FHIR IG analytics| Package | lt.hl7.fhir.breast |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-lt.hl7.fhir.breast.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-breast/index.html |
| URL | https://hl7.lt/fhir/breast/ImplementationGuide/lt.hl7.fhir.breast |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-03-29T12:06:43+00:00 |
| Name | LtBreast |
| Title | Lithuanian Breast Diagnostics Implementation Guide |
| Description | Lithuanian Breast Diagnostics Implementation Guide |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "ImplementationGuide",
"id": "lt.hl7.fhir.breast",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/breast/ImplementationGuide/lt.hl7.fhir.breast",
"version": "0.0.1",
"name": "LtBreast",
"title": "Lithuanian Breast Diagnostics Implementation Guide",
"status": "draft",
"date": "2026-03-29T12:06:43+00:00",
"publisher": "Lithuanian Medical Library",
"contact": [
{
"name": "Lithuanian Medical Library",
"telecom": [
{
"system": "url",
"value": "https://medicinosnk.lt"
},
{
"system": "email",
"value": "info@medicinosnk.lt"
}
]
}
],
"description": "Lithuanian Breast Diagnostics Implementation Guide",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "LT"
}
]
}
],
"packageId": "lt.hl7.fhir.breast",
"license": "CC0-1.0",
"fhirVersion": [
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],
"dependsOn": [
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],
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],
"uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
"packageId": "hl7.fhir.uv.extensions.r5",
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},
{
"id": "lt_hl7_fhir_base",
"uri": "https://hl7.lt/fhir/base/ImplementationGuide/lt.hl7.fhir.base",
"packageId": "lt.hl7.fhir.base",
"version": "current"
},
{
"id": "lt_hl7_fhir_lifestyle",
"uri": "https://hl7.lt/fhir/lifestyle/ImplementationGuide/lt.hl7.fhir.lifestyle",
"packageId": "lt.hl7.fhir.lifestyle",
"version": "current"
},
{
"id": "lt_hl7_fhir_vitalsigns",
"uri": "https://hl7.lt/fhir/vitalsigns/ImplementationGuide/lt.hl7.fhir.vitalsigns",
"packageId": "lt.hl7.fhir.vitalsigns",
"version": "current"
},
{
"id": "lt_hl7_fhir_eu",
"uri": "https://hl7.lt/fhir/eu/ImplementationGuide/lt.hl7.fhir.eu",
"packageId": "lt.hl7.fhir.eu",
"version": "0.0.2"
},
{
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"packageId": "hl7.fhir.eu.base-r5",
"version": "0.1.0"
},
{
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"uri": "https://hl7.lt/fhir/lab/ImplementationGuide/lt.hl7.fhir.lab",
"packageId": "lt.hl7.fhir.lab",
"version": "current"
}
],
"definition": {
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"resource": [
{
"extension": [
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"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/birads-assessment-lt-breast"
},
"name": "BI-RADS Assessment",
"description": "Final radiological diagnostic conclusion according to BI-RADS classification.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/birads-category"
},
"name": "BI-RADS Category",
"description": "Categories of Breast Imaging Reporting and Data System.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "BodyStructure"
}
],
"reference": {
"reference": "BodyStructure/bodystructure-bilateral-uiq-example"
},
"name": "BodyStructure: Bilateral Upper Inner Quadrant (example)",
"description": "Bilateral upper inner quadrant body structure.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/body-structure-lt-breast|1.0.0"
]
},
{
"extension": [
{
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"valueString": "BodyStructure"
}
],
"reference": {
"reference": "BodyStructure/bodystructure-left-uoq-example"
},
"name": "BodyStructure: Left Breast Upper Outer Quadrant (example)",
"description": "Left breast upper outer quadrant for mammographic localization.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/body-structure-lt-breast|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "BodyStructure"
}
],
"reference": {
"reference": "BodyStructure/breast-body-structure-left-uoq-example"
},
"name": "BodyStructure: Left Breast – Upper Outer Quadrant (example)",
"description": "Left breast upper outer quadrant body structure for anatomical localization.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/body-structure-lt-breast|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "BodyStructure"
}
],
"reference": {
"reference": "BodyStructure/bodystructure-right-liq-example"
},
"name": "BodyStructure: Right Breast Lower Inner Quadrant (example)",
"description": "Right breast lower inner quadrant for mammographic localization.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/body-structure-lt-breast|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "BodyStructure"
}
],
"reference": {
"reference": "BodyStructure/breast-body-structure-right-uiq-example"
},
"name": "BodyStructure: Right Breast – Upper Inner Quadrant (example)",
"description": "Right breast upper inner quadrant body structure.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/body-structure-lt-breast|1.0.0"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-assessment"
},
