Lithuanian

Generated Narrative: Questionnaire questionnaire-prostate-adpp-primary-assessment

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ProstateAdppPrimaryAssessmentQuestionnairehttps://hl7.lt/fhir/prostate/Questionnaire/prostate-adpp-primary-assessment#0.2.0
... grp-contextVisit context0..1group
.... assessment-datetimeAssessment date and time1..1dateTime
.... referral-reasonReason for referral / programme entry0..1codingOptions: 3 options
... grp-clinicalClinical findings (same visit)0..1group
.... raceRace1..1string
.... psa-recordedPSA measured at this visit0..1boolean
.... dre-resultDigital rectal examination (multiselect)0..*codingOptions: 7 options
... grp-family-historyFamily oncological history (first-degree)0..1group
.... family-hx-prostateProstate cancer0..1codingOptions: 3 options
.... family-hx-breastBreast cancer0..1codingOptions: 3 options
.... family-hx-ovarianOvarian cancer0..1codingOptions: 3 options
.... family-hx-colonColorectal cancer0..1codingOptions: 3 options
... grp-vitalsAnthropometrics0..1group
.... height-cmHeight (cm)0..1quantity
.... weight-kgWeight (kg)0..1quantity
.... bmi-kg-m2BMI (kg/m²)0..1quantity
... grp-psa-historyPSA history0..1group
.... first-psa-ngmlFirst PSA (ng/ml)0..1quantity
.... first-psa-dateFirst PSA date (at least year-month)0..1date
.... second-psa-ngmlSecond PSA (ng/ml)0..1quantity
.... second-psa-dateSecond PSA date (at least year-month)0..1date
... grp-prior-imagingPrior prostate mpMRI0..1group
.... prior-mpmriPrior mpMRI documented0..1boolean
.... prior-mpmri-piradsPrior mpMRI PI-RADS category0..1codingOptions: 4 options
... grp-prior-therapyPrior prostate-directed therapy and anticoagulation0..1group
.... prior-prostatectomyPrior prostatectomy0..1boolean
.... prior-prostate-radiationPrior prostate radiotherapy0..1boolean
.... anticoagulant-useAnticoagulant use0..1boolean
... grp-systemicSystemic diseases0..1group
.... systemic-diseasesSystemic diseases (e.g. RA, myeloma, immunosuppression)0..1text
.... systemic-diseases-dateDiagnosis date (year-month)0..1date
... grp-narrativeNarrative0..1group
.... complaints-anamnesisComplaints, anamnesis0..1text
.... specialist-additional-infoAdditional description for specialist0..1text

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")
 <status value="draft"/> <subjectType value="Patient"/> <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> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="LT"/> </coding> </jurisdiction> <item> <linkId value="grp-context"/> <text value="Visit context"/> <type value="group"/> <item> <linkId value="assessment-datetime"/> <text value="Assessment date and time"/> <type value="dateTime"/> <required value="true"/> </item> <item> <linkId value="referral-reason"/> <text value="Reason for referral / programme entry"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="referral-screening"/> <display value="Referral for screening"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="referral-elevated-psa"/> <display value="Referral for elevated PSA"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="referral-other"/> <display value="Other referral reason"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="grp-clinical"/> <text value="Clinical findings (same visit)"/> <type value="group"/> <item> <linkId value="race"/> <text value="Race"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="psa-recorded"/> <text value="PSA measured at this visit"/> <type value="boolean"/> </item> <item> <linkId value="dre-result"/> <text value="Digital rectal examination (multiselect)"/> <type value="coding"/> <repeats value="true"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="dre-not-done"/> <display value="DRE not performed"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension"/> <code value="standard-prostate"/> <display value="Standard"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="276387009"/> <display value="Hard"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="276385001"/> <display value="Soft"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension"/> <code value="flexible-prostate"/> <display value="Flexible"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension"/> <code value="inflexible-prostate"/> <display value="Inflexible"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="443607001"/> <display value="Palpable mass"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="grp-family-history"/> <text value="Family oncological history (first-degree)"/> <type value="group"/> <item> <linkId value="family-hx-prostate"/> <text value="Prostate cancer"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-no"/> <display value="No"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-unknown"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <linkId value="family-hx-breast"/> <text value="Breast cancer"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-no"/> <display value="No"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-unknown"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <linkId value="family-hx-ovarian"/> <text value="Ovarian cancer"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-no"/> <display value="No"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-unknown"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> <item> <linkId value="family-hx-colon"/> <text value="Colorectal cancer"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-yes"/> <display value="Yes"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-no"/> <display value="No"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="ynk-unknown"/> <display value="Unknown"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="grp-vitals"/> <text value="Anthropometrics"/> <type value="group"/> <item> <linkId value="height-cm"/> <text value="Height (cm)"/> <type value="quantity"/> </item> <item> <linkId value="weight-kg"/> <text value="Weight (kg)"/> <type value="quantity"/> </item> <item> <linkId value="bmi-kg-m2"/> <text value="BMI (kg/m²)"/> <type value="quantity"/> </item> </item> <item> <linkId value="grp-psa-history"/> <text value="PSA history"/> <type value="group"/> <item> <linkId value="first-psa-ngml"/> <text value="First PSA (ng/ml)"/> <type value="quantity"/> </item> <item> <linkId value="first-psa-date"/> <text value="First PSA date (at least year-month)"/> <type value="date"/> </item> <item> <linkId value="second-psa-ngml"/> <text value="Second PSA (ng/ml)"/> <type value="quantity"/> </item> <item> <linkId value="second-psa-date"/> <text value="Second PSA date (at least year-month)"/> <type value="date"/> </item> </item> <item> <linkId value="grp-prior-imaging"/> <text value="Prior prostate mpMRI"/> <type value="group"/> <item> <linkId value="prior-mpmri"/> <text value="Prior mpMRI documented"/> <type value="boolean"/> </item> <item> <linkId value="prior-mpmri-pirads"/> <text value="Prior mpMRI PI-RADS category"/> <type value="coding"/> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="pirads-cat-1-2"/> <display value="PI-RADS 1–2"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="pirads-cat-3"/> <display value="PI-RADS 3"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="pirads-cat-4"/> <display value="PI-RADS 4"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options"/> <code value="pirads-cat-5"/> <display value="PI-RADS 5"/> </valueCoding> </answerOption> </item> </item> <item> <linkId value="grp-prior-therapy"/> <text value="Prior prostate-directed therapy and anticoagulation"/> <type value="group"/> <item> <linkId value="prior-prostatectomy"/> <text value="Prior prostatectomy"/> <type value="boolean"/> </item> <item> <linkId value="prior-prostate-radiation"/> <text value="Prior prostate radiotherapy"/> <type value="boolean"/> </item> <item> <linkId value="anticoagulant-use"/> <text value="Anticoagulant use"/> <type value="boolean"/> </item> </item> <item> <linkId value="grp-systemic"/> <text value="Systemic diseases"/> <type value="group"/> <item> <linkId value="systemic-diseases"/> <text value="Systemic diseases (e.g. RA, myeloma, immunosuppression)"/> <type value="text"/> </item> <item> <linkId value="systemic-diseases-date"/> <text value="Diagnosis date (year-month)"/> <type value="date"/> </item> </item> <item> <linkId value="grp-narrative"/> <text value="Narrative"/> <type value="group"/> <item> <linkId value="complaints-anamnesis"/> <text value="Complaints, anamnesis"/> <type value="text"/> </item> <item> <linkId value="specialist-additional-info"/> <text value="Additional description for specialist"/> <type value="text"/> </item> </item> </Questionnaire>