Lithuanian Colorectal Cancer Implementation Guide
0.0.1 - ci-build
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
| Active as of 2026-04-13 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="snomed-extension-lt-colorectal"/>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: CodeSystem snomed-extension-lt-colorectal</b></p><a name="snomed-extension-lt-colorectal"> </a><a name="hcsnomed-extension-lt-colorectal"> </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://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">paris-classification<a name="snomed-extension-lt-colorectal-paris-classification"> </a></td><td>Paris endoscopic classification</td><td>Paris endoscopic classification of superficial neoplastic lesions</td></tr><tr><td style="white-space:nowrap">nice-classification<a name="snomed-extension-lt-colorectal-nice-classification"> </a></td><td>NICE classification</td><td>NBI International Colorectal Endoscopic classification</td></tr><tr><td style="white-space:nowrap">polyp-access<a name="snomed-extension-lt-colorectal-polyp-access"> </a></td><td>Access to polyp</td><td>Difficulty of access to the polyp during endoscopy</td></tr><tr><td style="white-space:nowrap">smsa-score<a name="snomed-extension-lt-colorectal-smsa-score"> </a></td><td>SMSA score</td><td>Size, Morphology, Site, and Access score for polypectomy difficulty</td></tr><tr><td style="white-space:nowrap">predicted-histology<a name="snomed-extension-lt-colorectal-predicted-histology"> </a></td><td>Predicted histology</td><td>Predicted histological type based on endoscopic appearance</td></tr><tr><td style="white-space:nowrap">paris-Is<a name="snomed-extension-lt-colorectal-paris-Is"> </a></td><td>Paris 0-Is (sessile/polypoid)</td><td/></tr><tr><td style="white-space:nowrap">paris-Isp<a name="snomed-extension-lt-colorectal-paris-Isp"> </a></td><td>Paris 0-Isp (semi-pedunculated)</td><td/></tr><tr><td style="white-space:nowrap">paris-Ip<a name="snomed-extension-lt-colorectal-paris-Ip"> </a></td><td>Paris 0-Ip (pedunculated)</td><td/></tr><tr><td style="white-space:nowrap">paris-IIa<a name="snomed-extension-lt-colorectal-paris-IIa"> </a></td><td>Paris 0-IIa (slightly elevated)</td><td/></tr><tr><td style="white-space:nowrap">paris-IIb<a name="snomed-extension-lt-colorectal-paris-IIb"> </a></td><td>Paris 0-IIb (flat)</td><td/></tr><tr><td style="white-space:nowrap">paris-IIc<a name="snomed-extension-lt-colorectal-paris-IIc"> </a></td><td>Paris 0-IIc (slightly depressed)</td><td/></tr><tr><td style="white-space:nowrap">lst-g-h<a name="snomed-extension-lt-colorectal-lst-g-h"> </a></td><td>LST-G-H (Laterally spreading, granular type, homogeneous)</td><td>Equivalent to Paris 0-IIa</td></tr><tr><td style="white-space:nowrap">lst-g-nm<a name="snomed-extension-lt-colorectal-lst-g-nm"> </a></td><td>LST-G-NM (Laterally spreading, granular type, non-homogeneous)</td><td>Equivalent to Paris 0-IIa + Is</td></tr><tr><td style="white-space:nowrap">lst-ng-fe<a name="snomed-extension-lt-colorectal-lst-ng-fe"> </a></td><td>LST-NG-FE (Laterally spreading, non-granular type, flat elevation)</td><td>Equivalent to Paris 0-IIa</td></tr><tr><td style="white-space:nowrap">lst-ng-pd<a name="snomed-extension-lt-colorectal-lst-ng-pd"> </a></td><td>LST-NG-PD (Laterally spreading, non-granular type, depressed)</td><td>Equivalent to Paris 0-IIa + IIc</td></tr><tr><td style="white-space:nowrap">nice-1<a