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 a radiologist (E027)

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

Language: en

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. ProstateRadiologistReferral Questionnaire https://hl7.lt/fhir/prostate/Questionnaire/prostate-radiologist-referral#0.1.0
... grp-referral-context Referral context 0..1 group Value Set:
.... diagnosis Diagnosis (ICD-10) 1..1 coding Value Set:
Options: 2 options
.... diagnosis-grade-group Grade group (if C61) 0..1 coding Value Set:
Options: 5 options
.... specialist-qualification Specialist qualification 1..1 string iconicon Value Set:
Initial Value: string = Radiologist
.... institution Referring institution 1..1 string Value Set:
.... screening-programme Screening programme participant 1..1 coding Value Set:
Options: 2 options
... grp-clinical Clinical information 0..1 group Value Set:
.... complaints-anamnesis Complaints / anamnesis 0..1 text Value Set:
.... condition-assessment-info Condition assessment information 1..1 text Value Set:
... 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
.... dre-findings DRE findings (select all that apply) 0..* coding Value Set:
Options: 6 options
... grp-vitals Anthropometrics 0..1 group Value Set:
.... height-cm Height (cm) 1..1 quantity Value Set:
.... weight-kg Weight (kg) 1..1 quantity Value Set:
.... bmi-kg-m2 BMI (kg/m2) 0..1 quantity iconicon Value Set:
... grp-psa PSA 0..1 group Value Set:
.... first-psa-ngml First PSA (ng/ml) 1..1 quantity Value Set:
.... first-psa-date First PSA date 1..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-date Prior mpMRI date 0..1 date 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 0..1 group Value Set:
.... prior-prostatectomy Prior prostate surgery 0..1 boolean Value Set:
.... prior-prostatectomy-date Prostate surgery date 0..1 date Value Set:
.... prior-prostate-radiation Prior prostate radiotherapy 0..1 boolean Value Set:
.... prior-prostate-radiation-date Prostate radiotherapy date 0..1 date Value Set:
Related information 0..1 group Value Set:
.... anticoagulant-use Anticoagulant use 0..1 boolean Value Set:
... grp-additional Additional information 0..1 group Value Set:
.... specialist-additional-info Additional description for specialist 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for diagnosis

  • http://hl7.org/fhir/sid/icd-10#N40 ("Enlargement of prostate")
  • http://hl7.org/fhir/sid/icd-10#C61 ("Malignant neoplasm of prostate")

Answer options for diagnosis-grade-group

  • http://snomed.info/sct#1279715000 ("ISUP Grade Group 1 (Gleason 3+3)")
  • http://snomed.info/sct#1279714001 ("ISUP Grade Group 2 (Gleason 3+4)")
  • http://snomed.info/sct#1279716004 ("ISUP Grade Group 3 (Gleason 4+3)")
  • http://snomed.info/sct#1279717008 ("ISUP Grade Group 4 (Gleason 8)")
  • http://snomed.info/sct#1279720000 ("ISUP Grade Group 5 (Gleason 9-10)")

Answer options for screening-programme

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

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 dre-findings

  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#standard-prostate ("Standard prostate (finding)")
  • http://snomed.info/sct#276387009 ("Hard prostate (finding)")
  • http://snomed.info/sct#276385001 ("Soft prostate (finding)")
  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#flexible-prostate ("Flexible prostate (finding)")
  • https://tx.hl7.lt/fhir/CodeSystem/snomed-prostate-extension#inflexible-prostate ("Inflexible prostate (finding)")
  • http://snomed.info/sct#443607001 ("Palpable mass (finding)")

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

Referral context

  • linkId: grp-referral-context
  • Answers:

Diagnosis (ICD-10)*

Grade group (if C61)

Specialist qualification*

  • linkId: specialist-qualification
  • Answers:
  • Initial Values: Radiologist

Referring institution*

  • linkId: institution
  • Answers:

Screening programme participant*

Clinical information

  • linkId: grp-clinical
  • Answers:

Complaints / anamnesis

  • linkId: complaints-anamnesis
  • Answers:

Condition assessment information*

  • linkId: condition-assessment-info
  • Answers:

Family oncological history (first-degree)

  • linkId: grp-family-history
  • Answers:

Prostate cancer

Breast cancer

Ovarian cancer

Colorectal cancer

Digital rectal examination

  • linkId: grp-dre
  • Answers:

DRE findings (select all that apply)

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

  • linkId: grp-psa
  • Answers:

First PSA (ng/ml)*

  • linkId: first-psa-ngml
  • Answers:

First PSA date*

  • linkId: first-psa-date
  • Answers:

Prior prostate mpMRI

  • linkId: grp-prior-imaging
  • Answers:

Prior mpMRI documented

  • linkId: prior-mpmri
  • Answers:

Prior mpMRI date

  • linkId: prior-mpmri-date
  • Answers:

Prior mpMRI PI-RADS category

Prior prostate-directed therapy

  • linkId: grp-prior-therapy
  • Answers:

Prior prostate surgery

  • linkId: prior-prostatectomy
  • Answers:

Prostate surgery date

  • linkId: prior-prostatectomy-date
  • Answers:

Prior prostate radiotherapy

  • linkId: prior-prostate-radiation
  • Answers:

Prostate radiotherapy date

  • linkId: prior-prostate-radiation-date
  • Answers:

Related information

  • linkId: grp-related
  • Answers:

Anticoagulant use

  • linkId: anticoagulant-use
  • Answers:

Additional information

  • linkId: grp-additional
  • Answers:

Additional description for specialist

  • linkId: specialist-additional-info
  • Answers:

Language: en

LinkIDDescription & Constraintsdoco
.. grp-referral-context Value Set:
... diagnosis Value Set:
Options: 2 options
... diagnosis-grade-group Value Set:
Options: 5 options
... specialist-qualification Value Set:
Initial Value: string = Radiologist
... screening-programme Value Set:
Options: 2 options
.. grp-clinical Value Set:
... complaints-anamnesis Value Set:
... condition-assessment-info Value Set:
.. 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-dre Value Set:
... dre-findings Value Set:
Options: 6 options
.. grp-vitals Value Set:
... height-cm Value Set:
... weight-kg Value Set:
... bmi-kg-m2 Value Set:
.. grp-psa Value Set:
... first-psa-ngml Value Set:
... first-psa-date Value Set:
.. grp-prior-imaging Value Set:
... prior-mpmri Value Set:
... prior-mpmri-date Value Set:
... prior-mpmri-pirads Value Set:
Options: 4 options
.. grp-prior-therapy Value Set:
... prior-prostatectomy Value Set:
... prior-prostatectomy-date Value Set:
... prior-prostate-radiation Value Set:
... prior-prostate-radiation-date Value Set:
.. grp-related Value Set:
... anticoagulant-use Value Set:
.. grp-additional Value Set:
... specialist-additional-info Value Set:

doco Documentation for this format

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