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Packagelt.hl7.fhir.breast
Resource TypeQuestionnaire
IdQuestionnaire-questionnaire-ultrasound-lt-breast.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7LT/ig-lt-breast/Questionnaire-questionnaire-ultrasound-lt-breast.html
URLhttps://hl7.lt/fhir/breast/Questionnaire/questionnaire-ultrasound-lt-breast
Version0.0.1
Statusactive
Date2026-03-29T12:06:43+00:00
NameUltrasoundQuestionnaireLtBreast
TitleUltrasound Examination ESPBI Form (LT Breast)

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: Questionnaire questionnaire-ultrasound-lt-breast

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. UltrasoundQuestionnaireLtBreastQuestionnairehttps://hl7.lt/fhir/breast/Questionnaire/questionnaire-ultrasound-lt-breast#0.0.1
... grp-exam-contextExamination context0..1group
.... exam-dateDate of examination0..1dateTime
.... exam-indicationIndication for ultrasound (e.g. review for dense tissue, targeted for findings)0..1string
... grp-right-breastRight breast0..1group
.... right-parenchymaStructure of parenchyma0..1codingOptions: 3 options
.... right-findings-presentFindings present0..1codingOptions: 2 options
.... right-finding-localizationFinding localization (clock position)0..1string
.... right-change-propertiesChange properties0..1text
.... right-size-lengthSize – length (mm)0..1quantity
.... right-size-widthSize – width (mm)0..1quantity
.... right-natureNature of change0..1codingOptions: 8 options
.... right-ductsCondition of ducts0..1codingOptions: 2 options
.... right-lymph-changesLymph node changes0..1codingOptions: 2 options
.... right-lymph-localizationLymph node localization0..1codingOptions: 2 options
.... right-lymph-levelLymph node level0..1codingOptions: 3 options
.... right-lymph-countNumber of altered lymph nodes0..1integer
.... right-lymph-largest-sizeSize of largest lymph node (mm)0..1quantity
... grp-left-breastLeft breast0..1group
.... left-parenchymaStructure of parenchyma0..1codingOptions: 3 options
.... left-findings-presentFindings present0..1codingOptions: 2 options
.... left-finding-localizationFinding localization (clock position)0..1string
.... left-change-propertiesChange properties0..1text
.... left-size-lengthSize – length (mm)0..1quantity
.... left-size-widthSize – width (mm)0..1quantity
.... left-natureNature of change0..1codingOptions: 8 options
.... left-ductsCondition of ducts0..1codingOptions: 2 options
.... left-lymph-changesLymph node changes0..1codingOptions: 2 options
.... left-lymph-localizationLymph node localization0..1codingOptions: 2 options
.... left-lymph-levelLymph node level0..1codingOptions: 3 options
.... left-lymph-countNumber of altered lymph nodes0..1integer
.... left-lymph-largest-sizeSize of largest lymph node (mm)0..1quantity
... grp-notesNotes0..1group
.... notesAdditional notes0..1text
... grp-conclusionConclusion0..1group
.... birads-rightBI-RADS – right breast0..1codingOptions: 5 options
.... birads-leftBI-RADS – left breast0..1codingOptions: 5 options
.... recommendationsRecommendations0..*codingOptions: 6 options

doco Documentation for this format

Options Sets

Answer options for right-parenchyma

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fatty ("Homogeneous adipose tissue")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fibroglandular ("Homogeneous fibroglandular")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-heterogeneous ("Heterogeneous")

Answer options for right-findings-present

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

Answer options for right-nature

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-cyst ("Cyst")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lymph-node ("Breast lymph node")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-fibroadenoma ("Fibroadenoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-papilloma ("Papilloma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lipoma ("Lipoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-malignant ("Tumor (malignant)")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-abscess ("Abscess")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-other ("Other (free text)")

Answer options for right-ducts

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-normal ("Ducts not expanded")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-expanded ("Ducts expanded")

Answer options for right-lymph-changes

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

Answer options for right-lymph-localization

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#left ("Left")

Answer options for right-lymph-level

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n1 ("N1")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n2 ("N2")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n3 ("N3")

Answer options for left-parenchyma

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fatty ("Homogeneous adipose tissue")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fibroglandular ("Homogeneous fibroglandular")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-heterogeneous ("Heterogeneous")

