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Packagelt.hl7.fhir.prostate
Resource TypeQuestionnaire
IdQuestionnaire-questionnaire-prostate-pathology-espbi.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7LT/ig-lt-prostate/Questionnaire-questionnaire-prostate-pathology-espbi.html
URLhttps://hl7.lt/fhir/prostate/Questionnaire/prostate-pathology-espbi
Version0.1.0
Statusdraft
Date2025-03-24
NameProstatePathologyEspbi
TitleProstate pathology structured report

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: Questionnaire questionnaire-prostate-pathology-espbi

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ProstatePathologyEspbiQuestionnairehttps://hl7.lt/fhir/prostate/Questionnaire/prostate-pathology-espbi#0.1.0
... grp-specimenSpecimen and macroscopic context0..1group
.... bioptate-length-mmBioptate length (mm)0..1quantity
.... specimen-qualityQuality of materials0..1codingOptions: 3 options
... grp-treatment-effectTreatment effect (selected)0..1group
.... treatment-effectTreatment effect on tumour0..1codingOptions: 5 options
... grp-histologyHistological tumour type0..1group
.... histological-typePrimary histological type0..1codingOptions: 16 options
.... histological-commentHistological type comment0..1text
... grp-gradeGrade (ISUP)0..1group
.... isup-grade-groupInternational Society of Urological Pathology grade group0..1codingOptions: 5 options
... grp-idc-cribriformIDC and cribriform0..1group
.... idc-statusIntraductal carcinoma (IDC)0..1codingOptions: 2 options
.... cribriform-statusCribriform glands0..1codingOptions: 3 options
... grp-additional-grade-burdenAdditional grade and tumour burden (subset)0..1group
.... pattern4-pct-bandQuantity of Pattern 4 (percent band)0..1codingOptions: 4 options
.... tumor-percent-in-biopsyTumour percentage in biopsy tissue0..1codingOptions: 4 options
... grp-invasionLocal invasion (subset)0..1group
.... periprostatic-fat-invasionTumour infiltration in periprostatic adipose tissue0..1codingOptions: 3 options
.... perineural-invasionPerineural invasion0..1codingOptions: 4 options
.... perineural-invasion-notesPerineural invasion notes0..1text
.... lymphovascular-invasionLymphatic and/or vascular tumour invasion0..1codingOptions: 4 options
.... lymphovascular-invasion-notesLymphovascular invasion notes0..1text

doco Documentation for this format

Options Sets

Answer options for specimen-quality

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-satisfactory ("Specimen satisfactory for evaluation")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-limited ("Specimen satisfactory but limited")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-insufficient ("Insufficient tissue for diagnosis")

Answer options for treatment-effect

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-unknown ("Treatment effect unknown")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-unidentifiable ("Treatment effect unidentifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-radiotherapy ("Observed radiotherapy effect")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-hormone ("Observed hormone therapy effect")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-other ("Observed other therapy effect")

Answer options for histological-type

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar ("Acinar adenocarcinoma (conventional)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-signet-ring ("Acinar adenocarcinoma, signet-ring cell-like")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-pleomorphic ("Acinar adenocarcinoma, pleomorphic giant cell")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-sarcomatoid ("Acinar adenocarcinoma, sarcomatoid")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-pin-like ("Acinar adenocarcinoma, PIN-like")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-idc-isolated ("Isolated intraductal carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-ductal ("Ductal adenocarcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-adenosquamous ("Adenosquamous carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-squamous ("Squamous cell carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-basal-cell ("Basal cell (adenoid cystic) carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-adeno ("Adenocarcinoma with neuroendocrine differentiation")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-well-diff ("Well-differentiated neuroendocrine tumor")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-small-cell ("Small cell neuroendocrine carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-large-cell ("Large cell neuroendocrine carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-unassessable ("Carcinoma, type unassessable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-other ("Other histological type (see comment)")

Answer options for isup-grade-group

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg1 ("ISUP Grade Group 1 (Gleason 3+3)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg2 ("ISUP Grade Group 2 (Gleason 3+4)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg3 ("ISUP Grade Group 3 (Gleason 4+3)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg4 ("ISUP Grade Group 4 (Gleason 4+4 or equivalent)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg5 ("ISUP Grade Group 5 (Gleason 4+5 / 5+4 / 5+5)")

Answer options for idc-status

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#idc-absent ("Intraductal carcinoma not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#idc-present ("Intraductal carcinoma identifiable")

Answer options for cribriform-status

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-na ("Cribriform not applicable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-unknown ("Cribriform undefined")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-present ("Cribriform identifiable")

