Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build
Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build
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
| Oficialus URL: https://hl7.lt/fhir/prostate/ConceptMap/prostate-adpp-questionnaire-to-fhir | Versija: 0.1.0 | ||||
| Mašiniškai apdorojamas pavadinimas: ProstateAdppQuestionnaireToFhir | |||||
Maps ADPP primary assessment Questionnaire linkIds to LT Base / VitalSigns / Lifestyle / Lab patterns. Not a substitute for $extract or national transform logic.
Language: lt
Mapping from (not specified) to (not specified)
Group 1 Mapping from ADPP primary assessment Questionnaire item (linkId)version: 0.0.1) to Prostate questionnaire → FHIR mapping target (illustrative)version: 0.0.1)
| Source Code | Relationship | Target Code | Comment |
| assessment-datetime (Assessment date and time) | is related to | encounter-period (Encounter.period) | Maps to EncounterLt.period (or effectiveDateTime on Observations created in this visit). Example: Encounter-encounter-prostate-diagnostic-example. |
| referral-reason (Reason for referral / programme entry) | is related to | servicerequest-reason (ServiceRequest.reasonCode) | Populate ServiceRequestLt.reasonCode or Encounter.reasonCode. Example: ServiceRequest-servicerequest-pathology-prostate-order-example (LT Lab CI). |
| psa-recorded (PSA measured at this visit (flag)) | is related to | observation-psa-serum (Observation: PSA LOINC 2857-1) | Boolean flag; actual value is ObservationLt with LOINC 2857-1. Example: Observation-observation-prostate-psa-example. |
| dre-result (Digital rectal examination (summary)) | is related to | observation-dre-finding (Observation: DRE finding) | 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. |
| family-hx-prostate (Family history: prostate cancer) | is related to | family-member-history-cancer (FamilyMemberHistory) | Use FamilyMemberHistory with SNOMED situation codes (e.g. 414205003) as in national form notes. LT Base FamilyMemberHistory if profiled. |
| family-hx-breast (Family history: breast cancer) | is related to | family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history) | Same as family-hx-prostate; different relationship code. |
| family-hx-ovarian (Family history: ovarian cancer) | is related to | family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history) | Same pattern as other family history items. |
| family-hx-colon (Family history: colorectal cancer) | is related to | family-member-history-cancer (FamilyMemberHistory (Base patterns) for oncologic family history) | Same pattern as other family history items. |
| height-cm (Height (cm)) | is related to | observation-body-height (Observation: body height (LT VitalSigns patterns)) | LT VitalSigns body height Observation. CI: Observation-observation-body-height-example. |
| weight-kg (Weight (kg)) | is related to | observation-body-weight (Observation: body weight (LT VitalSigns patterns)) | LT VitalSigns body weight Observation. |
| bmi-kg-m2 (BMI (kg/m²)) | is related to | observation-bmi (Observation: BMI (derived or LOINC)) | BMI Observation (LOINC 39156-5 or SNOMED 60621009). May be derived from height/weight. |
| first-psa-ngml (First PSA (ng/ml)) | is related to | observation-prior-psa (Observation: prior PSA value with effective time) | ObservationLt PSA with effectiveDate aligned to first-psa-date. |
| first-psa-date | is related to | observation-prior-psa (Observation: prior PSA value with effective time) | Observation.effective for the first PSA Observation. |
| second-psa-ngml (Second PSA (ng/ml)) | is related to | observation-prior-psa (Observation: prior PSA value with effective time) | Second PSA Observation instance with effectiveDate from second-psa-date. |
| second-psa-date | is related to | observation-prior-psa (Observation: prior PSA value with effective time) | Observation.effective for the second PSA Observation. |
| prior-mpmri (Prior mpMRI documented) | is related to | observation-mpmri-history (Observation or Procedure: prior mpMRI / PI-RADS summary) | Procedure or ImagingStudy + DiagnosticReport summary; or Observation with history context. Link to PI-RADS via prior-mpmri-pirads. |
| prior-mpmri-pirads (Prior mpMRI PI-RADS category) | is related to | observation-mpmri-history (Observation or Procedure: prior mpMRI / PI-RADS summary) | Align with PIRADSAssessmentLtProstate or past report narrative; not a substitute for full mpMRI bundle. |
| prior-prostatectomy | is related to | procedure-prior-prostate-surgery (Procedure: prior prostate surgery) | Procedure completed (ProcedureLt); national form also captures date — add Observation or Procedure.performedPeriod when available. |
| prior-prostate-radiation (Prior prostate radiotherapy) | is related to | procedure-prior-prostate-radiation (Procedure: prior prostate radiotherapy) | Procedure or History of radiation therapy (429479009) as situation Observation. |
| anticoagulant-use | is related to | medicationstatement-anticoagulant (MedicationStatement: anticoagulant use) | MedicationStatement or MedicationRequest; not profiled in this IG. |
| complaints-anamnesis (Complaints, anamnesis) | is related to | clinical-impression-or-note (Encounter / DocumentReference / ClinicalImpression for free-text programme notes) | Free text: Encounter.reasonCode text, ClinicalImpression.summary, or DocumentReference. |
| specialist-additional-info (Additional information for specialist) | is related to | clinical-impression-or-note (Encounter / DocumentReference / ClinicalImpression for free-text programme notes) | Same as complaints-anamnesis; often copied to ServiceRequest.note or referral DocumentReference. |