FHIR IG analytics| Package | lt.hl7.fhir.cervical |
| Resource Type | Questionnaire |
| Id | Questionnaire-questionnaire-cervical-histology-espbi.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-cervical/Questionnaire-questionnaire-cervical-histology-espbi.html |
| URL | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-histology-espbi |
| Version | 0.0.1 |
| Status | active |
| Date | 2025-04-01 |
| Name | CervicalHistologyEspbiQuestionnaire |
| Title | Cervical Histopathological Examination – ESPBI Form |
| Description | Structured questionnaire capturing cervical histopathological examination data for the Lithuanian ESPBI system, aligned with 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-cervical-histology-espbi
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Structured questionnaire capturing cervical histopathological examination data for the Lithuanian ESPBI system, aligned with ADP Table 7.2. | Questionnaire | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-histology-espbi#0.0.1 | |
![]() ![]() | Referral to perform pathology test | 0..1 | group | |
![]() ![]() ![]() | Personal code | 1..1 | string | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Date of birth | 0..1 | date | |
![]() ![]() ![]() | Clinical diagnosis (ICD-10 code with name) | 0..1 | string | |
![]() ![]() | Previous procedures history | 0..1 | group | |
![]() ![]() ![]() | Has previous procedure | 0..1 | coding | Options: 3 options |
![]() ![]() ![]() | Type of previous procedure | 0..1 | coding | Enable When: previousProcedures.hasPreviousProcedure = Yes (qualifier value) (SNOMED CT#373066001) Options: 4 options |
![]() ![]() ![]() | Procedure date | 0..1 | date | Enable When: previousProcedures.hasPreviousProcedure = Yes (qualifier value) (SNOMED CT#373066001) |
![]() ![]() | Colposcopy examination data | 0..1 | group | |
![]() ![]() ![]() | Colposcopy status | 0..1 | coding | Options: 2 options |
![]() ![]() ![]() | Swede score (0-10) | 0..1 | integer | |
![]() ![]() ![]() | Adequacy of colposcopy | 0..1 | coding | Options: 2 options |
![]() ![]() | Nature of operation/procedure | 0..1 | group | |
![]() ![]() ![]() | Procedure type | 0..1 | coding | Options: 4 options |
![]() ![]() | Biopsy site description | 0..1 | group | |
![]() ![]() ![]() | Container | 0..* | group | |
![]() ![]() ![]() ![]() | Biopsy site | 0..1 | coding | Options: 5 options |
![]() ![]() ![]() ![]() | Anatomical notes | 0..1 | text | |
![]() ![]() ![]() ![]() | Number of fragments | 0..1 | integer | |
![]() ![]() | Macroscopic examination | 0..1 | group | |
![]() ![]() ![]() | Tissue size X (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Tissue size Y (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Tissue size Z (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Ectocervix size X (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Ectocervix size Y (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Other findings / size | 0..1 | text | |
![]() ![]() ![]() | Notes | 0..1 | text | |
![]() ![]() | Microscopic examination | 0..1 | group | |
![]() ![]() ![]() | Microscopic description | 0..1 | text | |
![]() ![]() | Conclusion / Diagnosis | 0..1 | group | |
![]() ![]() ![]() | Diagnosis category | 0..1 | coding | Options: 13 options |
![]() ![]() | Histological grade | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Grade | 0..1 | coding | Options: 4 options |
![]() ![]() | Tumor size | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Horizontal extent (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Depth of invasion (mm) | 0..1 | decimal | |
![]() ![]() | Lymphovascular invasion (pLVI) | 0..1 | group | |
![]() ![]() ![]() | pLVI status | 0..1 | coding | Options: 3 options |
![]() ![]() | Surgical margins | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Margin status | 0..1 | coding | Options: 5 options |
![]() ![]() | TNM staging | 0..1 | group | |
![]() ![]() ![]() | pT stage | 0..1 | coding | Options: 7 options |
![]() ![]() ![]() | pR stage | 0..1 | coding | Options: 4 options |
![]() ![]() ![]() | ICD-10 code | 0..1 | string | |
![]() ![]() ![]() | ICD-O code | 0..1 | string | |
![]() ![]() ![]() | SNOMED CT code | 0..1 | string | |
![]() ![]() | Conducted by | 0..1 | group | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Medical press number | 1..1 | string | |
![]() ![]() ![]() | Response date | 0..1 | dateTime | |
![]() ![]() | Confirmed by | 0..1 | group | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Medical press number | 1..1 | string | |
![]() ![]() ![]() | Confirmation date | 0..1 | dateTime | |
Options Sets
Answer options for previousProcedures.hasPreviousProcedure
Answer options for previousProcedures.procedureType
Answer options for colposcopyData.colposcopyStatus
Answer options for colposcopyData.adequacy
Answer options for biopsyProcedure.procedureType