Answer options for pattern4-pct-band

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-na ("Pattern 4 %: not applicable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-lte5 ("Pattern 4 %: ≤5%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-6-10 ("Pattern 4 %: 6–10%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-gt40 ("Pattern 4 %: >40%")

Answer options for tumor-percent-in-biopsy

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-lt1 ("Tumour % in biopsy: <1%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-1-5 ("Tumour % in biopsy: 1–5%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-gt90 ("Tumour % in biopsy: >90%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-uneval ("Tumour %: cannot be evaluated")

Answer options for periprostatic-fat-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-unknown ("Periprostatic fat invasion: unidentifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-absent ("Periprostatic fat invasion: not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-present ("Periprostatic fat invasion: present")

Answer options for perineural-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-absent ("Perineural invasion not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-present ("Perineural invasion present")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-ambiguous ("Perineural invasion ambiguous")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-uneval ("Perineural invasion cannot be evaluated")

Answer options for lymphovascular-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-absent ("Lymphovascular invasion unidentifiable / not available")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-present ("Lymphovascular invasion identifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-ambiguous ("Lymphovascular invasion ambiguous")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-uneval ("Lymphovascular invasion cannot be evaluated")

Lithuanian


Generated Narrative: Questionnaire questionnaire-prostate-pathology-espbi

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ProstatePathologyEspbiQuestionnairehttps://hl7.lt/fhir/prostate/Questionnaire/prostate-pathology-espbi#0.1.0
... grp-specimenSpecimen and macroscopic context0..1group
.... bioptate-length-mmBioptate length (mm)0..1quantity
.... specimen-qualityQuality of materials0..1codingOptions: 3 options
... grp-treatment-effectTreatment effect (selected)0..1group
.... treatment-effectTreatment effect on tumour0..1codingOptions: 5 options
... grp-histologyHistological tumour type0..1group
.... histological-typePrimary histological type0..1codingOptions: 16 options
.... histological-commentHistological type comment0..1text
... grp-gradeGrade (ISUP)0..1group
.... isup-grade-groupInternational Society of Urological Pathology grade group0..1codingOptions: 5 options
... grp-idc-cribriformIDC and cribriform0..1group
.... idc-statusIntraductal carcinoma (IDC)0..1codingOptions: 2 options
.... cribriform-statusCribriform glands0..1codingOptions: 3 options
... grp-additional-grade-burdenAdditional grade and tumour burden (subset)0..1group
.... pattern4-pct-bandQuantity of Pattern 4 (percent band)0..1codingOptions: 4 options
.... tumor-percent-in-biopsyTumour percentage in biopsy tissue0..1codingOptions: 4 options
... grp-invasionLocal invasion (subset)0..1group
.... periprostatic-fat-invasionTumour infiltration in periprostatic adipose tissue0..1codingOptions: 3 options
.... perineural-invasionPerineural invasion0..1codingOptions: 4 options
.... perineural-invasion-notesPerineural invasion notes0..1text
.... lymphovascular-invasionLymphatic and/or vascular tumour invasion0..1codingOptions: 4 options
.... lymphovascular-invasion-notesLymphovascular invasion notes0..1text

doco Documentation for this format

Options Sets

Answer options for specimen-quality

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-satisfactory ("Specimen satisfactory for evaluation")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-limited ("Specimen satisfactory but limited")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#specimen-insufficient ("Insufficient tissue for diagnosis")

Answer options for treatment-effect

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-unknown ("Treatment effect unknown")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-unidentifiable ("Treatment effect unidentifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-radiotherapy ("Observed radiotherapy effect")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-hormone ("Observed hormone therapy effect")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#treatment-other ("Observed other therapy effect")

Answer options for histological-type

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar ("Acinar adenocarcinoma (conventional)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-signet-ring ("Acinar adenocarcinoma, signet-ring cell-like")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-pleomorphic ("Acinar adenocarcinoma, pleomorphic giant cell")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-sarcomatoid ("Acinar adenocarcinoma, sarcomatoid")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-acinar-pin-like ("Acinar adenocarcinoma, PIN-like")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-idc-isolated ("Isolated intraductal carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-ductal ("Ductal adenocarcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-adenosquamous ("Adenosquamous carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-squamous ("Squamous cell carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-basal-cell ("Basal cell (adenoid cystic) carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-adeno ("Adenocarcinoma with neuroendocrine differentiation")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-well-diff ("Well-differentiated neuroendocrine tumor")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-small-cell ("Small cell neuroendocrine carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-neuro-large-cell ("Large cell neuroendocrine carcinoma")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-unassessable ("Carcinoma, type unassessable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#hist-other ("Other histological type (see comment)")

