FHIR IG analytics| Package | lt.hl7.fhir.lung |
| Resource Type | ImplementationGuide |
| Id | ImplementationGuide-lt.hl7.fhir.lung.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7LT/ig-lt-lung/index.html |
| URL | https://hl7.lt/fhir/lung/ImplementationGuide/lt.hl7.fhir.lung |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-03-27T05:54:34+00:00 |
| Name | LTLung |
| Title | Lithuanian Lung Cancer Implementation Guide |
| Description | Lithuanian Lung Cancer Implementation Guide |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "ImplementationGuide",
"id": "lt.hl7.fhir.lung",
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.lt/fhir/lung/ImplementationGuide/lt.hl7.fhir.lung",
"version": "0.0.1",
"name": "LTLung",
"title": "Lithuanian Lung Cancer Implementation Guide",
"status": "draft",
"date": "2026-03-27T05:54:34+00:00",
"publisher": "Lithuanian Medical Library",
"contact": [
{
"name": "Lithuanian Medical Library",
"telecom": [
{
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"value": "https://medicinosnk.lt"
},
{
"system": "email",
"value": "info@medicinosnk.lt"
}
]
}
],
"description": "Lithuanian Lung Cancer Implementation Guide",
"jurisdiction": [
{
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},
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"isExample": true,
"profile": [
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},
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},
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"isExample": true,
"profile": [
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},
{
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},
"name": "Finding Density",
"description": "Radiologic density types of a lesion.",
"isExample": false
},
{
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{
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},
"name": "FindingMultiplicityVS",
"isExample": false
},
{
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}
],
"reference": {
"reference": "ImagingStudy/example-imaging-study-ldct"
},
"name": "ImagingStudy: LDCT Screening (example)",
"description": "Example LDCT imaging study for lung cancer screening.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/incidental-finding"
},
"name": "Incidental Finding",
"description": "Significant incidental findings in the chest and abdominal areas detected during low-dose chest computed tomography (LDCT) screening.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/incidental-finding-lt-lung"
},
"name": "Incidental Finding (LT Lung)",
"description": "Significant incidental finding detected during low-dose chest computed tomography (LDCT) screening. Covers both pulmonary incidental findings (emphysema, bronchiectasis, pleural changes, etc.) and extra-pulmonary findings (coronary calcification, aortic aneurysm, mediastinal mass, etc.) as defined in the MDKT dataset sections 1.2.2.1 and 1.2.2.2.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/lung-composition-lt-lung"
},
"name": "Lung Composition (LT Lung)",
"description": "Lung-specific imaging composition extending the base imaging composition with lung-specific constraints on findings, impression, and recommendation sections. Designed for use in the Lithuanian lung cancer prevention programme LDCT screening.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/lung-report-lt-lung"
},
"name": "Lung LDCT Report (LT Lung)",
"description": "Overall lung LDCT diagnostic report covering the low-dose chest computed tomography screening pathway. Wraps a LungCompositionLtLung and aggregates structured results including LUNG-RADS assessments, pulmonary nodule observations, incidental findings, and follow-up recommendations.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lung-lobe"
},
"name": "Lung Lobe",
"description": "Allowed lung lobe body structure codes for localisation of pulmonary nodules\nin the Lithuanian lung cancer early diagnosis programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/lung-questionnaire-options"
},
"name": "Lung questionnaire answer options",
"description": "Illustrative answer option codes for ESPBI questionnaire forms used in the Lithuanian lung cancer prevention programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/lung-recommendation-observation-lt-lung"
},
"name": "Lung Screening Recommendation (LT Lung)",
"description": "Recommendation for follow-up or referral after low-dose chest CT (LDCT)\nscreening examination in the Lithuanian lung cancer early diagnosis programme.\n\nThis observation captures the recommended next action following the final\nLUNG-RADS assessment.\n\nSNOMED CT code 424900004 is used for the observation concept\n'Recommendation - action (qualifier value)'.\nThe actual recommendation value is represented using a local code system,\nbecause the source dataset provides programme-specific recommendation options.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/lung-recommendation"
},
"name": "Lung Screening Recommendation Codes",