Answer options for left-findings-present

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

Answer options for left-nature

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-cyst ("Cyst")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lymph-node ("Breast lymph node")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-fibroadenoma ("Fibroadenoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-papilloma ("Papilloma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lipoma ("Lipoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-malignant ("Tumor (malignant)")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-abscess ("Abscess")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-other ("Other (free text)")

Answer options for left-ducts

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-normal ("Ducts not expanded")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-expanded ("Ducts expanded")

Answer options for left-lymph-changes

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

Answer options for left-lymph-localization

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#left ("Left")

Answer options for left-lymph-level

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n1 ("N1")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n2 ("N2")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n3 ("N3")

Answer options for birads-right

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-1 ("BI-RADS 1 – No changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-2 ("BI-RADS 2 – Benign changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-3 ("BI-RADS 3 – Possibly benign changes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-4 ("BI-RADS 4 – Suspicious malignant finding")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-5 ("BI-RADS 5 – Highly probable malignant finding")

Answer options for birads-left

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-1 ("BI-RADS 1 – No changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-2 ("BI-RADS 2 – Benign changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-3 ("BI-RADS 3 – Possibly benign changes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-4 ("BI-RADS 4 – Suspicious malignant finding")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-5 ("BI-RADS 5 – Highly probable malignant finding")

Answer options for recommendations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-mammographic-control ("Mammographic control")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-additional-mammography ("Additional mammography")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-ultrasound ("Ultrasound examination")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-breast-specialist ("Breast specialist consultation")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-biopsy-ultrasound ("Biopsy under ultrasound")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-follow-up-6m ("Follow-up in 6 months")

Lithuanian


Generated Narrative: Questionnaire questionnaire-ultrasound-lt-breast

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. UltrasoundQuestionnaireLtBreastQuestionnairehttps://hl7.lt/fhir/breast/Questionnaire/questionnaire-ultrasound-lt-breast#0.0.1
... grp-exam-contextExamination context0..1group
.... exam-dateDate of examination0..1dateTime
.... exam-indicationIndication for ultrasound (e.g. review for dense tissue, targeted for findings)0..1string
... grp-right-breastRight breast0..1group
.... right-parenchymaStructure of parenchyma0..1codingOptions: 3 options
.... right-findings-presentFindings present0..1codingOptions: 2 options
.... right-finding-localizationFinding localization (clock position)0..1string
.... right-change-propertiesChange properties0..1text
.... right-size-lengthSize – length (mm)0..1quantity
.... right-size-widthSize – width (mm)0..1quantity
.... right-natureNature of change0..1codingOptions: 8 options
.... right-ductsCondition of ducts0..1codingOptions: 2 options
.... right-lymph-changesLymph node changes0..1codingOptions: 2 options
.... right-lymph-localizationLymph node localization0..1codingOptions: 2 options
.... right-lymph-levelLymph node level0..1codingOptions: 3 options
.... right-lymph-countNumber of altered lymph nodes0..1integer
.... right-lymph-largest-sizeSize of largest lymph node (mm)0..1quantity
... grp-left-breastLeft breast0..1group
.... left-parenchymaStructure of parenchyma0..1codingOptions: 3 options
.... left-findings-presentFindings present0..1codingOptions: 2 options
.... left-finding-localizationFinding localization (clock position)0..1string
.... left-change-propertiesChange properties0..1text
.... left-size-lengthSize – length (mm)0..1quantity
.... left-size-widthSize – width (mm)0..1quantity
.... left-natureNature of change0..1codingOptions: 8 options
.... left-ductsCondition of ducts0..1codingOptions: 2 options
.... left-lymph-changesLymph node changes0..1codingOptions: 2 options
.... left-lymph-localizationLymph node localization0..1codingOptions: 2 options
.... left-lymph-levelLymph node level0..1codingOptions: 3 options
.... left-lymph-countNumber of altered lymph nodes0..1integer
.... left-lymph-largest-sizeSize of largest lymph node (mm)0..1quantity
... grp-notesNotes0..1group
.... notesAdditional notes0..1text
... grp-conclusionConclusion0..1group
.... birads-rightBI-RADS – right breast0..1codingOptions: 5 options
.... birads-leftBI-RADS – left breast0..1codingOptions: 5 options
.... recommendationsRecommendations0..*codingOptions: 6 options

doco Documentation for this format

Options Sets

Answer options for right-parenchyma

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fatty ("Homogeneous adipose tissue")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fibroglandular ("Homogeneous fibroglandular")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-heterogeneous ("Heterogeneous")