Answer options for biopsySites.containers.biopsySite
Answer options for conclusion.diagnosisCategory
Answer options for grade.grade
Answer options for pLVI.status
Answer options for margins.marginStatus
Answer options for tnm.pT
Answer options for tnm.pR
Lithuanian
Generated Narrative: Questionnaire questionnaire-cervical-histology-espbi
Language: en
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Structured questionnaire capturing cervical histopathological examination data for the Lithuanian ESPBI system, aligned with ADP Table 7.2. | Questionnaire | https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-histology-espbi#0.0.1 | |
![]() ![]() | Referral to perform pathology test | 0..1 | group | |
![]() ![]() ![]() | Personal code | 1..1 | string | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Date of birth | 0..1 | date | |
![]() ![]() ![]() | Clinical diagnosis (ICD-10 code with name) | 0..1 | string | |
![]() ![]() | Previous procedures history | 0..1 | group | |
![]() ![]() ![]() | Has previous procedure | 0..1 | coding | Options: 3 options |
![]() ![]() ![]() | Type of previous procedure | 0..1 | coding | Enable When: previousProcedures.hasPreviousProcedure = Yes (qualifier value) (SNOMED CT#373066001) Options: 4 options |
![]() ![]() ![]() | Procedure date | 0..1 | date | Enable When: previousProcedures.hasPreviousProcedure = Yes (qualifier value) (SNOMED CT#373066001) |
![]() ![]() | Colposcopy examination data | 0..1 | group | |
![]() ![]() ![]() | Colposcopy status | 0..1 | coding | Options: 2 options |
![]() ![]() ![]() | Swede score (0-10) | 0..1 | integer | |
![]() ![]() ![]() | Adequacy of colposcopy | 0..1 | coding | Options: 2 options |
![]() ![]() | Nature of operation/procedure | 0..1 | group | |
![]() ![]() ![]() | Procedure type | 0..1 | coding | Options: 4 options |
![]() ![]() | Biopsy site description | 0..1 | group | |
![]() ![]() ![]() | Container | 0..* | group | |
![]() ![]() ![]() ![]() | Biopsy site | 0..1 | coding | Options: 5 options |
![]() ![]() ![]() ![]() | Anatomical notes | 0..1 | text | |
![]() ![]() ![]() ![]() | Number of fragments | 0..1 | integer | |
![]() ![]() | Macroscopic examination | 0..1 | group | |
![]() ![]() ![]() | Tissue size X (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Tissue size Y (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Tissue size Z (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Ectocervix size X (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Ectocervix size Y (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Other findings / size | 0..1 | text | |
![]() ![]() ![]() | Notes | 0..1 | text | |
![]() ![]() | Microscopic examination | 0..1 | group | |
![]() ![]() ![]() | Microscopic description | 0..1 | text | |
![]() ![]() | Conclusion / Diagnosis | 0..1 | group | |
![]() ![]() ![]() | Diagnosis category | 0..1 | coding | Options: 13 options |
![]() ![]() | Histological grade | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Grade | 0..1 | coding | Options: 4 options |
![]() ![]() | Tumor size | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Horizontal extent (mm) | 0..1 | decimal | |
![]() ![]() ![]() | Depth of invasion (mm) | 0..1 | decimal | |
![]() ![]() | Lymphovascular invasion (pLVI) | 0..1 | group | |
![]() ![]() ![]() | pLVI status | 0..1 | coding | Options: 3 options |
![]() ![]() | Surgical margins | 0..1 | group | Enable When:
|
![]() ![]() ![]() | Margin status | 0..1 | coding | Options: 5 options |
![]() ![]() | TNM staging | 0..1 | group | |
![]() ![]() ![]() | pT stage | 0..1 | coding | Options: 7 options |
![]() ![]() ![]() | pR stage | 0..1 | coding | Options: 4 options |
![]() ![]() ![]() | ICD-10 code | 0..1 | string | |
![]() ![]() ![]() | ICD-O code | 0..1 | string | |
![]() ![]() ![]() | SNOMED CT code | 0..1 | string | |
![]() ![]() | Conducted by | 0..1 | group | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Medical press number | 1..1 | string | |
![]() ![]() ![]() | Response date | 0..1 | dateTime | |
![]() ![]() | Confirmed by | 0..1 | group | |
![]() ![]() ![]() | Name | 1..1 | string | |
![]() ![]() ![]() | Surname | 1..1 | string | |
![]() ![]() ![]() | Medical press number | 1..1 | string | |
![]() ![]() ![]() | Confirmation date | 0..1 | dateTime | |
Options Sets
Answer options for previousProcedures.hasPreviousProcedure
Answer options for previousProcedures.procedureType
Answer options for colposcopyData.colposcopyStatus
Answer options for colposcopyData.adequacy
Answer options for biopsyProcedure.procedureType
Answer options for biopsySites.containers.biopsySite
Answer options for conclusion.diagnosisCategory
Answer options for grade.grade
Answer options for pLVI.status
Answer options for margins.marginStatus
Answer options for tnm.pT
Answer options for tnm.pR
{
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"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/cervical/Questionnaire/questionnaire-cervical-histology-espbi",
