FHIR IG analytics| Package | lt.hl7.fhir.cervical |
| Resource Type | Questionnaire |
| Id | Questionnaire-questionnaire-cervical-colposcopy-espbi.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-cervical/Questionnaire-questionnaire-cervical-colposcopy-espbi.html |
| URL | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-03-31T08:00:43+00:00 |
| Name | CervicalColposcopyEspbi |
| Title | Questionnaire: Cervical Colposcopy ESPBI Form |
| Description | ESPBI form for capturing colposcopy examination data in the Lithuanian cervical cancer screening programme. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: Questionnaire questionnaire-cervical-colposcopy-espbi
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  CervicalColposcopyEspbi | ESPBI form for capturing colposcopy examination data in the Lithuanian cervical cancer screening programme. | Questionnaire | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi#0.0.1 | |
  patient | Patient identification | 1..1 | group | |
  patient.personalCode | Personal code | 1..1 | string | |
| patient.name | Name | 1..1 | string | |
 patient.surname | Surname | 1..1 | string | |
| clinicalHistory | Previous test history | 0..1 | group | |
 clinicalHistory.previousColposcopy | Previous colposcopy performed | 0..1 | coding | Options: 2 options |
 clinicalHistory.previousColposcopyDate | Previous colposcopy date | 0..1 | date | |
 clinicalHistory.indication | Indication (reason for colposcopy) | 0..1 | text | |
| colposcopyPerformed | Colposcopy procedure | 0..1 | group | |
| colposcopyPerformed.performed | Colposcopy performed | 0..1 | coding | Options: 2 options |
| colposcopyPerformed.postponedDate | Postponed date | 0..1 | date | Enable When: colposcopyPerformed.performed = Not done (qualifier value) (SNOMED CT#385660001) |
| colposcopyPerformed.procedureDate | Procedure date | 0..1 | date | |
| colposcopyPerformed.anesthesia | Anesthesia used | 0..1 | coding | Options: 2 options |
| adequacy | Colposcopy adequacy | 0..1 | group | |
| adequacy.adequate | Adequacy of colposcopy | 0..1 | coding | Options: 2 options |
| swedeScore | Swede score (0-10) | 0..1 | group | |
 swedeScore.acetoWhiteReaction | Acetowhite reaction (0-2) | 0..1 | integer | |
| swedeScore.marginsAndSurface | Margins and surface (0-2) | 0..1 | integer | |
| swedeScore.vessels | Vessels (0-2) | 0..1 | integer | |
| swedeScore.lesionSize | Lesion size (0-2) | 0..1 | integer | |
| swedeScore.iodineStaining | Iodine staining (0-2) | 0..1 | integer | |
| swedeScore.totalScore | Total Swede score (0-10) | 0..1 | integer | |
| risk | Risk assessment based on Swede score | 0..1 | group | |
| risk.riskLevel | Risk level | 0..1 | coding | Options: 2 options |
| biopsyProcedure | Biopsy procedure | 0..1 | group | |
| biopsyProcedure.biopsyPerformed | Biopsy performed | 0..1 | coding | Options: 2 options |
| biopsyProcedure.procedureType | Biopsy procedure type | 0..1 | coding | Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001) Options: 4 options |
| biopsySite | Biopsy site | 0..1 | group | Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001) |
| biopsySite.site | Biopsy site | 0..1 | coding | Options: 5 options |
| biopsySite.notes | Notes | 0..1 | text | |
| impression | Colposcopic impression | 0..1 | group | |
| impression.impression | Colposcopic impression | 0..1 | text | |
| impression.recommendation | Recommendation | 0..1 | text | |
| signatures | Signatures | 0..1 | group | |
 signatures.examinerName | Examiner name | 1..1 | string | |
| signatures.examinerSurname | Examiner surname | 1..1 | string | |
| signatures.examinerPressNumber | Examiner press number | 1..1 | string | |
 signatures.examDate | Examination date | 0..1 | dateTime | |
| Documentation for this format | ||||
Options Sets
Answer options for clinicalHistory.previousColposcopy
Answer options for colposcopyPerformed.performed
Answer options for colposcopyPerformed.anesthesia
Answer options for adequacy.adequate
Answer options for risk.riskLevel
Answer options for biopsyProcedure.biopsyPerformed
Answer options for biopsyProcedure.procedureType
Answer options for biopsySite.site
Lithuanian
Generated Narrative: Questionnaire questionnaire-cervical-colposcopy-espbi
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
| CervicalColposcopyEspbi | ESPBI form for capturing colposcopy examination data in the Lithuanian cervical cancer screening programme. | Questionnaire | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi#0.0.1 | |
