FHIR IG analytics| Package | lt.hl7.fhir.cervical |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-lt.hl7.fhir.cervical.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-cervical/index.html |
| URL | https://hl7.lt/fhir/cervical/ImplementationGuide/lt.hl7.fhir.cervical |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-03-31T08:00:43+00:00 |
| Name | LTCervical |
| Title | Lithuanian Cervical Cancer Implementation Guide |
| Description | Lithuanian Cervical Cancer Implementation Guide |
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Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "ImplementationGuide",
"id": "lt.hl7.fhir.cervical",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/cervical/ImplementationGuide/lt.hl7.fhir.cervical",
"version": "0.0.1",
"name": "LTCervical",
"title": "Lithuanian Cervical Cancer Implementation Guide",
"status": "draft",
"date": "2026-03-31T08:00:43+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 Cervical Cancer Implementation Guide",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "LT"
}
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"resource": [
{
"extension": [
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"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-biopsy-quadrant"
},
"name": "Cervical Biopsy Quadrant",
"description": "Anatomical quadrants of the uterine cervix used to localize biopsy sites.",
"isExample": false
},
{
"extension": [
{
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],
"reference": {
"reference": "ValueSet/cervical-biopsy-site-lt-cervical"
},
"name": "Cervical Biopsy Site (LT Cervical)",
"description": "Anatomical localization of cervical biopsy sampling sites during colposcopy.",
"isExample": false
},
{
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{
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],
"reference": {
"reference": "StructureDefinition/cervical-report-lt-cervical"
},
"name": "Cervical Cancer Screening Report (LT Cervical)",
"description": "Overall cervical cancer diagnostic report covering the entire screening and diagnostic pathway. Wraps a CervicalCompositionLtCervical and aggregates structured results including HPV testing, cytology, colposcopy findings, and histopathology conclusions.",
"isExample": false
},
{
"extension": [
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}
],
"reference": {
"reference": "StructureDefinition/cervical-composition-lt-cervical"
},
"name": "Cervical Composition (LT Cervical)",
"description": "Cervical cancer screening episode composition extending the base imaging composition. Links all diagnostic reports (HPV, cytology, colposcopy, histopathology) produced during the cervical cancer screening and diagnostic pathway into a single clinical document.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-cytology-test-type"
},
"name": "Cervical Cytology Test Types",
"description": "Types of cytological examinations ordered in the cervical cancer prevention program. Used in ServiceRequest.code and DiagnosticReport.code to classify the specific test type.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-histological-grade"
},
"name": "Cervical Histological Grade",
"description": "Histological differentiation grades for cervical cancer, based on AJCC grading system.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-histopathology-diagnosis"
},
"name": "Cervical Histopathology Diagnosis",
"description": "Histopathological diagnostic conclusions for cervical tissue examination, aligned with WHO Classification of Female Genital Tumours (2020).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-microflora"
},
"name": "Cervical Microflora",
"description": "Microflora types observed during cervical cytological examination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-pathogen"
},
"name": "Cervical Pathogen",
"description": "Pathogens identified during cervical cytological examination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-sample-collection-site-lt-cervical"
},
"name": "Cervical Sample Collection Site (LT Cervical)",
"description": "Anatomical locations for sample collection.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-surgical-margins"
},
"name": "Cervical Surgical Margins",
"description": "Status of surgical margins in cervical excision specimens.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-tnm-pr"
},
"name": "Cervical TNM pR Stage",
"description": "Pathological residual tumor (pR) classification for cervical cancer, AJCC 8th edition.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cervical-tnm-pt"
},
"name": "Cervical TNM pT Stage [RETIRED]",
"description": "RETIRED — Use CervicalTumorStageTLtLab from the Lab IG instead, which includes full pTX–pT4 staging. This ValueSet only covered pTX–pT1b2.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cytology-conclusion-lt-cervical"
},
"name": "Cervix - Cytology Conclusion (LT Cervical)",
"description": "Cytological diagnostic conclusions and specimen adequacy categories used in the Lithuanian cervical cancer screening and diagnostic pathway (ADP), aligned with Bethesda terminology.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/cytology-preparation-method-lt-cervical"
},
"name": "Cervix - Cytology Preparation Method (LT Cervical)",
"description": "Specimen preparation methods for cervical cytology in the Lithuanian cervical cancer screening pathway (conventional smear vs liquid-based cytology).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/hpv-genotype-lt-cervical"
},
"name": "Cervix - HPV Genotypes (LT Cervical)",
"description": "High-risk Human Papillomavirus (HPV) genotypes and groups detected in cervical cancer screening.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/hpv-test-result-lt-cervical"
},
"name": "Cervix - HPV Test Result (LT Cervical)",
"description": "Overall result codes for HPV DNA testing.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Specimen"
}
],
"reference": {
"reference": "Specimen/specimen-cervix-hpv-example"
},
"name": "Cervix HPV Specimen example",
"description": "Example cervix HPV specimen used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/cervix-score-lt-cervical"
},
"name": "Cervix Scoring Instruments (LT Cervical) [RETIRED]",
"description": "Local codes for cervical cancer screening scoring instruments.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/colposcopy-adequacy-lt-cervical"
},
"name": "Colposcopy Adequacy (LT Cervical)",
"description": "Suitability of colposcopy examination for clinical assessment in the Lithuanian cervical cancer screening pathway. Uses specimen adequacy findings from the Lab IG.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-colposcopy-example"
},
"name": "Colposcopy Diagnostic Report example",
"description": "Sample colposcopy diagnostic report used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-colposcopy-finding-example"
},
"name": "Colposcopy Finding Observation example",
