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

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

Questionnaire: Prostate cancer prevention — primary assessment

Oficialus URL: https://hl7.lt/fhir/prostate/Questionnaire/prostate-adpp-primary-assessment Versija: 0.2.0
Mašiniškai apdorojamas pavadinimas: ProstateAdppPrimaryAssessment

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ProstateAdppPrimaryAssessment Questionnaire https://hl7.lt/fhir/prostate/Questionnaire/prostate-adpp-primary-assessment#0.2.0
... grp-context Visit context 0..1 group Value Set:
.... assessment-datetime Assessment date and time 1..1 dateTime Value Set:
.... referral-reason Reason for referral / programme entry 0..1 coding Value Set:
Options: 3 options
... grp-clinical Clinical findings (same visit) 0..1 group Value Set:
.... race Race 1..1 string Value Set:
.... psa-recorded PSA measured at this visit 0..1 boolean Value Set:
.... dre-result Digital rectal examination (multiselect) 0..* coding Value Set:
Options: 7 options
... grp-family-history Family oncological history (first-degree) 0..1 group Value Set:
.... family-hx-prostate Prostate cancer 0..1 coding Value Set:
Options: 3 options
.... family-hx-breast Breast cancer 0..1 coding Value Set:
Options: 3 options
.... family-hx-ovarian Ovarian cancer 0..1 coding Value Set:
Options: 3 options
.... family-hx-colon Colorectal cancer 0..1 coding Value Set:
Options: 3 options
.... height-cm Height (cm) 0..1 quantity Value Set:
.... weight-kg Weight (kg) 0..1 quantity Value Set:
.... bmi-kg-m2 BMI (kg/m²) 0..1 quantity Value Set:
... grp-psa-history PSA history 0..1 group Value Set:
.... first-psa-ngml First PSA (ng/ml) 0..1 quantity Value Set:
.... first-psa-date First PSA date (at least year-month) 0..1 date Value Set:
.... second-psa-ngml Second PSA (ng/ml) 0..1 quantity Value Set:
.... second-psa-date Second PSA date (at least year-month) 0..1 date Value Set:
... grp-prior-imaging Prior prostate mpMRI 0..1 group Value Set:
.... prior-mpmri Prior mpMRI documented 0..1 boolean Value Set:
.... prior-mpmri-pirads Prior mpMRI PI-RADS category 0..1 coding Value Set:
Options: 4 options
... grp-prior-therapy Prior prostate-directed therapy and anticoagulation 0..1 group Value Set:
.... prior-prostatectomy Prior prostatectomy 0..1 boolean Value Set:
.... prior-prostate-radiation Prior prostate radiotherapy 0..1 boolean Value Set:
.... anticoagulant-use Anticoagulant use 0..1 boolean Value Set:
... grp-systemic Systemic diseases 0..1 group Value Set:
.... systemic-diseases Systemic diseases (e.g. RA, myeloma, immunosuppression) 0..1 text Value Set:
.... systemic-diseases-date Diagnosis date (year-month) 0..1 date Value Set:
... grp-narrative Narrative 0..1 group Value Set:
.... complaints-anamnesis Complaints, anamnesis 0..1 text Value Set:
.... specialist-additional-info Additional description for specialist 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for referral-reason

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#referral-screening ("Referral for screening")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#referral-elevated-psa ("Referral for elevated PSA")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#referral-other ("Other referral reason")

Answer options for dre-result

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#dre-not-done ("DRE not performed")
  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#standard-prostate ("Standard")
  • http://snomed.info/sct#276387009 ("Hard")
  • http://snomed.info/sct#276385001 ("Soft")
  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#flexible-prostate ("Flexible")
  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#inflexible-prostate ("Inflexible")
  • http://snomed.info/sct#443607001 ("Palpable mass")

Answer options for family-hx-prostate

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-no ("No")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-unknown ("Unknown")

Answer options for family-hx-breast

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-no ("No")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-unknown ("Unknown")

Answer options for family-hx-ovarian

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-no ("No")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-unknown ("Unknown")