"description": "Recommendation codes used in the Lithuanian lung cancer early diagnosis\nprogramme for follow-up and referral actions after LUNG-RADS assessment.\n\nThese codes represent the recommended next clinical action based on the\nradiological conclusion and programme rules.",
"isExample": false
},
{
"extension": [
{
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"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lung-recommendation"
},
"name": "Lung Screening Recommendation Value Set",
"description": "Allowed recommendation codes used in the Lithuanian lung cancer early\ndiagnosis programme for follow-up and referral decisions.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/lung-rads-assessment-lt-lung"
},
"name": "LUNG-RADS Assessment (LT Lung)",
"description": "LUNG-RADS assessment category assigned to a low-dose chest CT (LDCT)\nscreening examination in the Lithuanian lung cancer early diagnosis programme.\n\nThe observation represents the final radiological assessment that determines\nthe follow-up recommendation and screening pathway.\n\nSNOMED CT code 1362105002 is used for the observable concept\n'Lung Imaging Reporting and Data System category (observable entity)'.\nThe actual assessment value is represented using a local code system for the\nmain category values 0, 1, 2, 3, 4A, 4B, and 4X, because separate SNOMED CT\ncodes for those category values are not provided in the source dataset.\nThe optional S modifier is represented as a component.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/lung-rads-category"
},
"name": "LUNG-RADS Assessment Categories",
"description": "Main LUNG-RADS assessment categories used in the Lithuanian lung cancer\nearly diagnosis programme.\n\nThese codes represent the primary final assessment category assigned\nto the low-dose chest CT screening examination.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lung-rads-category"
},
"name": "LUNG-RADS Assessment Category",
"description": "Allowed primary LUNG-RADS assessment categories used in the Lithuanian\nlung cancer early diagnosis programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/lung-rads-modifier"
},
"name": "LUNG-RADS Assessment Modifier",
"description": "Additional modifier used together with the main LUNG-RADS assessment\ncategory in the Lithuanian lung cancer early diagnosis programme.\n\nThe modifier S indicates clinically significant incidental findings that\ncontribute to the overall assessment string, for example 0S or 4AS.",
"isExample": false
},
{
"extension": [
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"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lung-rads-modifier"
},
"name": "LUNG-RADS Assessment Modifier Codes",
"description": "Allowed LUNG-RADS assessment modifier codes used in the Lithuanian\nlung cancer early diagnosis programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/lymph-node-location-vs"
},
"name": "Lymph Node Location",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-pulmonary-nodule-ground-glass-example"
},
"name": "observation-pulmonary-nodule-ground-glass-example",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/pulmonary-nodule-observation-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-pulmonary-nodule-part-solid-example"
},
"name": "observation-pulmonary-nodule-part-solid-example",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/pulmonary-nodule-observation-lt-lung|0.0.1"
]
},
{
"extension": [
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"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-pulmonary-nodule-solid-example"
},
"name": "observation-pulmonary-nodule-solid-example",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/pulmonary-nodule-observation-lt-lung|0.0.1"
]
},
{
"extension": [
{
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"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-incidental-pleural-effusion-example"
},
"name": "Observation: Bilateral Pleural Effusion (example)",
"description": "Incidental finding of bilateral pleural effusion detected during LDCT screening.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/incidental-finding-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-incidental-coronary-calcification-example"
},
"name": "Observation: Coronary Artery Calcification, Moderate (example)",
"description": "Incidental finding of moderate coronary artery calcification detected during LDCT screening.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/incidental-finding-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-lung-recommendation-3m-example"
},
"name": "Observation: Lung screening recommendation - 3 month (example)",
"description": "Example of a recommendation for follow-up LDCT after 3 months.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/lung-recommendation-observation-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-lung-recommendation-pulmonologist-example"
},
"name": "Observation: Lung screening recommendation - pulmonologist consultation (example)",
"description": "Example of a recommendation to refer the patient for pulmonologist consultation.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/lung-recommendation-observation-lt-lung|0.0.1"