"name": "Breast Assessment Services and Procedures",
"description": "This ValueSet includes all clinical services and procedures related to the assessment and diagnostic evaluation of the breast, such as imaging, biopsy, and specialist referrals.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-biopsy-procedure-lt-breast"
},
"name": "Breast Biopsy Procedure (LT Breast)",
"description": "Breast biopsy procedure profile for the breast cancer prevention program, covering ultrasound-guided and X-ray-guided biopsy types.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-biopsy-procedure-type"
},
"name": "Breast Biopsy Procedure Type",
"description": "Types of breast biopsy procedures used in the breast cancer prevention program.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-body-site"
},
"name": "Breast Body Site",
"description": "Entire breast and left/right breasts.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/body-structure-lt-breast"
},
"name": "Breast Body Structure",
"description": "BodyStructure profile representing breast structures including laterality and quadrants.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-clock-position"
},
"name": "Breast Clock Position",
"description": "Clock positions (1-12 o'clock) for localizing breast findings.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-composition-lt-breast"
},
"name": "Breast Composition (LT Breast)",
"description": "Breast-specific imaging composition extending the base imaging composition with breast-specific constraints on findings, impression, and history sections. Designed for use in the Lithuanian breast cancer prevention programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-report-lt-breast"
},
"name": "Breast Diagnostic Report (LT Breast)",
"description": "Overall breast diagnostic report covering the entire breast cancer diagnostic pathway. Wraps a BreastCompositionLtBreast and aggregates structured results including BI-RADS assessments, mammographic findings, ultrasound findings, gland density, and nipple observations.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-duct-condition"
},
"name": "Breast Duct Condition",
"description": "Breast duct condition as assessed by ultrasound examination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-duct-condition-lt-breast"
},
"name": "Breast Duct Condition (LT Breast)",
"description": "Breast duct condition observation as assessed by ultrasound, recorded per breast side.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-service-request-lt-breast"
},
"name": "Breast Examination Order",
"description": "A profile of ServiceRequest used to capture a clinical recommendation (e.g., follow-up ultrasound, surgical referral).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-finding"
},
"name": "Breast Finding",
"description": "SNOMED CT finding representing findings on the breast.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-gland-density-lt-breast"
},
"name": "Breast Gland Density",
"description": "Breast gland density observation according to ACR BI-RADS classification.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-gland-density-acr"
},
"name": "Breast Gland Density ACR",
"description": "ACR (BI-RADS) glandular density assessment.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-history-assessment-lt-breast"
},
"name": "Breast History Assessment",
"description": "Breast history assessment according to the patient saying.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-history-situation"
},
"name": "Breast History Situations",
"description": "A value set of SNOMED CT situations representing various types of breast history.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-nipple-appearance-finding"
},
"name": "Breast Nipple Appearance Finding",
"description": "SNOMED CT finding representing findings of the breast nipple appearance.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-nipple-inversion-lt-breast"
},
"name": "Breast Nipple Inversion",
"description": "Observation representing nipple inversion assessment in a patient summary.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-observation-finding-lt-breast"
},
"name": "Breast Observation Finding",
"description": "Breast observation findings.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-parenchyma"
},
"name": "Breast Parenchyma Structure",
"description": "Ultrasound breast parenchyma structure classification.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-parenchyma-lt-breast"
},
"name": "Breast Parenchyma Structure (LT Breast)",
"description": "Ultrasound breast parenchyma structure observation per breast side.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/breast-quadrant"
},
"name": "Breast Quadrants",
"description": "Quadrants of the breast.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/breast-questionnaire-options"
},
"name": "Breast questionnaire answer options (illustrative)",
"description": "Illustrative codes for Questionnaire answer options used in breast ESPBI-style forms. Register or replace with national coded values in production.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/breast-ultrasound-finding-lt-breast"
