FHIR IG analytics| Package | lt.hl7.fhir.breast |
| Resource Type | Questionnaire |
| Id | Questionnaire-questionnaire-pathology-lt-breast.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-breast/Questionnaire-questionnaire-pathology-lt-breast.html |
| URL | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-pathology-lt-breast |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-03-29T12:06:43+00:00 |
| Name | PathologyQuestionnaireLtBreast |
| Title | Questionnaire: Pathological Histological Examination ESPBI Form (LT Breast) |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: Questionnaire questionnaire-pathology-lt-breast
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  PathologyQuestionnaireLtBreast | Questionnaire | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-pathology-lt-breast#0.0.1 | ||
  grp-referral | Referral to perform pathology test | 0..1 | display | |
 grp-patient | Patient information | 0..1 | group | |
  patient-personal-code | Personal code | 0..1 | string | |
| patient-name | Name | 0..1 | string | |
| patient-surname | Surname | 0..1 | string | |
 patient-birth-date | Date of birth | 0..1 | date | |
 patient-age | Age | 0..1 | integer | |
  patient-gender | Gender | 0..1 | coding | Options: 2 options |
| grp-specimen-dates | Specimen dates | 0..1 | group | |
 specimen-collection-date | Date of material collection | 0..1 | dateTime | |
| specimen-shipment-date | Shipment / formation date | 0..1 | dateTime | |
| grp-clinical-diagnosis | Clinical diagnosis | 0..1 | group | |
| diagnosis-icd10-code | Clinical diagnosis ICD-10-AM code | 0..1 | string | |
 diagnosis-name | Clinical diagnosis name | 0..1 | text | |
| grp-material | Material fixation | 0..1 | group | |
| fixation-type | Material fixation type | 0..1 | coding | Options: 2 options |
| grp-previous-procedures | Previous procedures and key clinical data | 0..1 | group | |
| previous-procedures | Key clinical data | 0..* | coding | Options: 7 options |
| previous-procedures-other | Other information | 0..1 | text | |
| grp-special-tests | Special tests | 0..1 | group | |
| special-tests-required | Special tests required | 0..1 | text | |
| grp-radiological-data | Radiological examination data | 0..1 | group | |
| radiology-performed | Radiological examination performed | 0..1 | coding | Options: 2 options |
| radiology-exam-type | Examination type | 0..* | coding | Options: 3 options |
| radiology-exam-date | Examination date | 0..1 | date | |
| birads-right | BI-RADS right breast | 0..1 | coding | Options: 6 options |
| birads-left | BI-RADS left breast | 0..1 | coding | Options: 6 options |
| grp-operation | Operation details | 0..1 | group | |
| operation-nature | Nature of operation | 0..1 | coding | Options: 3 options |
| operation-other-details | Other operation details | 0..1 | text | |
| grp-histological-sample | Description of histological sample / object | 0..1 | group | |
| sample-container-info | Container information | 0..1 | text | |
| sample-biopsy-location | Biopsy location | 0..1 | text | |
| grp-macroscopic | Description of macroscopic examination | 0..1 | group | |
 macro-biopsy-size | Biopsy size (mm) | 0..1 | quantity | |
| macro-fragment-details | Fragment details | 0..1 | text | |
| macro-notes | Notes | 0..1 | text | |
| grp-microscopic | Description of microscopic examination | 0..1 | group | |
| microscopic-description | Microscopic examination description | 0..1 | text | |
| grp-ihc | Immunohistochemistry (IHC) | 0..1 | group | |
| ihc-er-status | Estrogen receptors ER | 0..1 | coding | Options: 4 options |
| ihc-er-percent | ER expression in nuclei (%) | 0..1 | quantity | |
| ihc-pr-status | Progesterone receptors PR | 0..1 | coding | Options: 4 options |
| ihc-pr-percent | PR expression in nuclei (%) | 0..1 | quantity | |
| ihc-her2-status | HER2 status | 0..1 | coding | Options: 4 options |
| ihc-her2-evaluation | HER2 evaluation | 0..1 | coding | Options: 4 options |
| ihc-ki67 | Ki67 proliferation index (%) | 0..1 | quantity | |
| grp-molecular | Molecular studies | 0..1 | group | |
| fish-result | FISH result | 0..1 | coding | Options: 7 options |
 fish-her2-average | HER2 average | 0..1 | decimal | |
| fish-cep17-average | Average CEP17 | 0..1 | decimal | |
| fish-her2-cep17-ratio | HER2/CEP17 ratio | 0..1 | decimal | |
| cish-sish-result | CISH/SISH result | 0..1 | coding | Options: 3 options |
| grp-conclusion | Conclusion | 0..1 | group | |