]
},
{
"extension": [
{
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"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-lung-rads-4as-example"
},
"name": "Observation: LUNG-RADS 4A with S modifier (example)",
"description": "Example of a final LUNG-RADS assessment with primary category 4A and modifier S.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/lung-rads-assessment-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-lung-rads-4a-example"
},
"name": "Observation: LUNG-RADS Category 4A (example)",
"description": "Example of a final LUNG-RADS assessment with primary category 4A.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/lung-rads-assessment-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-incidental-lymphadenopathy-example"
},
"name": "Observation: Mediastinal lymphadenopathy, multiple, bilateral",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/incidental-finding-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-incidental-mediastinal-mass-example"
},
"name": "Observation: Mediastinal mass with abnormal density",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/incidental-finding-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Observation"
}
],
"reference": {
"reference": "Observation/observation-incidental-emphysema-example"
},
"name": "Observation: Pulmonary Emphysema, Severe (example)",
"description": "Incidental finding of severe (>50%) pulmonary emphysema detected during LDCT screening.",
"isExample": true,
"profile": [
"https://hl7.lt/fhir/lung/StructureDefinition/incidental-finding-lt-lung|0.0.1"
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Patient"
}
],
"reference": {
"reference": "Patient/example-patient-male"
},
"name": "Patient: Male (example)",
"description": "Example of a male patient for lung cancer screening examples.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Practitioner"
}
],
"reference": {
"reference": "Practitioner/example-practitioner"
},
"name": "Practitioner: Radiologist (example)",
"description": "Example of a radiologist practitioner for lung cancer screening examples.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "PractitionerRole"
}
],
"reference": {
"reference": "PractitionerRole/example-practitioner-role"
},
"name": "PractitionerRole: Radiologist (example)",
"description": "Example radiologist practitioner role for LDCT reporting.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Procedure"
}
],
"reference": {
"reference": "Procedure/example-procedure-ldct"
},
"name": "Procedure: LDCT Screening (example)",
"description": "Example LDCT screening procedure.",
"isExample": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "StructureDefinition:resource"
}
],
"reference": {
"reference": "StructureDefinition/pulmonary-nodule-observation-lt-lung"
},
"name": "Pulmonary Nodule (LT Lung)",
"description": "Pulmonary nodule identified on low-dose chest CT (LDCT) in the Lithuanian\nlung cancer early diagnosis programme.\n\nOne observation represents one pulmonary nodule (Židinys). Multiple nodules\nare represented as multiple Observation instances.\n\nThe observation captures the nodule type, localisation, CT slice number,\nmorphological features, measurements, and optional note.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/pulmonary-nodule-morphology"
},
"name": "Pulmonary Nodule Morphology Features",
"description": "Allowed morphology characteristics for pulmonary nodules in the Lithuanian\nlung cancer early diagnosis programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/pulmonary-nodule-component-code"
},
"name": "Pulmonary Nodule Observation Component Codes",
"description": "Local component codes for pulmonary nodule observation elements used in the\nLithuanian lung cancer early diagnosis programme when no suitable SNOMED CT\ncode is available in the source dataset.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "ValueSet"
}
],
"reference": {
"reference": "ValueSet/pulmonary-nodule-type"
},
"name": "Pulmonary Nodule Type",
"description": "Allowed pulmonary nodule type values used in the Lithuanian lung cancer\nearly diagnosis programme.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "CodeSystem"
}
],
"reference": {
"reference": "CodeSystem/pulmonary-nodule-type-local"
},
"name": "Pulmonary Nodule Type Local Codes",
"description": "Local codes for pulmonary nodule types used in the Lithuanian lung cancer\nearly diagnosis programme when no suitable SNOMED CT code is available\nin the source dataset.",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Questionnaire"
}
],
"reference": {
"reference": "Questionnaire/questionnaire-ldct-lt-lung"
},
"name": "Questionnaire: LDCT ESPBI Form (LT Lung)",
"description": "Structured data-capture form for low-dose chest computed tomography (LDCT) reporting based on ADP Table 7.1 (MDKT dataset).",
"isExample": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString": "Questionnaire"
}
],
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