FHIR IG analytics

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Source1

{
  "resourceType": "ConceptMap",
  "id": "conceptmap-prostate-pathology-questionnaire-to-fhir-lt-prostate",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/prostate/ConceptMap/prostate-pathology-questionnaire-to-fhir",
  "version": "0.1.0",
  "name": "ProstatePathologyQuestionnaireToFhir",
  "title": "Prostate pathology 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 dr-prostate-aligned pathology Questionnaire linkIds to LT Lab and LT Prostate Gleason/ISUP patterns.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "group": [
    {
      "source": "https://tx.hl7.lt/fhir/CodeSystem/prostate-pathology-questionnaire-item|0.0.1",
      "target": "https://tx.hl7.lt/fhir/CodeSystem/prostate-fhir-mapping-target|0.0.1",
      "element": [
        {
          "code": "bioptate-length-mm",
          "display": "Bioptate length (mm)",
          "target": [
            {
              "code": "specimen-dimension-or-measurement",
              "relationship": "related-to",
              "comment": "Specimen dimension or Observation-observation-specimen-measurement-example (LT Lab)."
            }
          ]
        },
        {
          "code": "specimen-quality",
          "display": "Quality of materials",
          "target": [
            {
              "code": "specimen-adequacy-finding",
              "relationship": "related-to",
              "comment": "Observation-observation-specimen-adequacy-example (LT Lab); map answerCoding to SNOMED finding codes from national spec."
            }
          ]
        },
        {
          "code": "treatment-effect",
          "display": "Treatment effect on tumour",
          "target": [
            {
              "code": "observation-tumor-treatment-effect",
              "relationship": "related-to",
              "comment": "TumorObservableLtLab or narrative in DiagnosticReport; map radiotherapy/hormone SNOMED from spreadsheet."
            }
          ]
        },
        {
          "code": "histological-type",
          "display": "Primary histological type",
          "target": [
            {
              "code": "condition-morphology-prostate",
              "relationship": "related-to",
              "comment": "Condition.code / morphology; Condition-condition-prostate-cancer-example (LT Lab) for integrated staging."
            }
          ]
        },
        {
          "code": "histological-comment",
          "display": "Histological type comment",
          "target": [
            {
              "code": "condition-morphology-prostate",
              "relationship": "related-to",
              "comment": "Condition.note or Observation.note; complements histological-type."
            }
          ]
        },
        {
          "code": "isup-grade-group",
          "display": "ISUP grade group",
          "target": [
            {
              "code": "observation-gleason-isup-prostate",
              "relationship": "related-to",
              "comment": "GleasonIsupObservationLtProstate + ValueSet prostate-isup-grade-group. Example: Observation-observation-prostate-gleason-gradegroup-example."
            }
          ]
        },
        {
          "code": "idc-status",
          "display": "Intraductal carcinoma (IDC)",
          "target": [
            {
              "code": "observation-tumor-microscopic-idc",
              "relationship": "related-to",
              "comment": "TumorObservableLtLab / morphology Observation; national form has additional IDC sub-questions."
            }
          ]
        },
        {
          "code": "cribriform-status",
          "display": "Cribriform glands",
          "target": [
            {
              "code": "observation-tumor-microscopic-cribriform",
              "relationship": "related-to",
              "comment": "TumorObservableLtLab or structured finding Observation."
            }
          ]
        },
        {
          "code": "pattern4-pct-band",
          "display": "Pattern 4 quantity (percent band)",
          "target": [
            {
              "code": "observation-pattern4-percent",
              "relationship": "related-to",
              "comment": "TumorMeasurementLtLab or lab tumour Observation; dr-prostate has finer bands than this Questionnaire."
            }
          ]
        },
        {
          "code": "tumor-percent-in-biopsy",
          "display": "Tumour percentage in biopsy tissue",
          "target": [
            {
              "code": "observation-tumor-burden-percent",
              "relationship": "related-to",
              "comment": "Quantitative tumour assessment row in dr-prostate; map to Observation ratio or coded category."
            }
          ]
        },
        {
          "code": "periprostatic-fat-invasion",
          "display": "Periprostatic fat invasion",
          "target": [
            {
              "code": "observation-periprostatic-invasion",
              "relationship": "related-to",
              "comment": "NeoplasmInvasionLtProstate (imaging) vs microscopic finding in pathology Observation; use LT Lab tumour findings for biopsy."
            }
          ]
        },
        {
          "code": "perineural-invasion",
          "display": "Perineural invasion",
          "target": [
            {
              "code": "observation-perineural-invasion",
              "relationship": "related-to",
              "comment": "SNOMED 369731000 (present), 370051000 (absent), 385001000 (not identified), 396393005 (indeterminate); use LT Lab tumour findings."
            }
          ]
        },
        {
          "code": "lymphovascular-invasion",
          "display": "Lymphatic and/or vascular tumour invasion",
          "target": [
            {
              "code": "observation-lymphovascular-invasion",
              "relationship": "related-to",
              "comment": "SNOMED 385414009 Lymphatic (small vessel) tumor invasion finding; use LT Lab tumour findings for biopsy microscopic assessment."
            }
          ]
        }
      ]
    }
  ]
}