 conclusion-who-diagnosis | WHO Classification diagnosis | 0..1 | text | |
| conclusion-tumour-grade | Tumour grade | 0..1 | coding | Options: 4 options |
| conclusion-tumour-size | Tumour size (mm) | 0..1 | quantity | |
| conclusion-lvi | Lymphovascular invasion | 0..1 | coding | Options: 6 options |
| Documentation for this format | ||||
Options Sets
Answer options for patient-gender
Answer options for fixation-type
Answer options for previous-procedures
Answer options for radiology-performed
Answer options for radiology-exam-type
Answer options for birads-right
Answer options for birads-left
Answer options for operation-nature
Answer options for ihc-er-status
Answer options for ihc-pr-status
Answer options for ihc-her2-status
Answer options for ihc-her2-evaluation
Answer options for fish-result
Answer options for cish-sish-result
Answer options for conclusion-tumour-grade
Answer options for conclusion-lvi
Lithuanian
Generated Narrative: Questionnaire questionnaire-pathology-lt-breast
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
| PathologyQuestionnaireLtBreast | Questionnaire | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-pathology-lt-breast#0.0.1 | ||
| grp-referral | Referral to perform pathology test | 0..1 | display | |
| grp-patient | Patient information | 0..1 | group | |
| patient-personal-code | Personal code | 0..1 | string | |
| patient-name | Name | 0..1 | string | |
| patient-surname | Surname | 0..1 | string | |
| patient-birth-date | Date of birth | 0..1 | date | |
| patient-age | Age | 0..1 | integer | |
| patient-gender | Gender | 0..1 | coding | Options: 2 options |
| grp-specimen-dates | Specimen dates | 0..1 | group | |
| specimen-collection-date | Date of material collection | 0..1 | dateTime | |
| specimen-shipment-date | Shipment / formation date | 0..1 | dateTime | |
| grp-clinical-diagnosis | Clinical diagnosis | 0..1 | group | |
| diagnosis-icd10-code | Clinical diagnosis ICD-10-AM code | 0..1 | string | |
| diagnosis-name | Clinical diagnosis name | 0..1 | text | |
| grp-material | Material fixation | 0..1 | group | |
| fixation-type | Material fixation type | 0..1 | coding | Options: 2 options |
| grp-previous-procedures | Previous procedures and key clinical data | 0..1 | group | |
| previous-procedures | Key clinical data | 0..* | coding | Options: 7 options |
| previous-procedures-other | Other information | 0..1 | text | |
| grp-special-tests | Special tests | 0..1 | group | |
| special-tests-required | Special tests required | 0..1 | text | |
| grp-radiological-data | Radiological examination data | 0..1 | group | |
| radiology-performed | Radiological examination performed | 0..1 | coding | Options: 2 options |
| radiology-exam-type | Examination type | 0..* | coding | Options: 3 options |
| radiology-exam-date | Examination date | 0..1 | date | |
| birads-right | BI-RADS right breast | 0..1 | coding | Options: 6 options |
| birads-left | BI-RADS left breast | 0..1 | coding | Options: 6 options |
| grp-operation | Operation details | 0..1 | group | |
| operation-nature | Nature of operation | 0..1 | coding | Options: 3 options |
| operation-other-details | Other operation details | 0..1 | text | |
| grp-histological-sample | Description of histological sample / object | 0..1 | group | |
| sample-container-info | Container information | 0..1 | text | |
| sample-biopsy-location | Biopsy location | 0..1 | text | |
| grp-macroscopic | Description of macroscopic examination | 0..1 | group | |
| macro-biopsy-size | Biopsy size (mm) | 0..1 | quantity | |
| macro-fragment-details | Fragment details | 0..1 | text | |
| macro-notes | Notes | 0..1 | text | |
| grp-microscopic | Description of microscopic examination | 0..1 | group | |
| microscopic-description | Microscopic examination description | 0..1 | text | |
| grp-ihc | Immunohistochemistry (IHC) | 0..1 | group | |
| ihc-er-status | Estrogen receptors ER | 0..1 | coding | Options: 4 options |
| ihc-er-percent | ER expression in nuclei (%) | 0..1 | quantity | |
| ihc-pr-status | Progesterone receptors PR | 0..1 | coding | Options: 4 options |
| ihc-pr-percent | PR expression in nuclei (%) | 0..1 | quantity | |
| ihc-her2-status | HER2 status | 0..1 | coding | Options: 4 options |
| ihc-her2-evaluation | HER2 evaluation | 0..1 | coding | Options: 4 options |
| ihc-ki67 | Ki67 proliferation index (%) | 0..1 | quantity | |
| grp-molecular | Molecular studies | 0..1 | group | |
