-psa-date."/>
      </target>
    </element>
    <element>
      <code value="second-psa-date"/>
      <display value="Second PSA date"/>
      <target>
        <code value="observation-prior-psa"/>
        <relationship value="related-to"/>
        <comment value="Observation.effective for the second PSA Observation."/>
      </target>
    </element>
    <element>
      <code value="prior-mpmri"/>
      <display value="Prior mpMRI documented"/>
      <target>
        <code value="observation-mpmri-history"/>
        <relationship value="related-to"/>
        <comment value="Procedure or ImagingStudy + DiagnosticReport summary; or Observation with history context. Link to PI-RADS via prior-mpmri-pirads."/>
      </target>
    </element>
    <element>
      <code value="prior-mpmri-pirads"/>
      <display value="Prior mpMRI PI-RADS category"/>
      <target>
        <code value="observation-mpmri-history"/>
        <relationship value="related-to"/>
        <comment value="Align with PIRADSAssessmentLtProstate or past report narrative; not a substitute for full mpMRI bundle."/>
      </target>
    </element>
    <element>
      <code value="prior-prostatectomy"/>
      <display value="Prior prostatectomy"/>
      <target>
        <code value="procedure-prior-prostate-surgery"/>
        <relationship value="related-to"/>
        <comment value="Procedure completed (ProcedureLt); national form also captures date — add Observation or Procedure.performedPeriod when available."/>
      </target>
    </element>
    <element>
      <code value="prior-prostate-radiation"/>
      <display value="Prior prostate radiotherapy"/>
      <target>
        <code value="procedure-prior-prostate-radiation"/>
        <relationship value="related-to"/>
        <comment value="Procedure or History of radiation therapy (429479009) as situation Observation."/>
      </target>
    </element>
    <element>
      <code value="anticoagulant-use"/>
      <display value="Anticoagulant use"/>
      <target>
        <code value="medicationstatement-anticoagulant"/>
        <relationship value="related-to"/>
        <comment value="MedicationStatement or MedicationRequest; not profiled in this IG."/>
      </target>
    </element>
    <element>
      <code value="complaints-anamnesis"/>
      <display value="Complaints, anamnesis"/>
      <target>
        <code value="clinical-impression-or-note"/>
        <relationship value="related-to"/>
        <comment value="Free text: Encounter.reasonCode text, ClinicalImpression.summary, or DocumentReference."/>
      </target>
    </element>
    <element>
      <code value="specialist-additional-info"/>
      <display value="Additional information for specialist"/>
      <target>
        <code value="clinical-impression-or-note"/>
        <relationship value="related-to"/>
        <comment value="Same as complaints-anamnesis; often copied to ServiceRequest.note or referral DocumentReference."/>
      </target>
    </element>
  </group>
</ConceptMap>