name="snomed-extension-lt-colorectal-nice-1"> </a></td><td>NICE Type I</td><td>Hyperplastic/sessile serrated lesion</td></tr><tr><td style="white-space:nowrap">nice-2<a name="snomed-extension-lt-colorectal-nice-2"> </a></td><td>NICE Type II</td><td>Adenoma (low/high grade dysplasia)</td></tr><tr><td style="white-space:nowrap">nice-3<a name="snomed-extension-lt-colorectal-nice-3"> </a></td><td>NICE Type III</td><td>Deep submucosal invasive cancer</td></tr><tr><td style="white-space:nowrap">nice-not-evaluated<a name="snomed-extension-lt-colorectal-nice-not-evaluated"> </a></td><td>NICE Not evaluated</td><td/></tr><tr><td style="white-space:nowrap">access-easy<a name="snomed-extension-lt-colorectal-access-easy"> </a></td><td>Easy</td><td>Easy access to the polyp. SMSA scale: 1 point.</td></tr><tr><td style="white-space:nowrap">access-heavy<a name="snomed-extension-lt-colorectal-access-heavy"> </a></td><td>Heavy</td><td>Difficult access to the polyp. SMSA scale: 3 points.</td></tr><tr><td style="white-space:nowrap">budding-bd0<a name="snomed-extension-lt-colorectal-budding-bd0"> </a></td><td>No tumor budding (Bd0)</td><td>0 buds per 20X field</td></tr><tr><td style="white-space:nowrap">budding-bd1<a name="snomed-extension-lt-colorectal-budding-bd1"> </a></td><td>Bd1 (1-4 / 20X RL)</td><td>Low tumor budding: 1-4 buds per 20X field</td></tr><tr><td style="white-space:nowrap">budding-bd2<a name="snomed-extension-lt-colorectal-budding-bd2"> </a></td><td>Bd2 (5-9 / 20X RL)</td><td>Intermediate tumor budding: 5-9 buds per 20X field</td></tr><tr><td style="white-space:nowrap">budding-bd3<a name="snomed-extension-lt-colorectal-budding-bd3"> </a></td><td>Bd3 (10+ / 20X RL)</td><td>High tumor budding: 10 or more buds per 20X field</td></tr><tr><td style="white-space:nowrap">budding-invaluable<a name="snomed-extension-lt-colorectal-budding-invaluable"> </a></td><td>Invaluable</td><td>Tumor budding cannot be assessed</td></tr><tr><td style="white-space:nowrap">pdc-none<a name="snomed-extension-lt-colorectal-pdc-none"> </a></td><td>No poorly differentiated clusters</td><td/></tr><tr><td style="white-space:nowrap">pdc-g1<a name="snomed-extension-lt-colorectal-pdc-g1"> </a></td><td>PDC-G1 (1-4 / 20X RL)</td><td/></tr><tr><td style="white-space:nowrap">pdc-g2<a name="snomed-extension-lt-colorectal-pdc-g2"> </a></td><td>PDC-G2 (5-9 / 20X RL)</td><td/></tr><tr><td style="white-space:nowrap">pdc-g3<a name="snomed-extension-lt-colorectal-pdc-g3"> </a></td><td>PDC-G3 (10+ / 20X RL)</td><td/></tr><tr><td style="white-space:nowrap">pdc-invaluable<a name="snomed-extension-lt-colorectal-pdc-invaluable"> </a></td><td>PDC Invaluable</td><td/></tr><tr><td style="white-space:nowrap">mmrp-normal<a name="snomed-extension-lt-colorectal-mmrp-normal"> </a></td><td>Normal expression (MMR proficient, MSS)</td><td/></tr><tr><td style="white-space:nowrap">mmrp-loss<a name="snomed-extension-lt-colorectal-mmrp-loss"> </a></td><td>Loss of expression (MMR deficient, MSI)</td><td/></tr><tr><td style="white-space:nowrap">mmrp-invaluable<a name="snomed-extension-lt-colorectal-mmrp-invaluable"> </a></td><td>MMRP Invaluable</td><td/></tr><tr><td style="white-space:nowrap">mmrp-postponed<a name="snomed-extension-lt-colorectal-mmrp-postponed"> </a></td><td>MMRP Postponed</td><td/></tr><tr><td style="white-space:nowrap">mmrp-undefined<a name="snomed-extension-lt-colorectal-mmrp-undefined"> </a></td><td>MMRP