Lithuanian Colorectal Cancer Implementation Guide
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Lithuanian Colorectal Cancer Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-colorectal/ and changes regularly. See the Directory of published versions

: Colorectal - Local Polyp Codes CS

Active as of 2026-04-13

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{
  "resourceType" : "CodeSystem",
  "id" : "colorectal-polyp-codes-lt",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem colorectal-polyp-codes-lt</b></p><a name=\"colorectal-polyp-codes-lt\"> </a><a name=\"hccolorectal-polyp-codes-lt\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><p>This case-sensitive code system <code>https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">comp-paris<a name=\"colorectal-polyp-codes-lt-comp-paris\"> </a></td><td>Paris classification</td></tr><tr><td style=\"white-space:nowrap\">comp-nice<a name=\"colorectal-polyp-codes-lt-comp-nice\"> </a></td><td>NICE classification</td></tr><tr><td style=\"white-space:nowrap\">comp-hist-predict<a name=\"colorectal-polyp-codes-lt-comp-hist-predict\"> </a></td><td>Endoscopic prediction of histology</td></tr><tr><td style=\"white-space:nowrap\">comp-access<a name=\"colorectal-polyp-codes-lt-comp-access\"> </a></td><td>Access to polyp</td></tr><tr><td style=\"white-space:nowrap\">comp-smsa-score<a name=\"colorectal-polyp-codes-lt-comp-smsa-score\"> </a></td><td>SMSA Total Score</td></tr><tr><td style=\"white-space:nowrap\">comp-smsa-level<a name=\"colorectal-polyp-codes-lt-comp-smsa-level\"> </a></td><td>SMSA Level</td></tr><tr><td style=\"white-space:nowrap\">paris-is<a name=\"colorectal-polyp-codes-lt-paris-is\"> </a></td><td>Is (Sessile)</td></tr><tr><td style=\"white-space:nowrap\">paris-ip<a name=\"colorectal-polyp-codes-lt-paris-ip\"> </a></td><td>Ip (Pedunculated)</td></tr><tr><td style=\"white-space:nowrap\">paris-iia<a name=\"colorectal-polyp-codes-lt-paris-iia\"> </a></td><td>IIa (Flat elevated)</td></tr><tr><td style=\"white-space:nowrap\">paris-iib<a name=\"colorectal-polyp-codes-lt-paris-iib\"> </a></td><td>IIb (Flat)</td></tr><tr><td style=\"white-space:nowrap\">paris-iic<a name=\"colorectal-polyp-codes-lt-paris-iic\"> </a></td><td>IIc (Depressed)</td></tr><tr><td style=\"white-space:nowrap\">paris-lst-g-h<a name=\"colorectal-polyp-codes-lt-paris-lst-g-h\"> </a></td><td>LST-G-H (Granular homogeneous)</td></tr><tr><td style=\"white-space:nowrap\">paris-lst-g-nm<a name=\"colorectal-polyp-codes-lt-paris-lst-g-nm\"> </a></td><td>LST-G-NM (Granular nodular mixed)</td></tr><tr><td style=\"white-space:nowrap\">paris-lst-ng-fe<a name=\"colorectal-polyp-codes-lt-paris-lst-ng-fe\"> </a></td><td>LST-NG-FE (Non-granular flat elevated)</td></tr><tr><td style=\"white-space:nowrap\">paris-lst-ng-pd<a name=\"colorectal-polyp-codes-lt-paris-lst-ng-pd\"> </a></td><td>LST-NG-PD (Non-granular pseudodepressed)</td></tr><tr><td style=\"white-space:nowrap\">nice-1<a name=\"colorectal-polyp-codes-lt-nice-1\"> </a></td><td>Type I</td></tr><tr><td style=\"white-space:nowrap\">nice-2<a name=\"colorectal-polyp-codes-lt-nice-2\"> </a></td><td>Type II</td></tr><tr><td style=\"white-space:nowrap\">nice-3<a name=\"colorectal-polyp-codes-lt-nice-3\"> </a></td><td>Type III</td></tr><tr><td style=\"white-space:nowrap\">access-easy<a name=\"colorectal-polyp-codes-lt-access-easy\"> </a></td><td>Easy</td></tr><tr><td style=\"white-space:nowrap\">access-heavy<a