Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania flag

Lithuanian Prostate Diagnostics 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-prostate/ and changes regularly. See the Directory of published versions

ConceptMap: ConceptMap: Prostate pathology Questionnaire → FHIR mapping (Experimental)

Official URL: https://hl7.lt/fhir/prostate/ConceptMap/prostate-pathology-questionnaire-to-fhir Version: 0.1.0
Computable Name: ProstatePathologyQuestionnaireToFhir

Maps dr-prostate-aligned pathology Questionnaire linkIds to LT Lab and LT Prostate Gleason/ISUP patterns.

Language: en

Mapping from (not specified) to (not specified)


Group 1 Mapping from Prostate pathology ESPBI Questionnaire item (linkId)version: 0.0.1) to Prostate questionnaire → FHIR mapping target (illustrative)version: 0.0.1)

Source CodeRelationshipTarget CodeComment
bioptate-length-mm (Bioptate length (mm))is related tospecimen-dimension-or-measurement (Specimen / Observation specimen measurement (TumorMeasurementLtLab, gross))Specimen dimension or Observation-observation-specimen-measurement-example (LT Lab).
specimen-quality (Quality of materials)is related tospecimen-adequacy-finding (Observation: specimen adequacy (LT Lab))Observation-observation-specimen-adequacy-example (LT Lab); map answerCoding to SNOMED finding codes from national spec.
treatment-effect (Treatment effect on tumour)is related toobservation-tumor-treatment-effect (Observation: tumor treatment effect (TumorObservableLtLab))TumorObservableLtLab or narrative in DiagnosticReport; map radiotherapy/hormone SNOMED from spreadsheet.
histological-type (Primary histological type)is related tocondition-morphology-prostate (Condition / morphology (ProstateConditionLtLab, ICD-O))Condition.code / morphology; Condition-condition-prostate-cancer-example (LT Lab) for integrated staging.
histological-comment (Histological type comment)is related tocondition-morphology-prostate (Condition / morphology (ProstateConditionLtLab, ICD-O))Condition.note or Observation.note; complements histological-type.
isup-grade-groupis related toobservation-gleason-isup-prostate (GleasonIsupObservationLtProstate + ProstateIsupGradeGroupVS)GleasonIsupObservationLtProstate + ValueSet prostate-isup-grade-group. Example: Observation-observation-prostate-gleason-gradegroup-example.
idc-status (Intraductal carcinoma (IDC))is related toobservation-tumor-microscopic-idc (TumorObservableLtLab / morphology for IDC)TumorObservableLtLab / morphology Observation; national form has additional IDC sub-questions.
cribriform-status (Cribriform glands)is related toobservation-tumor-microscopic-cribriform (TumorObservableLtLab / morphology for cribriform)TumorObservableLtLab or structured finding Observation.
pattern4-pct-band (Pattern 4 quantity (percent band))is related toobservation-pattern4-percent (Observation: Pattern 4 percent band (lab tumour measurement patterns))TumorMeasurementLtLab or lab tumour Observation; dr-prostate has finer bands than this Questionnaire.
tumor-percent-in-biopsy (Tumour percentage in biopsy tissue)is related toobservation-tumor-burden-percent (Observation: tumour percentage in biopsy tissue)Quantitative tumour assessment row in dr-prostate; map to Observation ratio or coded category.
periprostatic-fat-invasionis related toobservation-periprostatic-invasion (Observation: periprostatic fat / seminal vesicle invasion (LT Lab tumour findings))NeoplasmInvasionLtProstate (imaging) vs microscopic finding in pathology Observation; use LT Lab tumour findings for biopsy.
perineural-invasionis related toobservation-perineural-invasion (Observation: perineural invasion finding (LT Lab tumour findings))SNOMED 369731000 (present), 370051000 (absent), 385001000 (not identified), 396393005 (indeterminate); use LT Lab tumour findings.
lymphovascular-invasion (Lymphatic and/or vascular tumour invasion)is related toobservation-lymphovascular-invasion (Observation: lymphovascular invasion finding (LT Lab tumour findings))SNOMED 385414009 Lymphatic (small vessel) tumor invasion finding; use LT Lab tumour findings for biopsy microscopic assessment.