Answer options for family-hx-colon

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-yes ("Yes")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-no ("No")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ynk-unknown ("Unknown")

Answer options for prior-mpmri-pirads

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pirads-cat-1-2 ("PI-RADS 1–2")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pirads-cat-3 ("PI-RADS 3")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pirads-cat-4 ("PI-RADS 4")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pirads-cat-5 ("PI-RADS 5")

Language: en

Visit context

  • linkId: grp-context
  • Answers:

Assessment date and time*

  • linkId: assessment-datetime
  • Answers:

Reason for referral / programme entry

Clinical findings (same visit)

  • linkId: grp-clinical
  • Answers:

Race*

  • linkId: race
  • Answers:

PSA measured at this visit

  • linkId: psa-recorded
  • Answers:

Digital rectal examination (multiselect)

Family oncological history (first-degree)

  • linkId: grp-family-history
  • Answers:

Prostate cancer

Breast cancer

Ovarian cancer

Colorectal cancer

Anthropometrics

  • linkId: grp-vitals
  • Answers:

Height (cm)

  • linkId: height-cm
  • Answers:

Weight (kg)

  • linkId: weight-kg
  • Answers:

BMI (kg/m²)

  • linkId: bmi-kg-m2
  • Answers:

PSA history

  • linkId: grp-psa-history
  • Answers:

First PSA (ng/ml)

  • linkId: first-psa-ngml
  • Answers:

First PSA date (at least year-month)

  • linkId: first-psa-date
  • Answers:

Second PSA (ng/ml)

  • linkId: second-psa-ngml
  • Answers:

Second PSA date (at least year-month)

  • linkId: second-psa-date
  • Answers:

Prior prostate mpMRI

  • linkId: grp-prior-imaging
  • Answers:

Prior mpMRI documented

  • linkId: prior-mpmri
  • Answers:

Prior mpMRI PI-RADS category

Prior prostate-directed therapy and anticoagulation

  • linkId: grp-prior-therapy
  • Answers:

Prior prostatectomy

  • linkId: prior-prostatectomy
  • Answers:

Prior prostate radiotherapy

  • linkId: prior-prostate-radiation
  • Answers:

Anticoagulant use

  • linkId: anticoagulant-use
  • Answers:

Systemic diseases

  • linkId: grp-systemic
  • Answers:

Systemic diseases (e.g. RA, myeloma, immunosuppression)

  • linkId: systemic-diseases
  • Answers:

Diagnosis date (year-month)

  • linkId: systemic-diseases-date
  • Answers:

Narrative

  • linkId: grp-narrative
  • Answers:

Complaints, anamnesis

  • linkId: complaints-anamnesis
  • Answers:

Additional description for specialist

  • linkId: specialist-additional-info
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-context Value Set:
... assessment-datetime Value Set:
... referral-reason Value Set:
Options: 3 options
.. grp-clinical Value Set:
... race Value Set:
... psa-recorded Value Set:
... dre-result Value Set:
Options: 7 options
.. grp-family-history Value Set:
... family-hx-prostate Value Set:
Options: 3 options
... family-hx-breast Value Set:
Options: 3 options
... family-hx-ovarian Value Set:
Options: 3 options
... family-hx-colon Value Set:
Options: 3 options
.. grp-vitals Value Set:
... height-cm Value Set:
... weight-kg Value Set:
... bmi-kg-m2 Value Set:
.. grp-psa-history Value Set:
... first-psa-ngml Value Set:
... first-psa-date Value Set:
... second-psa-ngml Value Set:
... second-psa-date Value Set:
.. grp-prior-imaging Value Set:
... prior-mpmri Value Set:
... prior-mpmri-pirads Value Set:
Options: 4 options
.. grp-prior-therapy Value Set:
... prior-prostatectomy Value Set:
... prior-prostate-radiation Value Set:
... anticoagulant-use Value Set:
.. grp-systemic Value Set:
... systemic-diseases Value Set:
... systemic-diseases-date Value Set:
.. grp-narrative Value Set:
... complaints-anamnesis Value Set:
... specialist-additional-info Value Set:

doco Documentation for this format

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