| patient | Patient identification | 1..1 | group | |
| patient.personalCode | Personal code | 1..1 | string | |
| patient.name | Name | 1..1 | string | |
| patient.surname | Surname | 1..1 | string | |
| clinicalHistory | Previous test history | 0..1 | group | |
| clinicalHistory.previousColposcopy | Previous colposcopy performed | 0..1 | coding | Options: 2 options |
| clinicalHistory.previousColposcopyDate | Previous colposcopy date | 0..1 | date | |
| clinicalHistory.indication | Indication (reason for colposcopy) | 0..1 | text | |
| colposcopyPerformed | Colposcopy procedure | 0..1 | group | |
| colposcopyPerformed.performed | Colposcopy performed | 0..1 | coding | Options: 2 options |
| colposcopyPerformed.postponedDate | Postponed date | 0..1 | date | Enable When: colposcopyPerformed.performed = Not done (qualifier value) (SNOMED CT#385660001) |
| colposcopyPerformed.procedureDate | Procedure date | 0..1 | date | |
| colposcopyPerformed.anesthesia | Anesthesia used | 0..1 | coding | Options: 2 options |
| adequacy | Colposcopy adequacy | 0..1 | group | |
| adequacy.adequate | Adequacy of colposcopy | 0..1 | coding | Options: 2 options |
| swedeScore | Swede score (0-10) | 0..1 | group | |
| swedeScore.acetoWhiteReaction | Acetowhite reaction (0-2) | 0..1 | integer | |
| swedeScore.marginsAndSurface | Margins and surface (0-2) | 0..1 | integer | |
| swedeScore.vessels | Vessels (0-2) | 0..1 | integer | |
| swedeScore.lesionSize | Lesion size (0-2) | 0..1 | integer | |
| swedeScore.iodineStaining | Iodine staining (0-2) | 0..1 | integer | |
| swedeScore.totalScore | Total Swede score (0-10) | 0..1 | integer | |
| risk | Risk assessment based on Swede score | 0..1 | group | |
| risk.riskLevel | Risk level | 0..1 | coding | Options: 2 options |
| biopsyProcedure | Biopsy procedure | 0..1 | group | |
| biopsyProcedure.biopsyPerformed | Biopsy performed | 0..1 | coding | Options: 2 options |
| biopsyProcedure.procedureType | Biopsy procedure type | 0..1 | coding | Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001) Options: 4 options |
| biopsySite | Biopsy site | 0..1 | group | Enable When: biopsyProcedure.biopsyPerformed = Yes (qualifier value) (SNOMED CT#373066001) |
| biopsySite.site | Biopsy site | 0..1 | coding | Options: 5 options |
| biopsySite.notes | Notes | 0..1 | text | |
| impression | Colposcopic impression | 0..1 | group | |
| impression.impression | Colposcopic impression | 0..1 | text | |
| impression.recommendation | Recommendation | 0..1 | text | |
| signatures | Signatures | 0..1 | group | |
| signatures.examinerName | Examiner name | 1..1 | string | |
| signatures.examinerSurname | Examiner surname | 1..1 | string | |
| signatures.examinerPressNumber | Examiner press number | 1..1 | string | |
| signatures.examDate | Examination date | 0..1 | dateTime | |
| Documentation for this format | ||||
Options Sets
Answer options for clinicalHistory.previousColposcopy
Answer options for colposcopyPerformed.performed
Answer options for colposcopyPerformed.anesthesia
Answer options for adequacy.adequate
Answer options for risk.riskLevel
Answer options for biopsyProcedure.biopsyPerformed
Answer options for biopsyProcedure.procedureType
Answer options for biopsySite.site
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
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"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-colposcopy-espbi",
"version": "0.0.1",
"name": "CervicalColposcopyEspbi",
"title": "Questionnaire: Cervical Colposcopy ESPBI Form",
"status": "active",
"date": "2026-03-31T08:00:43+00:00",
"publisher": "Lithuanian Medical Library",
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"item": [
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"item": [
{
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},
{
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{
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},
{
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{
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"text": "Previous colposcopy date",
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},
{
"linkId": "clinicalHistory.indication",
"text": "Indication (reason for colposcopy)",
"type": "text"
}
]
},
{
"linkId": "colposcopyPerformed",
"text": "Colposcopy procedure",
"type": "group",
"item": [
{
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"text": "Colposcopy performed",