"version": "0.0.1",
"name": "CervicalHistologyEspbiQuestionnaire",
"title": "Cervical Histopathological Examination – ESPBI Form",
"status": "active",
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"publisher": "Lithuanian Medical Library",
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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": "Date of birth",
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{
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},
{
"linkId": "previousProcedures",
"text": "Previous procedures history",
"type": "group",
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{
"linkId": "previousProcedures.procedureType",
"text": "Type of previous procedure",
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{
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"operator": "=",
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"answerOption": [
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"valueCoding": {
"system": "http://snomed.info/sct",
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{
"valueCoding": {
"system": "http://snomed.info/sct",
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{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "125211000011906",
"display": "History of antineoplastic chemotherapy (situation)"
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{
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"system": "http://snomed.info/sct",
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{
"linkId": "previousProcedures.procedureDate",
"text": "Procedure date",
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"enableWhen": [
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},
{
"linkId": "colposcopyData",
"text": "Colposcopy examination data",
"type": "group",
"item": [
{
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"type": "coding",
"answerOption": [
{
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"system": "http://snomed.info/sct",
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{
"valueCoding": {
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"code": "416237000",
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{
"linkId": "colposcopyData.swedeScore",
"text": "Swede score (0-10)",
"type": "integer"
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{
"linkId": "colposcopyData.adequacy",
"text": "Adequacy of colposcopy",
"type": "coding",
"answerOption": [
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"valueCoding": {
"system": "http://snomed.info/sct",
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{
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"text": "Nature of operation/procedure",
"type": "group",
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{
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"text": "Procedure type",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "51675008",
"display": "Punch biopsy of cervix (procedure)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "23140002",
"display": "Loop electrosurgical excision procedure of cervix (procedure)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "54535009",
"display": "Cone biopsy of cervix (procedure)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52889002",
"display": "Endocervical curettage (procedure)"
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},
{
"linkId": "biopsySites",
"text": "Biopsy site description",
"type": "group",
"item": [
{
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"text": "Container",
"type": "group",
"repeats": true,
"item": [
{
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"text": "Biopsy site",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "127900007",
"display": "Structure of left superior quadrant of uterine cervix"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "127902004",
"display": "Structure of right superior quadrant of uterine cervix"
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},
{
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"system": "http://snomed.info/sct",
"code": "127901006",
"display": "Structure of right inferior quadrant of uterine cervix"
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{
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"system": "http://snomed.info/sct",
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"display": "Structure of left inferior quadrant of uterine cervix"
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{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "56739004",
"display": "Structure of cervical canal of uterus"
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{
"linkId": "biopsySites.containers.anatomicalNotes",
"text": "Anatomical notes",
"type": "text"
},
{
"linkId": "biopsySites.containers.numberOfFragments",
"text": "Number of fragments",