Answer options for isup-grade-group

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg1 ("ISUP Grade Group 1 (Gleason 3+3)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg2 ("ISUP Grade Group 2 (Gleason 3+4)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg3 ("ISUP Grade Group 3 (Gleason 4+3)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg4 ("ISUP Grade Group 4 (Gleason 4+4 or equivalent)")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#isup-gg5 ("ISUP Grade Group 5 (Gleason 4+5 / 5+4 / 5+5)")

Answer options for idc-status

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#idc-absent ("Intraductal carcinoma not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#idc-present ("Intraductal carcinoma identifiable")

Answer options for cribriform-status

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-na ("Cribriform not applicable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-unknown ("Cribriform undefined")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#cribriform-present ("Cribriform identifiable")

Answer options for pattern4-pct-band

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-na ("Pattern 4 %: not applicable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-lte5 ("Pattern 4 %: ≤5%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-6-10 ("Pattern 4 %: 6–10%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#pattern4-pct-gt40 ("Pattern 4 %: >40%")

Answer options for tumor-percent-in-biopsy

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-lt1 ("Tumour % in biopsy: <1%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-1-5 ("Tumour % in biopsy: 1–5%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-gt90 ("Tumour % in biopsy: >90%")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#tumor-pct-uneval ("Tumour %: cannot be evaluated")

Answer options for periprostatic-fat-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-unknown ("Periprostatic fat invasion: unidentifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-absent ("Periprostatic fat invasion: not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#periprostatic-present ("Periprostatic fat invasion: present")

Answer options for perineural-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-absent ("Perineural invasion not identified")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-present ("Perineural invasion present")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-ambiguous ("Perineural invasion ambiguous")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#perineural-uneval ("Perineural invasion cannot be evaluated")

Answer options for lymphovascular-invasion

  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-absent ("Lymphovascular invasion unidentifiable / not available")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-present ("Lymphovascular invasion identifiable")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-ambiguous ("Lymphovascular invasion ambiguous")
  • https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options#lymphovascular-uneval ("Lymphovascular invasion cannot be evaluated")