| fish-result | FISH result | 0..1 | coding | Options: 7 options |
| fish-her2-average | HER2 average | 0..1 | decimal | |
| fish-cep17-average | Average CEP17 | 0..1 | decimal | |
| fish-her2-cep17-ratio | HER2/CEP17 ratio | 0..1 | decimal | |
| cish-sish-result | CISH/SISH result | 0..1 | coding | Options: 3 options |
| grp-conclusion | Conclusion | 0..1 | group | |
| conclusion-who-diagnosis | WHO Classification diagnosis | 0..1 | text | |
| conclusion-tumour-grade | Tumour grade | 0..1 | coding | Options: 4 options |
| conclusion-tumour-size | Tumour size (mm) | 0..1 | quantity | |
| conclusion-lvi | Lymphovascular invasion | 0..1 | coding | Options: 6 options |
| Documentation for this format | ||||
Options Sets
Answer options for patient-gender
Answer options for fixation-type
Answer options for previous-procedures
Answer options for radiology-performed
Answer options for radiology-exam-type
Answer options for birads-right
Answer options for birads-left
Answer options for operation-nature
Answer options for ihc-er-status
Answer options for ihc-pr-status
Answer options for ihc-her2-status
Answer options for ihc-her2-evaluation
Answer options for fish-result
Answer options for cish-sish-result
Answer options for conclusion-tumour-grade
Answer options for conclusion-lvi
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "questionnaire-pathology-lt-breast",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/breast/Questionnaire/questionnaire-pathology-lt-breast",
"version": "0.0.1",
"name": "PathologyQuestionnaireLtBreast",
"title": "Questionnaire: Pathological Histological Examination ESPBI Form (LT Breast)",
"status": "active",
"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"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "LT"
}
]
}
],
"item": [
{
"linkId": "grp-referral",
"text": "Referral to perform pathology test",
"type": "display"
},
{
"linkId": "grp-patient",
"text": "Patient information",
"type": "group",
"item": [
{
"linkId": "patient-personal-code",
"text": "Personal code",
"type": "string"
},
{
"linkId": "patient-name",
"text": "Name",
"type": "string"
},
{
"linkId": "patient-surname",
"text": "Surname",
"type": "string"
},
{
"linkId": "patient-birth-date",
"text": "Date of birth",
"type": "date"
},
{
"linkId": "patient-age",
"text": "Age",
"type": "integer"
},
{
"linkId": "patient-gender",
"text": "Gender",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Female"
}
}
]
}
]
},
{
"linkId": "grp-specimen-dates",
"text": "Specimen dates",
"type": "group",
"item": [
{
"linkId": "specimen-collection-date",
"text": "Date of material collection",
"type": "dateTime"
},
{
"linkId": "specimen-shipment-date",
"text": "Shipment / formation date",
"type": "dateTime"
}
]
},
{
"linkId": "grp-clinical-diagnosis",
"text": "Clinical diagnosis",
"type": "group",
"item": [
{
"linkId": "diagnosis-icd10-code",
"text": "Clinical diagnosis ICD-10-AM code",
"type": "string"
},
{
"linkId": "diagnosis-name",
"text": "Clinical diagnosis name",
"type": "text"
}
]
},
{
"linkId": "grp-material",
"text": "Material fixation",
"type": "group",
"item": [
{
"linkId": "fixation-type",
"text": "Material fixation type",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fixation-formalin",
"display": "Fixed (10% formalin buffered solution)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fixation-unfixed",
"display": "Unfixed"
}
}
]
}
]
},
{
"linkId": "grp-previous-procedures",
"text": "Previous procedures and key clinical data",
"type": "group",
"item": [
{
"linkId": "previous-procedures",
"text": "Key clinical data",
"type": "coding",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-none",
"display": "No important information"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-biopsy",
"display": "Biopsy"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-excision",
"display": "Excision"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-other-operation",
"display": "Other operation"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-chemotherapy",
"display": "Chemotherapy"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-radiation",
"display": "Radiation (breast)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "proc-immunotherapy",
"display": "Immunotherapy"
}
}
]
},
{
"linkId": "previous-procedures-other",
"text": "Other information",
"type": "text"
}
]
},
{
"linkId": "grp-special-tests",
"text": "Special tests",
"type": "group",
"item": [
{
"linkId": "special-tests-required",
