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

: MMRP Expression Status

Active as of 2026-04-13

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{
  "resourceType" : "ValueSet",
  "id" : "mmrp-expression",
  "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: ValueSet mmrp-expression</b></p><a name=\"mmrp-expression\"> </a><a name=\"hcmmrp-expression\"> </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 value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/443412009\">443412009</a></td><td>Degree of microsatellite instability (observable entity)</td></tr></table></li><li>Include these codes as defined in <a href=\"CodeSystem-snomed-extension-lt-colorectal.html\"><code>https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal</code></a><span title=\"Version is explicitly stated to be 0.0.1\"> version &#x1F4CD;0.0.1</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-snomed-extension-lt-colorectal.html#snomed-extension-lt-colorectal-mmrp-normal\">mmrp-normal</a></td><td>Normal expression (MMR proficient, MSS)</td></tr><tr><td><a href=\"CodeSystem-snomed-extension-lt-colorectal.html#snomed-extension-lt-colorectal-mmrp-loss\">mmrp-loss</a></td><td>Loss of expression (MMR deficient, MSI)</td></tr><tr><td><a href=\"CodeSystem-snomed-extension-lt-colorectal.html#snomed-extension-lt-colorectal-mmrp-invaluable\">mmrp-invaluable</a></td><td>MMRP Invaluable</td></tr><tr><td><a href=\"CodeSystem-snomed-extension-lt-colorectal.html#snomed-extension-lt-colorectal-mmrp-postponed\">mmrp-postponed</a></td><td>MMRP Postponed</td></tr><tr><td><a href=\"CodeSystem-snomed-extension-lt-colorectal.html#snomed-extension-lt-colorectal-mmrp-undefined\">mmrp-undefined</a></td><td>MMRP Undefined (MSS)</td></tr></table></li></ul></div>"
  },
  "url" : "https://tx.hl7.lt/fhir/ValueSet/mmrp-expression",
  "version" : "0.0.1",
  "name" : "MmrpExpressionVS",
  "title" : "MMRP Expression Status",
  "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" : "Mismatch repair protein expression status (microsatellite instability assessment) for colorectal carcinoma.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "LT"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://snomed.info/sct",
        "concept" : [
          {
            "code" : "443412009",
            "display" : "Degree of microsatellite instability (observable entity)"
          }
        ]
      },
      {
        "system" : "https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal",
        "version" : "0.0.1",
        "concept" : [
          {
            "code" : "mmrp-normal",
            "display" : "Normal expression (MMR proficient, MSS)"
          },
          {
            "code" : "mmrp-loss",
            "display" : "Loss of expression (MMR deficient, MSI)"
          },
          {
            "code" : "mmrp-invaluable",
            "display" : "MMRP Invaluable"
          },
          {
            "code" : "mmrp-postponed",
            "display" : "MMRP Postponed"
          },
          {
            "code" : "mmrp-undefined",
            "display" : "MMRP Undefined (MSS)"
          }
        ]
      }
    ]
  }
}