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
| Draft nuo 2025-03-24 |
{
"resourceType" : "ConceptMap",
"id" : "conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate",
"language" : "lt",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate</b></p><a name=\"lt-conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate\"> </a><a name=\"lt-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>"
},
"url" : "https://hl7.lt/fhir/prostate/ConceptMap/prostate-adpp-questionnaire-to-fhir",
"version" : "0.1.0",
"name" : "ProstateAdppQuestionnaireToFhir",
"title" : "ADPP Questionnaire items to FHIR mapping",
"status" : "draft",
"experimental" : true,
"date" : "2025-03-24",
"publisher" : "Lithuanian Medical Library",
"contact" : [
{
"name" : "Lithuanian Medical Library",
"telecom" : [
{
"system" : "url",
"value" : "https://medicinosnk.lt"
},
{
"system" : "email",
"value" : "info@medicinosnk.lt"
}
]
}
],
"description" : "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" : "urn:iso:std:iso:3166",
"code" : "LT"
}
]
}
],
"group" : [
{
"source" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-adpp-questionnaire-item|0.0.1",
"target" : "https://tx.hl7.lt/fhir/CodeSystem/prostate-fhir-mapping-target|0.0.1",
"element" : [
{
"code" : "assessment-datetime",
"display" : "Assessment date and time",
"target" : [
{
"code" : "encounter-period",
"display" : "Encounter.period",
"relationship" : "related-to",
"comment" : "Maps to EncounterLt.period (or effectiveDateTime on Observations created in this visit). Example: Encounter-encounter-prostate-diagnostic-example."
}
]
},
{
"code" : "referral-reason",
"display" : "Reason for referral / programme entry",
"target" : [
{
"code" : "servicerequest-reason",
"display" : "ServiceRequest.reasonCode",
"relationship" : "related-to",
"comment" : "Populate ServiceRequestLt.reasonCode or Encounter.reasonCode. Example: ServiceRequest-servicerequest-pathology-prostate-order-example (LT Lab CI)."
}
]
},
{
"code" : "psa-recorded",
"display" : "PSA measured at this visit (flag)",
"target" : [
{
"code" : "observation-psa-serum",
"display" : "Observation: PSA LOINC 2857-1",
"relationship" : "related-to",
"comment" : "Boolean flag; actual value is ObservationLt with LOINC 2857-1. Example: Observation-observation-prostate-psa-example."
}
]
},
{
"code" : "dre-result",
"display" : "Digital rectal examination (summary)",
"target" : [
{
"code" : "observation-dre-finding",
"display" : "Observation: DRE finding",
"relationship" : "related-to",
"comment" : "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."
}
]
},
{
"code" : "family-hx-prostate",
"display" : "Family history: prostate cancer",
"target" : [
{
"code" : "family-member-history-cancer",
"display" : "FamilyMemberHistory",
"relationship" : "related-to",
"comment" : "Use FamilyMemberHistory with SNOMED situation codes (e.g. 414205003) as in national form notes. LT Base FamilyMemberHistory if profiled."
}
]
},
{
"code" : "family-hx-breast",
"display" : "Family history: breast cancer",
"target" : [
{
"code" : "family-member-history-cancer",
"relationship" : "related-to",
"comment" : "Same as family-hx-prostate; different relationship code."
}
]
},
{
"code" : "family-hx-ovarian",
"display" : "Family history: ovarian cancer",
"target" : [
{
"code" : "family-member-history-cancer",
"relationship" : "related-to",
"comment" : "Same pattern as other family history items."
}
]
},
{
"code" : "family-hx-colon",
"display" : "Family history: colorectal cancer",
"target" : [
{
"code" : "family-member-history-cancer",
"relationship" : "related-to",
"comment" : "Same pattern as other family history items."