Undefined (MSS)</td><td/></tr><tr><td style="white-space:nowrap">mol-postponed<a name="snomed-extension-lt-colorectal-mol-postponed"> </a></td><td>Postponed</td><td>Molecular test has been postponed</td></tr><tr><td style="white-space:nowrap">mol-detected<a name="snomed-extension-lt-colorectal-mol-detected"> </a></td><td>Detected mutation</td><td>Mutation has been detected</td></tr><tr><td style="white-space:nowrap">mol-not-detected<a name="snomed-extension-lt-colorectal-mol-not-detected"> </a></td><td>Undefined mutation</td><td>No mutation detected / undefined</td></tr><tr><td style="white-space:nowrap">mol-set<a name="snomed-extension-lt-colorectal-mol-set"> </a></td><td>Set (MSI)</td><td>MSI status has been established</td></tr><tr><td style="white-space:nowrap">msi-test<a name="snomed-extension-lt-colorectal-msi-test"> </a></td><td>MSI (Microsatellite instability study)</td><td>Microsatellite instability study. KLTN code: XLT00915-2</td></tr><tr><td style="white-space:nowrap">kras-test<a name="snomed-extension-lt-colorectal-kras-test"> </a></td><td>KRAS mutation test</td><td>KRAS gene mutation analysis</td></tr><tr><td style="white-space:nowrap">nras-test<a name="snomed-extension-lt-colorectal-nras-test"> </a></td><td>NRAS mutation test</td><td>NRAS gene mutation analysis</td></tr><tr><td style="white-space:nowrap">braf-v600e-test<a name="snomed-extension-lt-colorectal-braf-v600e-test"> </a></td><td>BRAF V600E mutation test</td><td>Study of BRAF gene V600 variants. KLTN code: XLT00914-5</td></tr><tr><td style="white-space:nowrap">haggitt-0<a name="snomed-extension-lt-colorectal-haggitt-0"> </a></td><td>Haggitt 0</td><td/></tr><tr><td style="white-space:nowrap">haggitt-1<a name="snomed-extension-lt-colorectal-haggitt-1"> </a></td><td>Haggitt 1</td><td/></tr><tr><td style="white-space:nowrap">haggitt-2<a name="snomed-extension-lt-colorectal-haggitt-2"> </a></td><td>Haggitt 2</td><td/></tr><tr><td style="white-space:nowrap">haggitt-3<a name="snomed-extension-lt-colorectal-haggitt-3"> </a></td><td>Haggitt 3</td><td/></tr><tr><td style="white-space:nowrap">haggitt-4<a name="snomed-extension-lt-colorectal-haggitt-4"> </a></td><td>Haggitt 4</td><td/></tr><tr><td style="white-space:nowrap">kikuchi-sm1<a name="snomed-extension-lt-colorectal-kikuchi-sm1"> </a></td><td>Sm1 according to Kikuchi</td><td/></tr><tr><td style="white-space:nowrap">kikuchi-sm2<a name="snomed-extension-lt-colorectal-kikuchi-sm2"> </a></td><td>Sm2 according to Kikuchi</td><td/></tr><tr><td style="white-space:nowrap">kikuchi-sm3<a name="snomed-extension-lt-colorectal-kikuchi-sm3"> </a></td><td>Sm3 according to Kikuchi</td><td/></tr><tr><td style="white-space:nowrap">invasion-invaluable<a name="snomed-extension-lt-colorectal-invasion-invaluable"> </a></td><td>Invasion depth invaluable</td><td/></tr><tr><td style="white-space:nowrap">prep-split-two-day<a name="snomed-extension-lt-colorectal-prep-split-two-day"> </a></td><td>Two-day split preparation</td><td>Two-day split-dose bowel preparation protocol</td></tr><tr><td style="white-space:nowrap">prep-same-day<a name="snomed-extension-lt-colorectal-prep-same-day"> </a></td><td>Same-day non-split preparation</td><td>Same-day non-split bowel preparation protocol</td></tr><tr><td style="white-space:nowrap">polypectomy-snare<a name="snomed-extension-lt-colorectal-polypectomy-snare"> </a></td><td>Snare/loop</td><td>Polypectomy performed