"type": "integer"
}
]
}
]
},
{
"linkId": "macroscopic",
"text": "Macroscopic examination",
"type": "group",
"item": [
{
"linkId": "macroscopic.tissueSizeX",
"text": "Tissue size X (mm)",
"type": "decimal"
},
{
"linkId": "macroscopic.tissueSizeY",
"text": "Tissue size Y (mm)",
"type": "decimal"
},
{
"linkId": "macroscopic.tissueSizeZ",
"text": "Tissue size Z (mm)",
"type": "decimal"
},
{
"linkId": "macroscopic.ectocervixSizeX",
"text": "Ectocervix size X (mm)",
"type": "decimal"
},
{
"linkId": "macroscopic.ectocervixSizeY",
"text": "Ectocervix size Y (mm)",
"type": "decimal"
},
{
"linkId": "macroscopic.otherFindingsSize",
"text": "Other findings / size",
"type": "text"
},
{
"linkId": "macroscopic.notes",
"text": "Notes",
"type": "text"
}
]
},
{
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"text": "Microscopic examination",
"type": "group",
"item": [
{
"linkId": "microscopic.description",
"text": "Microscopic description",
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]
},
{
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"text": "Conclusion / Diagnosis",
"type": "group",
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{
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"text": "Diagnosis category",
"type": "coding",
"answerOption": [
{
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{
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"display": "Reactive cellular changes (morphologic abnormality)"
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},
{
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
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"display": "Squamous intraepithelial neoplasia grade 1 (morphologic abnormality)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "400049009",
"display": "Squamous intraepithelial neoplasia grade 2 (morphologic abnormality)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1162893000",
"display": "Squamous cell carcinoma in situ (morphologic abnormality)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "12478003",
"display": "Squamous cell carcinoma, microinvasive (morphologic abnormality)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1157180003",
"display": "Human papillomavirus-associated adenocarcinoma in situ (morphologic abnormality)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1157186009",
"display": "Human papillomavirus-independent adenocarcinoma in situ (morphologic abnormality)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "783212001",
"display": "Human papillomavirus positive squamous cell carcinoma (morphologic abnormality)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "783213006",
"display": "Human papillomavirus negative squamous cell carcinoma (morphologic abnormality)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1162767002",
"display": "Squamous cell carcinoma (morphologic abnormality)"
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},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1187332001",
"display": "Adenocarcinoma (morphologic abnormality)"
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}
]
}
]
},
{
"linkId": "grade",
"text": "Histological grade",
"type": "group",
"enableWhen": [
{
"question": "conclusion.diagnosisCategory",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
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},
{
"question": "conclusion.diagnosisCategory",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "783212001",
"display": "Human papillomavirus positive squamous cell carcinoma (morphologic abnormality)"
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},
{
"question": "conclusion.diagnosisCategory",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "783213006",
"display": "Human papillomavirus negative squamous cell carcinoma (morphologic abnormality)"
}
},
{
"question": "conclusion.diagnosisCategory",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "1162767002",
"display": "Squamous cell carcinoma (morphologic abnormality)"
}
},
{
"question": "conclusion.diagnosisCategory",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "1187332001",
"display": "Adenocarcinoma (morphologic abnormality)"
}
}
],
"enableBehavior": "any",
"item": [
{
"linkId": "grade.grade",
"text": "Grade",
"type": "coding",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1228848004",
"display": "American Joint Committee on Cancer grade G1 (qualifier value)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1228850007",
"display": "American Joint Committee on Cancer grade G2 (qualifier value)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1228851006",
"display": "American Joint Committee on Cancer grade G3 (qualifier value)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1228845001",
"display": "American Joint Committee on Cancer grade GX (qualifier value)"
}
}
]
}
]
},
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