"text": "Special tests required",
"type": "text"
}
]
},
{
"linkId": "grp-radiological-data",
"text": "Radiological examination data",
"type": "group",
"item": [
{
"linkId": "radiology-performed",
"text": "Radiological examination performed",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "yes",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "no",
"display": "No"
}
}
]
},
{
"linkId": "radiology-exam-type",
"text": "Examination type",
"type": "coding",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "71651007",
"display": "Mammography"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "439324009",
"display": "Digital breast tomosynthesis"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasonography"
}
}
]
},
{
"linkId": "radiology-exam-date",
"text": "Examination date",
"type": "date"
},
{
"linkId": "birads-right",
"text": "BI-RADS right breast",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-0",
"display": "BI-RADS 0 – Incomplete examination"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-1",
"display": "BI-RADS 1 – No changes found"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-2",
"display": "BI-RADS 2 – Benign changes found"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-3",
"display": "BI-RADS 3 – Possibly benign changes"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-4",
"display": "BI-RADS 4 – Suspicious malignant finding"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-5",
"display": "BI-RADS 5 – Highly probable malignant finding"
}
}
]
},
{
"linkId": "birads-left",
"text": "BI-RADS left breast",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-0",
"display": "BI-RADS 0 – Incomplete examination"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-1",
"display": "BI-RADS 1 – No changes found"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-2",
"display": "BI-RADS 2 – Benign changes found"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-3",
"display": "BI-RADS 3 – Possibly benign changes"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-4",
"display": "BI-RADS 4 – Suspicious malignant finding"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "birads-5",
"display": "BI-RADS 5 – Highly probable malignant finding"
}
}
]
}
]
},
{
"linkId": "grp-operation",
"text": "Operation details",
"type": "group",
"item": [
{
"linkId": "operation-nature",
"text": "Nature of operation",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "op-thick-needle-biopsy",
"display": "Thick needle biopsy"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "op-excision",
"display": "Excision"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "op-other",
"display": "Other (free text)"
}
}
]
},
{
"linkId": "operation-other-details",
"text": "Other operation details",
"type": "text"
}
]
},
{
"linkId": "grp-histological-sample",
"text": "Description of histological sample / object",
"type": "group",
"item": [
{
"linkId": "sample-container-info",
"text": "Container information",
"type": "text"
},
{
"linkId": "sample-biopsy-location",
"text": "Biopsy location",
"type": "text"
}
]
},
{
"linkId": "grp-macroscopic",
"text": "Description of macroscopic examination",
"type": "group",
"item": [
{
"linkId": "macro-biopsy-size",
"text": "Biopsy size (mm)",
"type": "quantity"
},
{
"linkId": "macro-fragment-details",
"text": "Fragment details",
"type": "text"
},
{
"linkId": "macro-notes",
"text": "Notes",
"type": "text"
}
]
},
{
"linkId": "grp-microscopic",
"text": "Description of microscopic examination",
"type": "group",
"item": [
{
"linkId": "microscopic-description",
"text": "Microscopic examination description",
"type": "text"
}
]
},
{
"linkId": "grp-ihc",
"text": "Immunohistochemistry (IHC)",
"type": "group",
"item": [
{
"linkId": "ihc-er-status",
"text": "Estrogen receptors ER",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-negative",
"display": "Negative"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-weak",
"display": "Weak (+)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-moderate",
"display": "Moderate (++)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-strong",
"display": "Strong (+++)"
}
}
]
},
{
"linkId": "ihc-er-percent",
"text": "ER expression in nuclei (%)",
"type": "quantity"
},
{
"linkId": "ihc-pr-status",
"text": "Progesterone receptors PR",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-negative",
"display": "Negative"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-weak",