using a snare or loop</td></tr><tr><td style="white-space:nowrap">polypectomy-forceps<a name="snomed-extension-lt-colorectal-polypectomy-forceps"> </a></td><td>Forceps</td><td>Polypectomy performed using forceps</td></tr><tr><td style="white-space:nowrap">polypectomy-hot<a name="snomed-extension-lt-colorectal-polypectomy-hot"> </a></td><td>Hot technique</td><td>Polypectomy using electrocautery (hot)</td></tr><tr><td style="white-space:nowrap">polypectomy-cold<a name="snomed-extension-lt-colorectal-polypectomy-cold"> </a></td><td>Cold technique</td><td>Polypectomy without electrocautery (cold)</td></tr><tr><td style="white-space:nowrap">resection-en-bloc<a name="snomed-extension-lt-colorectal-resection-en-bloc"> </a></td><td>En bloc resection</td><td>Complete removal of lesion in one piece</td></tr><tr><td style="white-space:nowrap">resection-piecemeal<a name="snomed-extension-lt-colorectal-resection-piecemeal"> </a></td><td>Piecemeal resection</td><td>Removal of lesion in multiple fragments</td></tr><tr><td style="white-space:nowrap">lumen-air<a name="snomed-extension-lt-colorectal-lumen-air"> </a></td><td>Air insufflation</td><td>Colonic lumen distension using air</td></tr><tr><td style="white-space:nowrap">lumen-water<a name="snomed-extension-lt-colorectal-lumen-water"> </a></td><td>Water immersion</td><td>Colonic lumen distension using water</td></tr><tr><td style="white-space:nowrap">lumen-co2<a name="snomed-extension-lt-colorectal-lumen-co2"> </a></td><td>CO2 insufflation</td><td>Colonic lumen distension using carbon dioxide</td></tr><tr><td style="white-space:nowrap">hydro-saline<a name="snomed-extension-lt-colorectal-hydro-saline"> </a></td><td>Normal saline</td><td>Submucosal injection of normal saline for lesion lifting</td></tr><tr><td style="white-space:nowrap">hydro-adrenaline<a name="snomed-extension-lt-colorectal-hydro-adrenaline"> </a></td><td>Adrenaline</td><td>Submucosal injection of adrenaline for lesion lifting</td></tr><tr><td style="white-space:nowrap">hydro-methylene-blue<a name="snomed-extension-lt-colorectal-hydro-methylene-blue"> </a></td><td>Methylene blue</td><td>Submucosal injection of methylene blue for lesion lifting</td></tr><tr><td style="white-space:nowrap">hydro-gelofusine<a name="snomed-extension-lt-colorectal-hydro-gelofusine"> </a></td><td>Gelofusine</td><td>Submucosal injection of Gelofusine for lesion lifting</td></tr><tr><td style="white-space:nowrap">bleeding-clip<a name="snomed-extension-lt-colorectal-bleeding-clip"> </a></td><td>Hemostatic clipping</td><td>Bleeding control using hemostatic clips</td></tr><tr><td style="white-space:nowrap">bleeding-adrenaline-injection<a name="snomed-extension-lt-colorectal-bleeding-adrenaline-injection"> </a></td><td>Adrenaline injection</td><td>Bleeding control using local adrenaline injection</td></tr><tr><td style="white-space:nowrap">bleeding-coagulation<a name="snomed-extension-lt-colorectal-bleeding-coagulation"> </a></td><td>Thermal coagulation</td><td>Bleeding control using thermal coagulation</td></tr><tr><td style="white-space:nowrap">bleeding-other<a name="snomed-extension-lt-colorectal-bleeding-other"> </a></td><td>Other bleeding control method</td><td>Other method of bleeding control not specified above</td></tr></table></div>
</text>
<url
value="https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal"/>
<version value="0.0.1"/>
<name value="SnomedExtensionLtColorectalCS"/>