"description": "Example colposcopy finding observation used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-colposcopy-history-example"
},
"name": "Colposcopy History Observation example",
"description": "Example colposcopy history observation used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Procedure"
}
],
"reference": {
"reference": "Procedure/procedure-colposcopy-example"
},
"name": "Colposcopy Procedure example",
"description": "Example colposcopy procedure used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/colposcopy-swede-risk-lt-cervical"
},
"name": "Colposcopy Swede Score Risk Category (LT Cervical)",
"description": "Risk categories derived from Swede score during colposcopy examination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/colposcopy-procedure-type-lt-cervical"
},
"name": "Colposcopy-related Procedures (LT Cervical)",
"description": "Procedures that may be performed during colposcopy in the Lithuanian cervical cancer screening pathway.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Composition"
}
],
"reference": {
"reference": "Composition/composition-cervical-screening-episode-example"
},
"name": "Composition: Cervical Cancer Screening Episode (example)",
"description": "Example of a cervical cancer screening episode composition linking HPV, cytology, and colposcopy diagnostic reports.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/cervical-composition-lt-cervical|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cervical-condition-lt-cervical"
},
"name": "Condition: Cervical Cancer (LT Cervical)",
"description": "Cervical cancer condition with pathological TNM staging (pT, pN, pR) and morphology classification. Follows the pattern established by ProstateConditionLtLab.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Condition"
}
],
"reference": {
"reference": "Condition/condition-cervical-cancer-stage-example"
},
"name": "Condition: Cervical Cancer pT1a1 Stage (example)",
"description": "Example of a cervical cancer condition with pathological TNM staging and ICD-O morphology.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/cervical-condition-lt-cervical|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cytology-conclusion-lt-cervical"
},
"name": "Cytology Conclusion",
"description": "Final cytological diagnostic conclusion of cervical cytology examination in the Lithuanian cervical cancer screening and diagnostic pathway (ADP).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-cytology-conclusion-example"
},
"name": "Cytology Conclusion Observation example",
"description": "Example cytology conclusion observation used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-cytology-example"
},
"name": "Cytology Diagnostic Report example",
"description": "Sample cytology diagnostic report used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-cervical-report-example"
},
"name": "DiagnosticReport: Cervical Cancer Screening Report (example)",
"description": "Example of a cervical cancer screening report linking HPV, cytology, and colposcopy results.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/cervical-report-lt-cervical|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/cytology-diagnostic-report-lt-cervical"
},
"name": "DiagnosticReport: Cervical Cytology (Pap Test)",
"description": "Laboratory diagnostic report representing cervical cytology examination in the Lithuanian cervical cancer screening pathway (ADP).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/histopathology-diagnostic-report-lt-cervical"
},
"name": "DiagnosticReport: Cervical Histopathology (LT Cervical)",
"description": "Histopathological examination report for cervical tissue obtained from biopsy or excisional procedures. Based on DiagnosticReportLt with pathology-specific constraints for cervical cancer.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-histopathology-example"
},
"name": "DiagnosticReport: Cervical Histopathology Report (example)",
"description": "Example of a cervical histopathology report documenting HSIL/CIN2 diagnosis from cone biopsy.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/histopathology-diagnostic-report-lt-cervical|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/colposcopy-diagnostic-report-lt-cervical"
},
"name": "DiagnosticReport: Colposcopy",
"description": "Diagnostic report summarizing findings and procedures performed during colposcopy in the Lithuanian cervical cancer screening pathway.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "DiagnosticReport"
}
],
"reference": {
"reference": "DiagnosticReport/diagnosticreport-hpv-example"
},
"name": "DiagnosticReport: HPV DNA Test (example)",
"description": "HPV laboratory diagnostic report for cervical cancer screening.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/cervical/StructureDefinition/hpv-diagnostic-report-lt-cervical|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/hpv-diagnostic-report-lt-cervical"
},
"name": "DiagnosticReport: HPV Test",
"description": "Laboratory diagnostic report representing HPV DNA testing in the Lithuanian cervical cancer screening pathway (ADP).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-hpv-result-group-example"
},
"name": "HPV Result Group Observation example",
"description": "Example HPV result group observation used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-hpv-result-example"
},
"name": "HPV Result Observation example",
"description": "Example HPV result observation used in the LT Cervical IG",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/hpv-risk-group-lt-cervical"
},
"name": "HPV Risk Groups CodeSystem (LT Cervical)",
"description": "Specific HPV risk groupings",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/hpv-risk-group-vs-lt-cervical"
},
"name": "HPV Risk Groups ValueSet (LT Cervical)",
"description": "ValueSet containing the ADP-specific risk buckets.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/hpv-test-result-lt-cervical"
},
"name": "HPV Test Result",
"description": "HPV DNA test result with optional component for specifying detected high-risk genotypes.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/hpv-vaccination-status-lt-cervical"
},
"name": "HPV Vaccination Status (LT Cervical)",
"description": "Status of HPV vaccination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/histopathology-conclusion-lt-cervical"
},
"name": "Observation: Cervical Histopathology Conclusion (LT Cervical)",
"description": "Histopathological diagnostic conclusion for cervical tissue examination. Records the morphological diagnosis, histological grade, lymphovascular invasion (pLVI), and surgical margin status.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-histopathology-conclusion-example"
},
"name": "Observation: Cervical Histopathology Conclusion – HSIL/CIN2 (example)",
"description": "Example of a cervical histopathology conclusion showing HSIL/CIN2 with G2 grade, clear margins, and no lymphovascular invasion.",
"isExample": true,
"profile": [
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