"display": "Weak (+)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-moderate",
"display": "Moderate (++)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "ihc-strong",
"display": "Strong (+++)"
}
}
]
},
{
"linkId": "ihc-pr-percent",
"text": "PR expression in nuclei (%)",
"type": "quantity"
},
{
"linkId": "ihc-her2-status",
"text": "HER2 status",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-negative",
"display": "HER2: expression absent (0)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-low",
"display": "HER2: low immunohistochemical expression (1+)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-borderline",
"display": "HER2: expression borderline (2+)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-positive",
"display": "HER2: expression positive (3+)"
}
}
]
},
{
"linkId": "ihc-her2-evaluation",
"text": "HER2 evaluation",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-eval-0",
"display": "HER2 evaluation: 0+"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-eval-1",
"display": "HER2 evaluation: 1+"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-eval-2",
"display": "HER2 evaluation: 2+"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "her2-eval-3",
"display": "HER2 evaluation: 3+"
}
}
]
},
{
"linkId": "ihc-ki67",
"text": "Ki67 proliferation index (%)",
"type": "quantity"
}
]
},
{
"linkId": "grp-molecular",
"text": "Molecular studies",
"type": "group",
"item": [
{
"linkId": "fish-result",
"text": "FISH result",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-amplified",
"display": "FISH: HER2 amplified"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-amplified-clusters",
"display": "FISH: amplified (clusters)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-co-amplified",
"display": "FISH: co-amplified (HER2>=6, HER2/CEP17<2)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-borderline",
"display": "FISH: borderline (4<=HER2<6, HER2/CEP17<2)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-monosomic",
"display": "FISH: monosomic (HER2<4, HER2/CEP17>=2)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-negative",
"display": "FISH: negative (HER2<4, HER2/CEP17<2)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "fish-not-evaluated",
"display": "FISH: not to be evaluated"
}
}
]
},
{
"linkId": "fish-her2-average",
"text": "HER2 average",
"type": "decimal"
},
{
"linkId": "fish-cep17-average",
"text": "Average CEP17",
"type": "decimal"
},
{
"linkId": "fish-her2-cep17-ratio",
"text": "HER2/CEP17 ratio",
"type": "decimal"
},
{
"linkId": "cish-sish-result",
"text": "CISH/SISH result",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "cish-amplified",
"display": "CISH/SISH: HER2 amplified"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "cish-not-amplified",
"display": "CISH/SISH: HER2 not amplified"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "cish-not-evaluated",
"display": "CISH/SISH: not to be evaluated"
}
}
]
}
]
},
{
"linkId": "grp-conclusion",
"text": "Conclusion",
"type": "group",
"item": [
{
"linkId": "conclusion-who-diagnosis",
"text": "WHO Classification diagnosis",
"type": "text"
},
{
"linkId": "conclusion-tumour-grade",
"text": "Tumour grade",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "grade-g1",
"display": "G1 (well-differentiated)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "grade-g2",
"display": "G2 (moderately differentiated)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "grade-g3",
"display": "G3 (poorly differentiated)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "grade-gx",
"display": "Gx (degree of differentiation undetermined)"
}
}
]
},
{
"linkId": "conclusion-tumour-size",
"text": "Tumour size (mm)",
"type": "quantity"
},
{
"linkId": "conclusion-lvi",
"text": "Lymphovascular invasion",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-0",
"display": "pLVI-0: not detected"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-1",
"display": "pLVI-1: spreading, otherwise unclassified"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-2",
"display": "pLVI-2: only in lymphatic vessels and small blood vessels"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-3",
"display": "pLVI-3: only in veins (large, thick-walled blood vessels)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-4",
"display": "pLVI-4: present in both lymphatic vessels and veins"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "lvi-9",
"display": "pLVI-9: undetectable/unknown"
}
}
]
}
]
}
]
}