FHIR IG analytics| Package | lt.hl7.fhir.breast |
| Resource Type | Questionnaire |
| Id | Questionnaire-questionnaire-tomosynthesis-lt-breast.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-breast/Questionnaire-questionnaire-tomosynthesis-lt-breast.html |
| URL | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-tomosynthesis-lt-breast |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-03-29T12:06:43+00:00 |
| Name | TomosynthesisQuestionnaireLtBreast |
| Title | Questionnaire: Tomosynthesis ESPBI Form (LT Breast) |
| Description | Structured data-capture form for breast tomosynthesis reporting based on ADP Table 7.2. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: Questionnaire questionnaire-tomosynthesis-lt-breast
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  TomosynthesisQuestionnaireLtBreast | Structured data-capture form for breast tomosynthesis reporting based on ADP Table 7.2. | Questionnaire | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-tomosynthesis-lt-breast#0.0.1 | |
  grp-exam-context | Examination context | 0..1 | group | |
  exam-date | Date of test | 0..1 | dateTime | |
 test-indication | Test indication – BI-RADS 0 (incomplete assessment from mammography) | 0..1 | display | |
 technologist-name | Technologist name | 0..1 | string | |
| equipment-name | Equipment name | 0..1 | string | |
  radiation-dose | Radiation dose (Gy) | 0..1 | quantity | |
| grp-findings | Findings | 0..1 | group | |
 findings-present | Findings present | 0..1 | coding | Options: 2 options |
| grp-findings-right | Right breast findings | 0..1 | group | |
| right-quadrant | Localization by quadrant | 0..1 | coding | Options: 4 options |
| right-entity | Change entity | 0..1 | coding | Options: 3 options |
| right-size | Size (mm) | 0..1 | quantity | |
| grp-findings-left | Left breast findings | 0..1 | group | |
 left-quadrant | Localization by quadrant | 0..1 | coding | Options: 4 options |
| left-entity | Change entity | 0..1 | coding | Options: 3 options |
| left-size | Size (mm) | 0..1 | quantity | |
| grp-conclusion | Conclusion | 0..1 | group | |
| birads-conclusion | BI-RADS conclusion | 0..1 | coding | Options: 6 options |
| recommendations | Recommendations | 0..* | coding | Options: 6 options |
| facility-name | Facility | 0..1 | string | |
| doctor-name | Doctor | 0..1 | string | |
| Documentation for this format | ||||
Options Sets
Answer options for findings-present
Answer options for right-quadrant
Answer options for right-entity
Answer options for left-quadrant
Answer options for left-entity
Answer options for birads-conclusion
Answer options for recommendations
Lithuanian
Generated Narrative: Questionnaire questionnaire-tomosynthesis-lt-breast
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
| TomosynthesisQuestionnaireLtBreast | Structured data-capture form for breast tomosynthesis reporting based on ADP Table 7.2. | Questionnaire | https://hl7.lt/fhir/breast/Questionnaire/questionnaire-tomosynthesis-lt-breast#0.0.1 | |
| grp-exam-context | Examination context | 0..1 | group | |
| exam-date | Date of test | 0..1 | dateTime | |
| test-indication | Test indication – BI-RADS 0 (incomplete assessment from mammography) | 0..1 | display | |
| technologist-name | Technologist name | 0..1 | string | |
| equipment-name | Equipment name | 0..1 | string | |
| radiation-dose | Radiation dose (Gy) | 0..1 | quantity | |
| grp-findings | Findings | 0..1 | group | |
| findings-present | Findings present | 0..1 | coding | Options: 2 options |
| grp-findings-right | Right breast findings | 0..1 | group | |
| right-quadrant | Localization by quadrant | 0..1 | coding | Options: 4 options |
| right-entity | Change entity | 0..1 | coding | Options: 3 options |
| right-size | Size (mm) | 0..1 | quantity | |
| grp-findings-left | Left breast findings | 0..1 | group | |
| left-quadrant | Localization by quadrant | 0..1 | coding | Options: 4 options |
| left-entity | Change entity | 0..1 | coding | Options: 3 options |
| left-size | Size (mm) | 0..1 | quantity | |
| grp-conclusion | Conclusion | 0..1 | group | |
| birads-conclusion | BI-RADS conclusion | 0..1 | coding | Options: 6 options |
| recommendations | Recommendations | 0..* | coding | Options: 6 options |
| facility-name | Facility | 0..1 | string | |
| doctor-name | Doctor | 0..1 | string | |
| Documentation for this format | ||||
Options Sets
Answer options for findings-present