},
"name": "Breast Ultrasound Findings",
"description": "A radiology observation representing one specific ultrasound lesion with localization, dimensions, and characteristics.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CarePlan"
}
],
"reference": {
"reference": "CarePlan/careplan-breast-followup-example"
},
"name": "CarePlan: Breast Follow-up (example)",
"description": "Follow-up care plan for breast screening with BI-RADS-based recommendations.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/composition-breast-diagnostic-example"
},
"name": "Composition: Breast Diagnostic Process (example)",
"description": "Imaging composition summarizing the breast cancer ADP diagnostic process with all required sections.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/breast-composition-lt-breast|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-breast-report-example"
},
"name": "DiagnosticReport: Breast Diagnostic Report (example)",
"description": "Example of a complete breast diagnostic report aggregating imaging composition, BI-RADS assessment, gland density, and mammographic findings.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/breast-report-lt-breast|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-breast-imaging-example"
},
"name": "DiagnosticReport: Breast Imaging (example)",
"description": "Placeholder DiagnosticReport referenced by the breast imaging composition.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Encounter"
}
],
"reference": {
"reference": "Encounter/encounter-breast-step2-imaging-example"
},
"name": "Encounter: Breast Imaging Acquisition Step 2 (example)",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Encounter"
}
],
"reference": {
"reference": "Encounter/encounter-first-visit-example"
},
"name": "Encounter: First Visit (example)",
"description": "First outpatient encounter for breast imaging screening.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Encounter"
}
],
"reference": {
"reference": "Encounter/encounter-palpation-example"
},
"name": "Encounter: Palpation (example)",
"description": "The specific encounter where the breast history and palpation were performed.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/finding-evolution"
},
"name": "Finding Evolution",
"description": "Evolution of findings during the mammographic procedure.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ImagingStudy"
}
],
"reference": {
"reference": "ImagingStudy/imagingstudy-mammography-example"
},
"name": "ImagingStudy: Mammography (example)",
"description": "Mammography imaging study with bilateral breast series.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ImagingStudy"
}
],
"reference": {
"reference": "ImagingStudy/imagingstudy-mammography-previous-example"
},
"name": "ImagingStudy: Previous Mammography (example)",
"description": "Prior mammography study used for comparison in the current evaluation.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lymph-node-level"
},
"name": "Lymph Node Level",
"description": "Regional lymph node involvement level (N1, N2, N3) for breast diagnostics.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/mammographic-examination-finding-lt-breast"
},
"name": "Mammographic Examination Findings",
"description": "Observation representing mammographic breast changes using BodyStructure.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/mammographic-finding"
},
"name": "Mammographic Finding",
"description": "Findings during the mammographic procedure.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/mammography-report-lt-breast"
},
"name": "Mammography Diagnostic Report (LT Breast)",
"description": "A Diagnostic Report for Mammography imaging studies. Aggregates BI-RADS assessments, mammographic findings, ultrasound findings, and general breast observations.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-mammo-asym-bilateral-uiq-example"
},
"name": "Observation: Asymmetric Tissue – Bilateral UIQ (example)",
"description": "Focal asymmetric breast tissue finding increasing bilaterally in upper inner quadrants.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/mammographic-examination-finding-lt-breast|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-birads-1-negative-example"
},
"name": "Observation: BI-RADS 1 – Negative (example)",
"description": "BI-RADS category 1 (Negative) assessment – no abnormality detected.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/birads-assessment-lt-breast|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-birads-cat4-example"
},
"name": "Observation: BI-RADS 4 – Suspicious Abnormality (example)",
"description": "BI-RADS category 4 (Suspicious Abnormality) – biopsy should be considered.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/breast/StructureDefinition/birads-assessment-lt-breast|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-gland-density-fatty-example"
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{
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{
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]
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}