Source1

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-prostate-pathology-espbi",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/prostate/Questionnaire/prostate-pathology-espbi",
  "version": "0.1.0",
  "name": "ProstatePathologyEspbi",
  "title": "Prostate pathology structured report",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "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"
        }
      ]
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "grp-specimen",
      "text": "Specimen and macroscopic context",
      "type": "group",
      "item": [
        {
          "linkId": "bioptate-length-mm",
          "text": "Bioptate length (mm)",
          "type": "quantity"
        },
        {
          "linkId": "specimen-quality",
          "text": "Quality of materials",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "specimen-satisfactory",
                "display": "Specimen satisfactory for evaluation"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "specimen-limited",
                "display": "Specimen satisfactory but limited"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "specimen-insufficient",
                "display": "Insufficient tissue for diagnosis"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-treatment-effect",
      "text": "Treatment effect (selected)",
      "type": "group",
      "item": [
        {
          "linkId": "treatment-effect",
          "text": "Treatment effect on tumour",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "treatment-unknown",
                "display": "Treatment effect unknown"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "treatment-unidentifiable",
                "display": "Treatment effect unidentifiable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "treatment-radiotherapy",
                "display": "Observed radiotherapy effect"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "treatment-hormone",
                "display": "Observed hormone therapy effect"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "treatment-other",
                "display": "Observed other therapy effect"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-histology",
      "text": "Histological tumour type",
      "type": "group",
      "item": [
        {
          "linkId": "histological-type",
          "text": "Primary histological type",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-acinar",
                "display": "Acinar adenocarcinoma (conventional)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-acinar-signet-ring",
                "display": "Acinar adenocarcinoma, signet-ring cell-like"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-acinar-pleomorphic",
                "display": "Acinar adenocarcinoma, pleomorphic giant cell"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-acinar-sarcomatoid",
                "display": "Acinar adenocarcinoma, sarcomatoid"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-acinar-pin-like",
                "display": "Acinar adenocarcinoma, PIN-like"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-idc-isolated",
                "display": "Isolated intraductal carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-ductal",
                "display": "Ductal adenocarcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-adenosquamous",
                "display": "Adenosquamous carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-squamous",
                "display": "Squamous cell carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-basal-cell",
                "display": "Basal cell (adenoid cystic) carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-neuro-adeno",
                "display": "Adenocarcinoma with neuroendocrine differentiation"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-neuro-well-diff",
                "display": "Well-differentiated neuroendocrine tumor"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-neuro-small-cell",
                "display": "Small cell neuroendocrine carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-neuro-large-cell",
                "display": "Large cell neuroendocrine carcinoma"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-unassessable",
                "display": "Carcinoma, type unassessable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "hist-other",
                "display": "Other histological type (see comment)"
              }
            }
          ]
        },
        {
          "linkId": "histological-comment",
          "text": "Histological type comment",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "grp-grade",
      "text": "Grade (ISUP)",
      "type": "group",
      "item": [
        {
          "linkId": "isup-grade-group",
          "text": "International Society of Urological Pathology grade group",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "isup-gg1",
                "display": "ISUP Grade Group 1 (Gleason 3+3)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "isup-gg2",
                "display": "ISUP Grade Group 2 (Gleason 3+4)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "isup-gg3",
                "display": "ISUP Grade Group 3 (Gleason 4+3)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "isup-gg4",
                "display": "ISUP Grade Group 4 (Gleason 4+4 or equivalent)"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "isup-gg5",
                "display": "ISUP Grade Group 5 (Gleason 4+5 / 5+4 / 5+5)"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-idc-cribriform",
      "text": "IDC and cribriform",
      "type": "group",
      "item": [
        {
          "linkId": "idc-status",
          "text": "Intraductal carcinoma (IDC)",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "idc-absent",
                "display": "Intraductal carcinoma not identified"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "idc-present",
                "display": "Intraductal carcinoma identifiable"
              }
            }
          ]
        },
        {
          "linkId": "cribriform-status",
          "text": "Cribriform glands",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "cribriform-na",
                "display": "Cribriform not applicable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "cribriform-unknown",
                "display": "Cribriform undefined"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "cribriform-present",
                "display": "Cribriform identifiable"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-additional-grade-burden",
      "text": "Additional grade and tumour burden (subset)",
      "type": "group",
      "item": [
        {
          "linkId": "pattern4-pct-band",
          "text": "Quantity of Pattern 4 (percent band)",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "pattern4-pct-na",
                "display": "Pattern 4 %: not applicable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "pattern4-pct-lte5",
                "display": "Pattern 4 %: ≤5%"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "pattern4-pct-6-10",
                "display": "Pattern 4 %: 6–10%"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "pattern4-pct-gt40",
                "display": "Pattern 4 %: >40%"
              }
            }
          ]
        },
        {
          "linkId": "tumor-percent-in-biopsy",
          "text": "Tumour percentage in biopsy tissue",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "tumor-pct-lt1",
                "display": "Tumour % in biopsy: <1%"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "tumor-pct-1-5",
                "display": "Tumour % in biopsy: 1–5%"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "tumor-pct-gt90",
                "display": "Tumour % in biopsy: >90%"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "tumor-pct-uneval",
                "display": "Tumour %: cannot be evaluated"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "grp-invasion",
      "text": "Local invasion (subset)",
      "type": "group",
      "item": [
        {
          "linkId": "periprostatic-fat-invasion",
          "text": "Tumour infiltration in periprostatic adipose tissue",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "periprostatic-unknown",
                "display": "Periprostatic fat invasion: unidentifiable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "periprostatic-absent",
                "display": "Periprostatic fat invasion: not identified"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "periprostatic-present",
                "display": "Periprostatic fat invasion: present"
              }
            }
          ]
        },
        {
          "linkId": "perineural-invasion",
          "text": "Perineural invasion",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "perineural-absent",
                "display": "Perineural invasion not identified"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "perineural-present",
                "display": "Perineural invasion present"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "perineural-ambiguous",
                "display": "Perineural invasion ambiguous"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "perineural-uneval",
                "display": "Perineural invasion cannot be evaluated"
              }
            }
          ]
        },
        {
          "linkId": "perineural-invasion-notes",
          "text": "Perineural invasion notes",
          "type": "text"
        },
        {
          "linkId": "lymphovascular-invasion",
          "text": "Lymphatic and/or vascular tumour invasion",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "lymphovascular-absent",
                "display": "Lymphovascular invasion unidentifiable / not available"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "lymphovascular-present",
                "display": "Lymphovascular invasion identifiable"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "lymphovascular-ambiguous",
                "display": "Lymphovascular invasion ambiguous"
              }
            },
            {
              "valueCoding": {
                "system": "https://tx.hl7.lt/fhir/CodeSystem/prostate-questionnaire-options",
                "code": "lymphovascular-uneval",
                "display": "Lymphovascular invasion cannot be evaluated"
              }
            }
          ]
        },
        {
          "linkId": "lymphovascular-invasion-notes",
          "text": "Lymphovascular invasion notes",
          "type": "text"
        }
      ]
    }
  ]
}