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: Referral to pathologist (E014, form 014-1-1/a)

Oficialus URL: https://hl7.lt/fhir/prostate/Questionnaire/prostate-pathologist-referral Versija: 0.1.0
Mašiniškai apdorojamas pavadinimas: ProstatePathologistReferral

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ProstatePathologistReferral Questionnaire https://hl7.lt/fhir/prostate/Questionnaire/prostate-pathologist-referral#0.1.0
... grp-referral-info Referral information 0..1 group Value Set:
.... sending-institution Sending institution 1..1 string Value Set:
.... sending-section Section / department 0..1 string Value Set:
.... treating-physician-name Treating physician (full name) 1..1 string Value Set:
.... treating-physician-email Treating physician e-mail 0..1 string Value Set:
.... treating-physician-phone Treating physician phone 0..1 string Value Set:
.... referring-doctor-name Referring doctor (full name) 1..1 string Value Set:
.... referring-doctor-email Referring doctor e-mail 0..1 string Value Set:
.... referring-doctor-phone Referring doctor phone 0..1 string Value Set:
... grp-biopsy-type Biopsy type 0..1 group Value Set:
.... biopsy-type Biopsy type 1..1 coding Value Set:
Options: 2 options
... grp-tissue-fixing Tissue fixing 0..1 group Value Set:
.... tissue-fixing-material Tissue-fixing material 1..1 coding Value Set:
Options: 2 options
.... clinical-diagnosis Clinical diagnosis 1..1 coding Value Set:
Options: 2 options
.... clinical-t-stage Clinical T stage (if C61) 0..1 coding Value Set:
Options: 4 options
... grp-procedure Procedure 0..1 group Value Set:
.... operation-name Operation name 1..1 coding Value Set:
Options: 2 options
.... procedure-type Procedure type 1..1 coding Value Set:
Options: 4 options
... grp-specimens Description of histological object (number of biopsies per location) 0..1 group Value Set:
.... specimens-right-pz Right peripheral zone (number of biopsies) 0..1 integer Value Set:
.... specimens-left-pz Left peripheral zone (number of biopsies) 0..1 integer Value Set:
.... specimens-focus-1 Focus 1 (number of biopsies) 0..1 integer Value Set:
.... specimens-focus-2 Focus 2 (number of biopsies) 0..1 integer Value Set:
.... specimens-focus-3 Focus 3 (number of biopsies) 0..1 integer Value Set:
... grp-clinical-data Clinical data 0..1 group Value Set:
.... psa-ngml PSA (ng/ml) 0..1 quantity Value Set:
.... psat-ngml-ml PSAT (ng/ml/ml) 0..1 quantity Value Set:
.... prostate-volume-ml Prostate volume (ml) 0..1 quantity Value Set:
.... mpmri-pirads mpMRI PI-RADS assessment 0..1 coding Value Set:
Options: 4 options
... grp-additional Additional information 0..1 group Value Set:
.... additional-info Additional information 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for biopsy-type

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#biopsy-initial ("Initial biopsy")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#biopsy-repeat ("Repeat biopsy")

Answer options for tissue-fixing-material

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#fixative-buffered-formalin ("10% buffered formalin")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#fixative-unfixed ("Unfixed (no fixative)")

Answer options for clinical-diagnosis

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#dx-n40-gph ("N40 Glandular prostatic hyperplasia")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#dx-c61 ("C61 Malignant neoplasm of prostate")

Answer options for clinical-t-stage

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ct-1c ("cT1c")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ct-2 ("cT2")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ct-3a ("cT3a")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#ct-3b ("cT3b")

Answer options for operation-name

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#op-transperineal ("Transperineal biopsy")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#op-transrectal ("Transrectal biopsy")

Answer options for procedure-type

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#proc-systematic ("Systematic biopsy")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#proc-adaptive ("Adaptive biopsy")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#proc-systematic-targeted ("Systematic + targeted biopsy")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#proc-applicative-perifocal ("Applicative + perifocal biopsy")

Answer options for 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

Referral information

  • linkId: grp-referral-info
  • Answers:

Sending institution*

  • linkId: sending-institution
  • Answers:

Section / department

  • linkId: sending-section
  • Answers:

Treating physician (full name)*

  • linkId: treating-physician-name
  • Answers:

Treating physician e-mail

  • linkId: treating-physician-email
  • Answers:

Treating physician phone

  • linkId: treating-physician-phone
  • Answers:

Referring doctor (full name)*

  • linkId: referring-doctor-name
  • Answers:

Referring doctor e-mail

  • linkId: referring-doctor-email
  • Answers:

Referring doctor phone

  • linkId: referring-doctor-phone
  • Answers:

Biopsy type

  • linkId: grp-biopsy-type
  • Answers:

Biopsy type*

Tissue fixing

  • linkId: grp-tissue-fixing
  • Answers:

Tissue-fixing material*

Clinical diagnosis

  • linkId: grp-clinical-diagnosis
  • Answers:

Clinical diagnosis*

Clinical T stage (if C61)

Procedure

  • linkId: grp-procedure
  • Answers:

Operation name*

Procedure type*

Description of histological object (number of biopsies per location)

  • linkId: grp-specimens
  • Answers:

Right peripheral zone (number of biopsies)

  • linkId: specimens-right-pz
  • Answers:

Left peripheral zone (number of biopsies)

  • linkId: specimens-left-pz
  • Answers:

Focus 1 (number of biopsies)

  • linkId: specimens-focus-1
  • Answers:

Focus 2 (number of biopsies)

  • linkId: specimens-focus-2
  • Answers:

Focus 3 (number of biopsies)

  • linkId: specimens-focus-3
  • Answers:

Clinical data

  • linkId: grp-clinical-data
  • Answers:

PSA (ng/ml)

  • linkId: psa-ngml
  • Answers:

PSAT (ng/ml/ml)

  • linkId: psat-ngml-ml
  • Answers:

Prostate volume (ml)

  • linkId: prostate-volume-ml
  • Answers:

mpMRI PI-RADS assessment

Additional information

  • linkId: grp-additional
  • Answers:

Additional information

  • linkId: additional-info
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-referral-info Value Set:
... sending-institution Value Set:
... sending-section Value Set:
... treating-physician-name Value Set:
... treating-physician-phone Value Set:
... referring-doctor-name Value Set:
... referring-doctor-email Value Set:
... referring-doctor-phone Value Set:
.. grp-biopsy-type Value Set:
... biopsy-type Value Set:
Options: 2 options
.. grp-tissue-fixing Value Set:
... tissue-fixing-material Value Set:
Options: 2 options
.. grp-clinical-diagnosis Value Set:
... clinical-diagnosis Value Set:
Options: 2 options
... clinical-t-stage Value Set:
Options: 4 options
.. grp-procedure Value Set:
... operation-name Value Set:
Options: 2 options
... procedure-type Value Set:
Options: 4 options
.. grp-specimens Value Set:
... specimens-right-pz Value Set:
... specimens-left-pz Value Set:
... specimens-focus-1 Value Set:
... specimens-focus-2 Value Set:
... specimens-focus-3 Value Set:
.. grp-clinical-data Value Set:
... psa-ngml Value Set:
... psat-ngml-ml Value Set:
... prostate-volume-ml Value Set:
... mpmri-pirads Value Set:
Options: 4 options
.. grp-additional Value Set:
... additional-info Value Set:

doco Documentation for this format

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