<title value="SNOMED CT Extension for Colorectal Screening"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-04-13T12:42:10+00:00"/>
<publisher value="Lithuanian Medical Library"/>
<contact>
<name value="Lithuanian Medical Library"/>
<telecom>
<system value="url"/>
<value value="https://medicinosnk.lt"/>
</telecom>
<telecom>
<system value="email"/>
<value value="info@medicinosnk.lt"/>
</telecom>
</contact>
<description
value="Extension CodeSystem for concepts used in the Lithuanian colorectal cancer screening program that are not available in SNOMED CT."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="LT"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="72"/>
<concept>
<code value="paris-classification"/>
<display value="Paris endoscopic classification"/>
<definition
value="Paris endoscopic classification of superficial neoplastic lesions"/>
</concept>
<concept>
<code value="nice-classification"/>
<display value="NICE classification"/>
<definition
value="NBI International Colorectal Endoscopic classification"/>
</concept>
<concept>
<code value="polyp-access"/>
<display value="Access to polyp"/>
<definition value="Difficulty of access to the polyp during endoscopy"/>
</concept>
<concept>
<code value="smsa-score"/>
<display value="SMSA score"/>
<definition
value="Size, Morphology, Site, and Access score for polypectomy difficulty"/>
</concept>
<concept>
<code value="predicted-histology"/>
<display value="Predicted histology"/>
<definition
value="Predicted histological type based on endoscopic appearance"/>
</concept>
<concept>
<code value="paris-Is"/>
<display value="Paris 0-Is (sessile/polypoid)"/>
</concept>
<concept>
<code value="paris-Isp"/>
<display value="Paris 0-Isp (semi-pedunculated)"/>
</concept>
<concept>
<code value="paris-Ip"/>
<display value="Paris 0-Ip (pedunculated)"/>
</concept>
<concept>
<code value="paris-IIa"/>
<display value="Paris 0-IIa (slightly elevated)"/>
</concept>
<concept>
<code value="paris-IIb"/>
<display value="Paris 0-IIb (flat)"/>
</concept>
<concept>
<code value="paris-IIc"/>
<display value="Paris 0-IIc (slightly depressed)"/>
</concept>
<concept>
<code value="lst-g-h"/>
<display
value="LST-G-H (Laterally spreading, granular type, homogeneous)"/>
<definition value="Equivalent to Paris 0-IIa"/>
</concept>
<concept>
<code value="lst-g-nm"/>
<display
value="LST-G-NM (Laterally spreading, granular type, non-homogeneous)"/>
<definition value="Equivalent to Paris 0-IIa + Is"/>
</concept>
<concept>
<code value="lst-ng-fe"/>
<display
value="LST-NG-FE (Laterally spreading, non-granular type, flat elevation)"/>
<definition value="Equivalent to Paris 0-IIa"/>
</concept>
<concept>
<code value="lst-ng-pd"/>
<display
value="LST-NG-PD (Laterally spreading, non-granular type, depressed)"/>
<definition value="Equivalent to Paris 0-IIa + IIc"/>
</concept>
<concept>
<code value="nice-1"/>
<display value="NICE Type I"/>
<definition value="Hyperplastic/sessile serrated lesion"/>
</concept>
<concept>
<code value="nice-2"/>
<display value="NICE Type II"/>
<definition value="Adenoma (low/high grade dysplasia)"/>
</concept>
<concept>
<code value="nice-3"/>
<display value="NICE Type III"/>
<definition value="Deep submucosal invasive cancer"/>
</concept>
<concept>
<code value="nice-not-evaluated"/>
<display value="NICE Not evaluated"/>
</concept>
<concept>
<code value="access-easy"/>
<display value="Easy"/>