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{
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{
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{
"linkId": "colposcopyPerformed.procedureDate",
"text": "Procedure date",
"type": "date"
},
{
"linkId": "colposcopyPerformed.anesthesia",
"text": "Anesthesia used",
"type": "coding",
"answerOption": [
{
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"system": "http://snomed.info/sct",
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"display": "Yes (qualifier value)"
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"display": "No (qualifier value)"
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]
},
{
"linkId": "adequacy",
"text": "Colposcopy adequacy",
"type": "group",
"item": [
{
"linkId": "adequacy.adequate",
"text": "Adequacy of colposcopy",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed (qualifier value)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "385660001",
"display": "Not done (qualifier value)"
}
}
]
}
]
},
{
"linkId": "swedeScore",
"text": "Swede score (0-10)",
"type": "group",
"item": [
{
"linkId": "swedeScore.acetoWhiteReaction",
"text": "Acetowhite reaction (0-2)",
"type": "integer"
},
{
"linkId": "swedeScore.marginsAndSurface",
"text": "Margins and surface (0-2)",
"type": "integer"
},
{
"linkId": "swedeScore.vessels",
"text": "Vessels (0-2)",
"type": "integer"
},
{
"linkId": "swedeScore.lesionSize",
"text": "Lesion size (0-2)",
"type": "integer"
},
{
"linkId": "swedeScore.iodineStaining",
"text": "Iodine staining (0-2)",
"type": "integer"
},
{
"linkId": "swedeScore.totalScore",
"text": "Total Swede score (0-10)",
"type": "integer"
}
]
},
{
"linkId": "risk",
"text": "Risk assessment based on Swede score",
"type": "group",
"item": [
{
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"text": "Risk level",
"type": "coding",
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{
"valueCoding": {
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"code": "723505004",
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}
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}
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},
{
"linkId": "biopsyProcedure",
"text": "Biopsy procedure",
"type": "group",
"item": [
{
"linkId": "biopsyProcedure.biopsyPerformed",
"text": "Biopsy performed",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
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},
{
"linkId": "biopsyProcedure.procedureType",
"text": "Biopsy procedure type",
"type": "coding",
"enableWhen": [
{
"question": "biopsyProcedure.biopsyPerformed",
"operator": "=",
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"system": "http://snomed.info/sct",
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"answerOption": [
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"valueCoding": {
"system": "http://snomed.info/sct",
"code": "51675008",
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},
{
"linkId": "biopsySite",
"text": "Biopsy site",
"type": "group",
"enableWhen": [
{
"question": "biopsyProcedure.biopsyPerformed",
"operator": "=",
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],
"item": [
{
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"text": "Biopsy site",
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"answerOption": [
{
"valueCoding": {
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{
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{
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},
{
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}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "56739004",
"display": "Cervical canal of uterus"
}
}
]
},
{
"linkId": "biopsySite.notes",
"text": "Notes",
"type": "text"
}
]
},
{
"linkId": "impression",
"text": "Colposcopic impression",
"type": "group",
"item": [
{
"linkId": "impression.impression",
"text": "Colposcopic impression",
"type": "text"
},
{
"linkId": "impression.recommendation",
"text": "Recommendation",
"type": "text"
}
]
},
{
"linkId": "signatures",
"text": "Signatures",
"type": "group",
"item": [
{
"linkId": "signatures.examinerName",
"text": "Examiner name",
"type": "string",
"required": true
},
{
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"type": "string",
"required": true
},
{
"linkId": "signatures.examinerPressNumber",
"text": "Examiner press number",
"type": "string",
"required": true
},
{
"linkId": "signatures.examDate",
"text": "Examination date",
"type": "dateTime"
}
]
}
]
}