}
]
},
{
"code" : "height-cm",
"display" : "Height (cm)",
"target" : [
{
"code" : "observation-body-height",
"relationship" : "related-to",
"comment" : "LT VitalSigns body height Observation. CI: Observation-observation-body-height-example."
}
]
},
{
"code" : "weight-kg",
"display" : "Weight (kg)",
"target" : [
{
"code" : "observation-body-weight",
"relationship" : "related-to",
"comment" : "LT VitalSigns body weight Observation."
}
]
},
{
"code" : "bmi-kg-m2",
"display" : "BMI (kg/m²)",
"target" : [
{
"code" : "observation-bmi",
"relationship" : "related-to",
"comment" : "BMI Observation (LOINC 39156-5 or SNOMED 60621009). May be derived from height/weight."
}
]
},
{
"code" : "first-psa-ngml",
"display" : "First PSA (ng/ml)",
"target" : [
{
"code" : "observation-prior-psa",
"relationship" : "related-to",
"comment" : "ObservationLt PSA with effectiveDate aligned to first-psa-date."
}
]
},
{
"code" : "first-psa-date",
"display" : "First PSA date",
"target" : [
{
"code" : "observation-prior-psa",
"relationship" : "related-to",
"comment" : "Observation.effective for the first PSA Observation."
}
]
},
{
"code" : "second-psa-ngml",
"display" : "Second PSA (ng/ml)",
"target" : [
{
"code" : "observation-prior-psa",
"relationship" : "related-to",
"comment" : "Second PSA Observation instance with effectiveDate from second-psa-date."
}
]
},
{
"code" : "second-psa-date",
"display" : "Second PSA date",
"target" : [
{
"code" : "observation-prior-psa",
"relationship" : "related-to",
"comment" : "Observation.effective for the second PSA Observation."
}
]
},
{
"code" : "prior-mpmri",
"display" : "Prior mpMRI documented",
"target" : [
{
"code" : "observation-mpmri-history",
"relationship" : "related-to",
"comment" : "Procedure or ImagingStudy + DiagnosticReport summary; or Observation with history context. Link to PI-RADS via prior-mpmri-pirads."
}
]
},
{
"code" : "prior-mpmri-pirads",
"display" : "Prior mpMRI PI-RADS category",
"target" : [
{
"code" : "observation-mpmri-history",
"relationship" : "related-to",
"comment" : "Align with PIRADSAssessmentLtProstate or past report narrative; not a substitute for full mpMRI bundle."
}
]
},
{
"code" : "prior-prostatectomy",
"display" : "Prior prostatectomy",
"target" : [
{
"code" : "procedure-prior-prostate-surgery",
"relationship" : "related-to",
"comment" : "Procedure completed (ProcedureLt); national form also captures date — add Observation or Procedure.performedPeriod when available."
}
]
},
{
"code" : "prior-prostate-radiation",
"display" : "Prior prostate radiotherapy",
"target" : [
{
"code" : "procedure-prior-prostate-radiation",
"relationship" : "related-to",
"comment" : "Procedure or History of radiation therapy (429479009) as situation Observation."
}
]
},
{
"code" : "anticoagulant-use",
"display" : "Anticoagulant use",
"target" : [
{
"code" : "medicationstatement-anticoagulant",
"relationship" : "related-to",
"comment" : "MedicationStatement or MedicationRequest; not profiled in this IG."
}
]
},
{
"code" : "complaints-anamnesis",
"display" : "Complaints, anamnesis",
"target" : [
{
"code" : "clinical-impression-or-note",
"relationship" : "related-to",
"comment" : "Free text: Encounter.reasonCode text, ClinicalImpression.summary, or DocumentReference."
}
]
},
{
"code" : "specialist-additional-info",
"display" : "Additional information for specialist",
"target" : [
{
"code" : "clinical-impression-or-note",
"relationship" : "related-to",
"comment" : "Same as complaints-anamnesis; often copied to ServiceRequest.note or referral DocumentReference."
}
]
}
]
}
]
}