<definition value="Easy access to the polyp. SMSA scale: 1 point."/>
</concept>
<concept>
<code value="access-heavy"/>
<display value="Heavy"/>
<definition value="Difficult access to the polyp. SMSA scale: 3 points."/>
</concept>
<concept>
<code value="budding-bd0"/>
<display value="No tumor budding (Bd0)"/>
<definition value="0 buds per 20X field"/>
</concept>
<concept>
<code value="budding-bd1"/>
<display value="Bd1 (1-4 / 20X RL)"/>
<definition value="Low tumor budding: 1-4 buds per 20X field"/>
</concept>
<concept>
<code value="budding-bd2"/>
<display value="Bd2 (5-9 / 20X RL)"/>
<definition value="Intermediate tumor budding: 5-9 buds per 20X field"/>
</concept>
<concept>
<code value="budding-bd3"/>
<display value="Bd3 (10+ / 20X RL)"/>
<definition value="High tumor budding: 10 or more buds per 20X field"/>
</concept>
<concept>
<code value="budding-invaluable"/>
<display value="Invaluable"/>
<definition value="Tumor budding cannot be assessed"/>
</concept>
<concept>
<code value="pdc-none"/>
<display value="No poorly differentiated clusters"/>
</concept>
<concept>
<code value="pdc-g1"/>
<display value="PDC-G1 (1-4 / 20X RL)"/>
</concept>
<concept>
<code value="pdc-g2"/>
<display value="PDC-G2 (5-9 / 20X RL)"/>
</concept>
<concept>
<code value="pdc-g3"/>
<display value="PDC-G3 (10+ / 20X RL)"/>
</concept>
<concept>
<code value="pdc-invaluable"/>
<display value="PDC Invaluable"/>
</concept>
<concept>
<code value="mmrp-normal"/>
<display value="Normal expression (MMR proficient, MSS)"/>
</concept>
<concept>
<code value="mmrp-loss"/>
<display value="Loss of expression (MMR deficient, MSI)"/>
</concept>
<concept>
<code value="mmrp-invaluable"/>
<display value="MMRP Invaluable"/>
</concept>
<concept>
<code value="mmrp-postponed"/>
<display value="MMRP Postponed"/>
</concept>
<concept>
<code value="mmrp-undefined"/>
<display value="MMRP Undefined (MSS)"/>
</concept>
<concept>
<code value="mol-postponed"/>
<display value="Postponed"/>
<definition value="Molecular test has been postponed"/>
</concept>
<concept>
<code value="mol-detected"/>
<display value="Detected mutation"/>
<definition value="Mutation has been detected"/>
</concept>
<concept>
<code value="mol-not-detected"/>
<display value="Undefined mutation"/>
<definition value="No mutation detected / undefined"/>
</concept>
<concept>
<code value="mol-set"/>
<display value="Set (MSI)"/>
<definition value="MSI status has been established"/>
</concept>
<concept>
<code value="msi-test"/>
<display value="MSI (Microsatellite instability study)"/>
<definition
value="Microsatellite instability study. KLTN code: XLT00915-2"/>
</concept>
<concept>
<code value="kras-test"/>
<display value="KRAS mutation test"/>
<definition value="KRAS gene mutation analysis"/>
</concept>
<concept>
<code value="nras-test"/>
<display value="NRAS mutation test"/>
<definition value="NRAS gene mutation analysis"/>
</concept>
<concept>
<code value="braf-v600e-test"/>
<display value="BRAF V600E mutation test"/>
<definition
value="Study of BRAF gene V600 variants. KLTN code: XLT00914-5"/>
</concept>
<concept>
<code value="haggitt-0"/>
<display value="Haggitt 0"/>
</concept>
<concept>
<code value="haggitt-1"/>
<display value="Haggitt 1"/>
</concept>
<concept>
<code value="haggitt-2"/>
<display value="Haggitt 2"/>
</concept>
<concept>
<code value="haggitt-3"/>
<display value="Haggitt 3"/>
</concept>
<concept>
<code value="haggitt-4"/>
<display value="Haggitt 4"/>
