FHIR IG analytics

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Source1

{
  "resourceType": "ConceptMap",
  "id": "conceptmap-prostate-adpp-questionnaire-to-fhir-lt-prostate",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/prostate/ConceptMap/prostate-adpp-questionnaire-to-fhir",
  "version": "0.1.0",
  "name": "ProstateAdppQuestionnaireToFhir",
  "title": "ADPP Questionnaire items to FHIR mapping",
  "status": "draft",
  "experimental": true,
  "date": "2025-03-24",
  "publisher": "Lithuanian Medical Library",
  "contact": [
    {
      "name": "Lithuanian Medical Library",
      "telecom": [
        {
          "system": "url",
          "value": "https://medicinosnk.lt"
        },
        {
          "system": "email",
          "value": "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description": "Maps ADPP primary assessment Questionnaire linkIds to LT Base / VitalSigns / Lifestyle / Lab patterns. Not a substitute for $extract or national transform logic.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "group": [
    {
      "source": "https://tx.hl7.lt/fhir/CodeSystem/prostate-adpp-questionnaire-item|0.0.1",
      "target": "https://tx.hl7.lt/fhir/CodeSystem/prostate-fhir-mapping-target|0.0.1",
      "element": [
        {
          "code": "assessment-datetime",
          "display": "Assessment date and time",
          "target": [
            {
              "code": "encounter-period",
              "display": "Encounter.period",
              "relationship": "related-to",
              "comment": "Maps to EncounterLt.period (or effectiveDateTime on Observations created in this visit). Example: Encounter-encounter-prostate-diagnostic-example."
            }
          ]
        },
        {
          "code": "referral-reason",
          "display": "Reason for referral / programme entry",
          "target": [
            {
              "code": "servicerequest-reason",
              "display": "ServiceRequest.reasonCode",
              "relationship": "related-to",
              "comment": "Populate ServiceRequestLt.reasonCode or Encounter.reasonCode. Example: ServiceRequest-servicerequest-pathology-prostate-order-example (LT Lab CI)."
            }
          ]
        },
        {
          "code": "psa-recorded",
          "display": "PSA measured at this visit (flag)",
          "target": [
            {
              "code": "observation-psa-serum",
              "display": "Observation: PSA LOINC 2857-1",
              "relationship": "related-to",
              "comment": "Boolean flag; actual value is ObservationLt with LOINC 2857-1. Example: Observation-observation-prostate-psa-example."
            }
          ]
        },
        {
          "code": "dre-result",
          "display": "Digital rectal examination (summary)",
          "target": [
            {
              "code": "observation-dre-finding",
              "display": "Observation: DRE finding",
              "relationship": "related-to",
              "comment": "No dedicated DRE profile in LT Prostate; use ObservationLt (exam) with SNOMED or national codes. National spreadsheets add texture options (e.g. 276385001 Soft prostate) — extend answerOption and map to valueCodeableConcept."
            }
          ]
        },
        {
          "code": "family-hx-prostate",
          "display": "Family history: prostate cancer",
          "target": [
            {
              "code": "family-member-history-cancer",
              "display": "FamilyMemberHistory",
              "relationship": "related-to",
              "comment": "Use FamilyMemberHistory with SNOMED situation codes (e.g. 414205003) as in national form notes. LT Base FamilyMemberHistory if profiled."
            }
          ]
        },
        {
          "code": "family-hx-breast",
          "display": "Family history: breast cancer",
          "target": [
            {
              "code": "family-member-history-cancer",
              "relationship": "related-to",
              "comment": "Same as family-hx-prostate; different relationship code."
            }
          ]
        },
        {
          "code": "family-hx-ovarian",
          "display": "Family history: ovarian cancer",
          "target": [
            {
              "code": "family-member-history-cancer",
              "relationship": "related-to",
              "comment": "Same pattern as other family history items."
            }
          ]
        },
        {
          "code": "family-hx-colon",
          "display": "Family history: colorectal cancer",
          "target": [
            {
              "code": "family-member-history-cancer",
              "relationship": "related-to",
              "comment": "Same pattern as other family history items."