Answer options for right-findings-present

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

Answer options for right-nature

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-cyst ("Cyst")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lymph-node ("Breast lymph node")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-fibroadenoma ("Fibroadenoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-papilloma ("Papilloma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lipoma ("Lipoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-malignant ("Tumor (malignant)")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-abscess ("Abscess")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-other ("Other (free text)")

Answer options for right-ducts

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-normal ("Ducts not expanded")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-expanded ("Ducts expanded")

Answer options for right-lymph-changes

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

Answer options for right-lymph-localization

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#left ("Left")

Answer options for right-lymph-level

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n1 ("N1")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n2 ("N2")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n3 ("N3")

Answer options for left-parenchyma

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fatty ("Homogeneous adipose tissue")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-fibroglandular ("Homogeneous fibroglandular")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#parenchyma-heterogeneous ("Heterogeneous")

Answer options for left-findings-present

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

Answer options for left-nature

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-cyst ("Cyst")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lymph-node ("Breast lymph node")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-fibroadenoma ("Fibroadenoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-papilloma ("Papilloma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-lipoma ("Lipoma")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-malignant ("Tumor (malignant)")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-abscess ("Abscess")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#nature-other ("Other (free text)")

Answer options for left-ducts

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-normal ("Ducts not expanded")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ducts-expanded ("Ducts expanded")

Answer options for left-lymph-changes

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

Answer options for left-lymph-localization

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#right ("Right")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#left ("Left")

Answer options for left-lymph-level

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n1 ("N1")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n2 ("N2")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#ln-level-n3 ("N3")

Answer options for birads-right

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-1 ("BI-RADS 1 – No changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-2 ("BI-RADS 2 – Benign changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-3 ("BI-RADS 3 – Possibly benign changes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-4 ("BI-RADS 4 – Suspicious malignant finding")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-5 ("BI-RADS 5 – Highly probable malignant finding")

Answer options for birads-left

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-1 ("BI-RADS 1 – No changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-2 ("BI-RADS 2 – Benign changes found")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-3 ("BI-RADS 3 – Possibly benign changes")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-4 ("BI-RADS 4 – Suspicious malignant finding")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#birads-5 ("BI-RADS 5 – Highly probable malignant finding")

Answer options for recommendations

  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-mammographic-control ("Mammographic control")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-additional-mammography ("Additional mammography")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-ultrasound ("Ultrasound examination")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-breast-specialist ("Breast specialist consultation")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-biopsy-ultrasound ("Biopsy under ultrasound")
  • https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options#rec-follow-up-6m ("Follow-up in 6 months")