name=\"colorectal-polyp-codes-lt-access-heavy\"> </a></td><td>Heavy/Difficult</td></tr><tr><td style=\"white-space:nowrap\">smsa-lvl-1<a name=\"colorectal-polyp-codes-lt-smsa-lvl-1\"> </a></td><td>Level I (4-5 points)</td></tr><tr><td style=\"white-space:nowrap\">smsa-lvl-2<a name=\"colorectal-polyp-codes-lt-smsa-lvl-2\"> </a></td><td>Level II (6-8 points)</td></tr><tr><td style=\"white-space:nowrap\">smsa-lvl-3<a name=\"colorectal-polyp-codes-lt-smsa-lvl-3\"> </a></td><td>Level III (9-12 points)</td></tr><tr><td style=\"white-space:nowrap\">smsa-lvl-4<a name=\"colorectal-polyp-codes-lt-smsa-lvl-4\"> </a></td><td>Level IV (&gt;= 13 points)</td></tr></table></div>"
  },
  "url" : "https://hl7.lt/fhir/colorectal/CodeSystem/colorectal-polyp-codes-lt",
  "version" : "0.0.1",
  "name" : "ColorectalPolypCodesLt",
  "title" : "Colorectal - Local Polyp Codes CS",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-04-13T12:42:10+00:00",
  "publisher" : "Lithuanian Medical Library",
  "contact" : [
    {
      "name" : "Lithuanian Medical Library",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://medicinosnk.lt"
        },
        {
          "system" : "email",
          "value" : "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description" : "Local codes for polyp classifications (Paris, NICE, Access, SMSA) used in the Lithuanian colorectal screening program.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "LT"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 24,
  "concept" : [
    {
      "code" : "comp-paris",
      "display" : "Paris classification"
    },
    {
      "code" : "comp-nice",
      "display" : "NICE classification"
    },
    {
      "code" : "comp-hist-predict",
      "display" : "Endoscopic prediction of histology"
    },
    {
      "code" : "comp-access",
      "display" : "Access to polyp"
    },
    {
      "code" : "comp-smsa-score",
      "display" : "SMSA Total Score"
    },
    {
      "code" : "comp-smsa-level",
      "display" : "SMSA Level"
    },
    {
      "code" : "paris-is",
      "display" : "Is (Sessile)"
    },
    {
      "code" : "paris-ip",
      "display" : "Ip (Pedunculated)"
    },
    {
      "code" : "paris-iia",
      "display" : "IIa (Flat elevated)"
    },
    {
      "code" : "paris-iib",
      "display" : "IIb (Flat)"
    },
    {
      "code" : "paris-iic",
      "display" : "IIc (Depressed)"
    },
    {
      "code" : "paris-lst-g-h",
      "display" : "LST-G-H (Granular homogeneous)"
    },
    {
      "code" : "paris-lst-g-nm",
      "display" : "LST-G-NM (Granular nodular mixed)"
    },
    {
      "code" : "paris-lst-ng-fe",
      "display" : "LST-NG-FE (Non-granular flat elevated)"
    },
    {
      "code" : "paris-lst-ng-pd",
      "display" : "LST-NG-PD (Non-granular pseudodepressed)"
    },
    {
      "code" : "nice-1",
      "display" : "Type I"
    },
    {
      "code" : "nice-2",
      "display" : "Type II"
    },
    {
      "code" : "nice-3",
      "display" : "Type III"
    },
    {
      "code" : "access-easy",
      "display" : "Easy"
    },
    {
      "code" : "access-heavy",
      "display" : "Heavy/Difficult"
    },
    {
      "code" : "smsa-lvl-1",
      "display" : "Level I (4-5 points)"
    },
    {
      "code" : "smsa-lvl-2",
      "display" : "Level II (6-8 points)"
    },
    {
      "code" : "smsa-lvl-3",
      "display" : "Level III (9-12 points)"
    },
    {
      "code" : "smsa-lvl-4",
      "display" : "Level IV (>= 13 points)"
    }
  ]
}