</concept>
<concept>
<code value="kikuchi-sm1"/>
<display value="Sm1 according to Kikuchi"/>
</concept>
<concept>
<code value="kikuchi-sm2"/>
<display value="Sm2 according to Kikuchi"/>
</concept>
<concept>
<code value="kikuchi-sm3"/>
<display value="Sm3 according to Kikuchi"/>
</concept>
<concept>
<code value="invasion-invaluable"/>
<display value="Invasion depth invaluable"/>
</concept>
<concept>
<code value="prep-split-two-day"/>
<display value="Two-day split preparation"/>
<definition value="Two-day split-dose bowel preparation protocol"/>
</concept>
<concept>
<code value="prep-same-day"/>
<display value="Same-day non-split preparation"/>
<definition value="Same-day non-split bowel preparation protocol"/>
</concept>
<concept>
<code value="polypectomy-snare"/>
<display value="Snare/loop"/>
<definition value="Polypectomy performed using a snare or loop"/>
</concept>
<concept>
<code value="polypectomy-forceps"/>
<display value="Forceps"/>
<definition value="Polypectomy performed using forceps"/>
</concept>
<concept>
<code value="polypectomy-hot"/>
<display value="Hot technique"/>
<definition value="Polypectomy using electrocautery (hot)"/>
</concept>
<concept>
<code value="polypectomy-cold"/>
<display value="Cold technique"/>
<definition value="Polypectomy without electrocautery (cold)"/>
</concept>
<concept>
<code value="resection-en-bloc"/>
<display value="En bloc resection"/>
<definition value="Complete removal of lesion in one piece"/>
</concept>
<concept>
<code value="resection-piecemeal"/>
<display value="Piecemeal resection"/>
<definition value="Removal of lesion in multiple fragments"/>
</concept>
<concept>
<code value="lumen-air"/>
<display value="Air insufflation"/>
<definition value="Colonic lumen distension using air"/>
</concept>
<concept>
<code value="lumen-water"/>
<display value="Water immersion"/>
<definition value="Colonic lumen distension using water"/>
</concept>
<concept>
<code value="lumen-co2"/>
<display value="CO2 insufflation"/>
<definition value="Colonic lumen distension using carbon dioxide"/>
</concept>
<concept>
<code value="hydro-saline"/>
<display value="Normal saline"/>
<definition
value="Submucosal injection of normal saline for lesion lifting"/>
</concept>
<concept>
<code value="hydro-adrenaline"/>
<display value="Adrenaline"/>
<definition
value="Submucosal injection of adrenaline for lesion lifting"/>
</concept>
<concept>
<code value="hydro-methylene-blue"/>
<display value="Methylene blue"/>
<definition
value="Submucosal injection of methylene blue for lesion lifting"/>
</concept>
<concept>
<code value="hydro-gelofusine"/>
<display value="Gelofusine"/>
<definition
value="Submucosal injection of Gelofusine for lesion lifting"/>
</concept>
<concept>
<code value="bleeding-clip"/>
<display value="Hemostatic clipping"/>
<definition value="Bleeding control using hemostatic clips"/>
</concept>
<concept>
<code value="bleeding-adrenaline-injection"/>
<display value="Adrenaline injection"/>
<definition value="Bleeding control using local adrenaline injection"/>
</concept>
<concept>
<code value="bleeding-coagulation"/>
<display value="Thermal coagulation"/>
<definition value="Bleeding control using thermal coagulation"/>
</concept>
<concept>
<code value="bleeding-other"/>
<display value="Other bleeding control method"/>
<definition value="Other method of bleeding control not specified above"/>
</concept>
</CodeSystem>