Source1

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-ultrasound-lt-breast",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/breast/Questionnaire/questionnaire-ultrasound-lt-breast",
  "version": "0.0.1",
  "name": "UltrasoundQuestionnaireLtBreast",
  "title": "Ultrasound 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-exam-context",
      "text": "Examination context",
      "type": "group",
      "item": [
        {
          "linkId": "exam-date",
          "text": "Date of examination",
          "type": "dateTime"
        },
        {
          "linkId": "exam-indication",
          "text": "Indication for ultrasound (e.g. review for dense tissue, targeted for findings)",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "grp-right-breast",
      "text": "Right breast",
      "type": "group",
      "item": [
        {
          "linkId": "right-parenchyma",
          "text": "Structure of parenchyma",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-fatty",
                "display": "Homogeneous adipose tissue"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-fibroglandular",
                "display": "Homogeneous fibroglandular"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-heterogeneous",
                "display": "Heterogeneous"
              }
            }
          ]
        },
        {
          "linkId": "right-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": "right-finding-localization",
          "text": "Finding localization (clock position)",
          "type": "string"
        },
        {
          "linkId": "right-change-properties",
          "text": "Change properties",
          "type": "text"
        },
        {
          "linkId": "right-size-length",
          "text": "Size – length (mm)",
          "type": "quantity"
        },
        {
          "linkId": "right-size-width",
          "text": "Size – width (mm)",
          "type": "quantity"
        },
        {
          "linkId": "right-nature",
          "text": "Nature of change",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-cyst",
                "display": "Cyst"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-lymph-node",
                "display": "Breast lymph node"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-fibroadenoma",
                "display": "Fibroadenoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-papilloma",
                "display": "Papilloma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-lipoma",
                "display": "Lipoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-malignant",
                "display": "Tumor (malignant)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-abscess",
                "display": "Abscess"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-other",
                "display": "Other (free text)"
              }
            }
          ]
        },
        {
          "linkId": "right-ducts",
          "text": "Condition of ducts",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ducts-normal",
                "display": "Ducts not expanded"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ducts-expanded",
                "display": "Ducts expanded"
              }
            }
          ]
        },
        {
          "linkId": "right-lymph-changes",
          "text": "Lymph node changes",
          "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": "right-lymph-localization",
          "text": "Lymph node localization",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "right",
                "display": "Right"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "left",
                "display": "Left"
              }
            }
          ]
        },
        {
          "linkId": "right-lymph-level",
          "text": "Lymph node level",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n1",
                "display": "N1"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n2",
                "display": "N2"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n3",
                "display": "N3"
              }
            }
          ]
        },
        {
          "linkId": "right-lymph-count",
          "text": "Number of altered lymph nodes",
          "type": "integer"
        },
        {
          "linkId": "right-lymph-largest-size",
          "text": "Size of largest lymph node (mm)",
          "type": "quantity"
        }
      ]
    },
    {
      "linkId": "grp-left-breast",
      "text": "Left breast",
      "type": "group",
      "item": [
        {
          "linkId": "left-parenchyma",
          "text": "Structure of parenchyma",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-fatty",
                "display": "Homogeneous adipose tissue"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-fibroglandular",
                "display": "Homogeneous fibroglandular"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "parenchyma-heterogeneous",
                "display": "Heterogeneous"
              }
            }
          ]
        },
        {
          "linkId": "left-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": "left-finding-localization",
          "text": "Finding localization (clock position)",
          "type": "string"
        },
        {
          "linkId": "left-change-properties",
          "text": "Change properties",
          "type": "text"
        },
        {
          "linkId": "left-size-length",
          "text": "Size – length (mm)",
          "type": "quantity"
        },
        {
          "linkId": "left-size-width",
          "text": "Size – width (mm)",
          "type": "quantity"
        },
        {
          "linkId": "left-nature",
          "text": "Nature of change",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-cyst",
                "display": "Cyst"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-lymph-node",
                "display": "Breast lymph node"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-fibroadenoma",
                "display": "Fibroadenoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-papilloma",
                "display": "Papilloma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-lipoma",
                "display": "Lipoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-malignant",
                "display": "Tumor (malignant)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-abscess",
                "display": "Abscess"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "nature-other",
                "display": "Other (free text)"
              }
            }
          ]
        },
        {
          "linkId": "left-ducts",
          "text": "Condition of ducts",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ducts-normal",
                "display": "Ducts not expanded"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ducts-expanded",
                "display": "Ducts expanded"
              }
            }
          ]
        },
        {
          "linkId": "left-lymph-changes",
          "text": "Lymph node changes",
          "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": "left-lymph-localization",
          "text": "Lymph node localization",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "right",
                "display": "Right"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "left",
                "display": "Left"
              }
            }
          ]
        },
        {
          "linkId": "left-lymph-level",
          "text": "Lymph node level",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n1",
                "display": "N1"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n2",
                "display": "N2"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "ln-level-n3",
                "display": "N3"
              }
            }
          ]
        },
        {
          "linkId": "left-lymph-count",
          "text": "Number of altered lymph nodes",
          "type": "integer"
        },
        {
          "linkId": "left-lymph-largest-size",
          "text": "Size of largest lymph node (mm)",
          "type": "quantity"
        }
      ]
    },
    {
      "linkId": "grp-notes",
      "text": "Notes",
      "type": "group",
      "item": [
        {
          "linkId": "notes",
          "text": "Additional notes",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "grp-conclusion",
      "text": "Conclusion",
      "type": "group",
      "item": [
        {
          "linkId": "birads-right",
          "text": "BI-RADS – right breast",
          "type": "coding",
          "answerOption": [
            {
              "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-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-breast-specialist",
                "display": "Breast specialist consultation"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "rec-biopsy-ultrasound",
                "display": "Biopsy under ultrasound"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
                "code": "rec-follow-up-6m",
                "display": "Follow-up in 6 months"
              }
            }
          ]
        }
      ]
    }
  ]
}