            }
          ]
        },
        {
          "code": "height-cm",
          "display": "Height (cm)",
          "target": [
            {
              "code": "observation-body-height",
              "relationship": "related-to",
              "comment": "LT VitalSigns body height Observation. CI: Observation-observation-body-height-example."
            }
          ]
        },
        {
          "code": "weight-kg",
          "display": "Weight (kg)",
          "target": [
            {
              "code": "observation-body-weight",
              "relationship": "related-to",
              "comment": "LT VitalSigns body weight Observation."
            }
          ]
        },
        {
          "code": "bmi-kg-m2",
          "display": "BMI (kg/m²)",
          "target": [
            {
              "code": "observation-bmi",
              "relationship": "related-to",
              "comment": "BMI Observation (LOINC 39156-5 or SNOMED 60621009). May be derived from height/weight."
            }
          ]
        },
        {
          "code": "first-psa-ngml",
          "display": "First PSA (ng/ml)",
          "target": [
            {
              "code": "observation-prior-psa",
              "relationship": "related-to",
              "comment": "ObservationLt PSA with effectiveDate aligned to first-psa-date."
            }
          ]
        },
        {
          "code": "first-psa-date",
          "display": "First PSA date",
          "target": [
            {
              "code": "observation-prior-psa",
              "relationship": "related-to",
              "comment": "Observation.effective for the first PSA Observation."
            }
          ]
        },
        {
          "code": "second-psa-ngml",
          "display": "Second PSA (ng/ml)",
          "target": [
            {
              "code": "observation-prior-psa",
              "relationship": "related-to",
              "comment": "Second PSA Observation instance with effectiveDate from second-psa-date."
            }
          ]
        },
        {
          "code": "second-psa-date",
          "display": "Second PSA date",
          "target": [
            {
              "code": "observation-prior-psa",
              "relationship": "related-to",
              "comment": "Observation.effective for the second PSA Observation."
            }
          ]
        },
        {
          "code": "prior-mpmri",
          "display": "Prior mpMRI documented",
          "target": [
            {
              "code": "observation-mpmri-history",
              "relationship": "related-to",
              "comment": "Procedure or ImagingStudy + DiagnosticReport summary; or Observation with history context. Link to PI-RADS via prior-mpmri-pirads."
            }
          ]
        },
        {
          "code": "prior-mpmri-pirads",
          "display": "Prior mpMRI PI-RADS category",
          "target": [
            {
              "code": "observation-mpmri-history",
              "relationship": "related-to",
              "comment": "Align with PIRADSAssessmentLtProstate or past report narrative; not a substitute for full mpMRI bundle."
            }
          ]
        },
        {
          "code": "prior-prostatectomy",
          "display": "Prior prostatectomy",
          "target": [
            {
              "code": "procedure-prior-prostate-surgery",
              "relationship": "related-to",
              "comment": "Procedure completed (ProcedureLt); national form also captures date — add Observation or Procedure.performedPeriod when available."
            }
          ]
        },
        {
          "code": "prior-prostate-radiation",
          "display": "Prior prostate radiotherapy",
          "target": [
            {
              "code": "procedure-prior-prostate-radiation",
              "relationship": "related-to",
              "comment": "Procedure or History of radiation therapy (429479009) as situation Observation."
            }
          ]
        },
        {
          "code": "anticoagulant-use",
          "display": "Anticoagulant use",
          "target": [
            {
              "code": "medicationstatement-anticoagulant",
              "relationship": "related-to",
              "comment": "MedicationStatement or MedicationRequest; not profiled in this IG."
            }
          ]
        },
        {
          "code": "complaints-anamnesis",
          "display": "Complaints, anamnesis",
          "target": [
            {
              "code": "clinical-impression-or-note",
              "relationship": "related-to",
              "comment": "Free text: Encounter.reasonCode text, ClinicalImpression.summary, or DocumentReference."
            }
          ]
        },
        {
          "code": "specialist-additional-info",
          "display": "Additional information for specialist",
          "target": [
            {
              "code": "clinical-impression-or-note",
              "relationship": "related-to",
              "comment": "Same as complaints-anamnesis; often copied to ServiceRequest.note or referral DocumentReference."
            }
          ]
        }
      ]
    }
  ]
}