Answer options for right-quadrant
Answer options for right-entity
Answer options for left-quadrant
Answer options for left-entity
Answer options for birads-conclusion
Answer options for recommendations
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "questionnaire-tomosynthesis-lt-breast",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/breast/Questionnaire/questionnaire-tomosynthesis-lt-breast",
"version": "0.0.1",
"name": "TomosynthesisQuestionnaireLtBreast",
"title": "Questionnaire: Tomosynthesis 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"
}
]
}
],
"description": "Structured data-capture form for breast tomosynthesis reporting based on ADP Table 7.2.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "LT"
}
]
}
],
"item": [
{
"linkId": "grp-exam-context",
"text": "Examination context",
"type": "group",
"item": [
{
"linkId": "exam-date",
"text": "Date of test",
"type": "dateTime"
},
{
"linkId": "test-indication",
"text": "Test indication – BI-RADS 0 (incomplete assessment from mammography)",
"type": "display"
},
{
"linkId": "technologist-name",
"text": "Technologist name",
"type": "string"
},
{
"linkId": "equipment-name",
"text": "Equipment name",
"type": "string"
},
{
"linkId": "radiation-dose",
"text": "Radiation dose (Gy)",
"type": "quantity"
}
]
},
{
"linkId": "grp-findings",
"text": "Findings",
"type": "group",
"item": [
{
"linkId": "findings-present",
"text": "Findings present",
"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": "grp-findings-right",
"text": "Right breast findings",
"type": "group",
"item": [
{
"linkId": "right-quadrant",
"text": "Localization by quadrant",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "uoq",
"display": "Upper outer quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "uiq",
"display": "Upper inner quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "loq",
"display": "Lower outer quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "liq",
"display": "Lower inner quadrant"
}
}
]
},
{
"linkId": "right-entity",
"text": "Change entity",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-formation",
"display": "Formation (mass)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-deformation",
"display": "Architectural deformation"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-calcification",
"display": "Calcification"
}
}
]
},
{
"linkId": "right-size",
"text": "Size (mm)",
"type": "quantity"
}
]
},
{
"linkId": "grp-findings-left",
"text": "Left breast findings",
"type": "group",
"item": [
{
"linkId": "left-quadrant",
"text": "Localization by quadrant",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "uoq",
"display": "Upper outer quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "uiq",
"display": "Upper inner quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "loq",
"display": "Lower outer quadrant"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "liq",
"display": "Lower inner quadrant"
}
}
]
},
{
"linkId": "left-entity",
"text": "Change entity",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-formation",
"display": "Formation (mass)"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-deformation",
"display": "Architectural deformation"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "finding-calcification",
"display": "Calcification"
}
}
]
},
{
"linkId": "left-size",
"text": "Size (mm)",
"type": "quantity"
}
]
}
]
},
{
"linkId": "grp-conclusion",
"text": "Conclusion",
"type": "group",
"item": [
{
"linkId": "birads-conclusion",
"text": "BI-RADS conclusion",
"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": "recommendations",
"text": "Recommendations",
"type": "coding",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-mammographic-control",
"display": "Mammographic control"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-additional-mammography",
"display": "Additional mammography"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-ultrasound",
"display": "Ultrasound examination"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-mri",
"display": "MRI examination"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-biopsy",
"display": "Biopsy indicated"
}
},
{
"valueCoding": {
"system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
"code": "rec-consultation",
"display": "Consultation with breast specialist"
}
}
]
},
{
"linkId": "facility-name",
"text": "Facility",
"type": "string"
},
{
"linkId": "doctor-name",
"text": "Doctor",
"type": "string"
}
]
}
]
}