Lithuanian Colorectal Cancer Implementation Guide
0.0.1 - ci-build Lithuania vėliava

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

CodeSystem: SNOMED CT Extension for Colorectal Screening

Oficialus URL: https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal Versija: 0.0.1
Mašiniškai apdorojamas pavadinimas: SnomedExtensionLtColorectalCS

Extension CodeSystem for concepts used in the Lithuanian colorectal cancer screening program that are not available in SNOMED CT.

Ši kodų sistema minima apibrėžiant šiuos reikšmių rinkinius:

Language: en

This case-sensitive code system https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-lt-colorectal defines the following codes:

CodeDisplayDefinition
paris-classification Paris endoscopic classification Paris endoscopic classification of superficial neoplastic lesions
nice-classification NICE classification NBI International Colorectal Endoscopic classification
polyp-access Access to polyp Difficulty of access to the polyp during endoscopy
smsa-score SMSA score Size, Morphology, Site, and Access score for polypectomy difficulty
predicted-histology Predicted histology Predicted histological type based on endoscopic appearance
paris-Is Paris 0-Is (sessile/polypoid)
paris-Isp Paris 0-Isp (semi-pedunculated)
paris-Ip Paris 0-Ip (pedunculated)
paris-IIa Paris 0-IIa (slightly elevated)
paris-IIb Paris 0-IIb (flat)
paris-IIc Paris 0-IIc (slightly depressed)
lst-g-h LST-G-H (Laterally spreading, granular type, homogeneous) Equivalent to Paris 0-IIa
lst-g-nm LST-G-NM (Laterally spreading, granular type, non-homogeneous) Equivalent to Paris 0-IIa + Is
lst-ng-fe LST-NG-FE (Laterally spreading, non-granular type, flat elevation) Equivalent to Paris 0-IIa
lst-ng-pd LST-NG-PD (Laterally spreading, non-granular type, depressed) Equivalent to Paris 0-IIa + IIc
nice-1 NICE Type I Hyperplastic/sessile serrated lesion
nice-2 NICE Type II Adenoma (low/high grade dysplasia)
nice-3 NICE Type III Deep submucosal invasive cancer
nice-not-evaluated NICE Not evaluated
access-easy Easy Easy access to the polyp. SMSA scale: 1 point.
access-heavy Heavy Difficult access to the polyp. SMSA scale: 3 points.
budding-bd0 No tumor budding (Bd0) 0 buds per 20X field
budding-bd1 Bd1 (1-4 / 20X RL) Low tumor budding: 1-4 buds per 20X field
budding-bd2 Bd2 (5-9 / 20X RL) Intermediate tumor budding: 5-9 buds per 20X field
budding-bd3 Bd3 (10+ / 20X RL) High tumor budding: 10 or more buds per 20X field
budding-invaluable Invaluable Tumor budding cannot be assessed
pdc-none No poorly differentiated clusters
pdc-g1 PDC-G1 (1-4 / 20X RL)
pdc-g2 PDC-G2 (5-9 / 20X RL)
pdc-g3 PDC-G3 (10+ / 20X RL)
pdc-invaluable PDC Invaluable
mmrp-normal Normal expression (MMR proficient, MSS)
mmrp-loss Loss of expression (MMR deficient, MSI)
mmrp-invaluable MMRP Invaluable
mmrp-postponed MMRP Postponed
mmrp-undefined MMRP Undefined (MSS)
mol-postponed Postponed Molecular test has been postponed
mol-detected Detected mutation Mutation has been detected
mol-not-detected Undefined mutation No mutation detected / undefined
mol-set Set (MSI) MSI status has been established
msi-test MSI (Microsatellite instability study) Microsatellite instability study. KLTN code: XLT00915-2
kras-test KRAS mutation test KRAS gene mutation analysis
nras-test NRAS mutation test NRAS gene mutation analysis
braf-v600e-test BRAF V600E mutation test Study of BRAF gene V600 variants. KLTN code: XLT00914-5
haggitt-0 Haggitt 0
haggitt-1 Haggitt 1
haggitt-2 Haggitt 2
haggitt-3 Haggitt 3
haggitt-4 Haggitt 4
kikuchi-sm1 Sm1 according to Kikuchi
kikuchi-sm2 Sm2 according to Kikuchi
kikuchi-sm3 Sm3 according to Kikuchi
invasion-invaluable Invasion depth invaluable
prep-split-two-day Two-day split preparation Two-day split-dose bowel preparation protocol
prep-same-day Same-day non-split preparation Same-day non-split bowel preparation protocol
polypectomy-snare Snare/loop Polypectomy performed using a snare or loop
polypectomy-forceps Forceps Polypectomy performed using forceps
polypectomy-hot Hot technique Polypectomy using electrocautery (hot)
polypectomy-cold Cold technique Polypectomy without electrocautery (cold)
resection-en-bloc En bloc resection Complete removal of lesion in one piece
resection-piecemeal Piecemeal resection Removal of lesion in multiple fragments
lumen-air Air insufflation Colonic lumen distension using air
lumen-water Water immersion Colonic lumen distension using water
lumen-co2 CO2 insufflation Colonic lumen distension using carbon dioxide
hydro-saline Normal saline Submucosal injection of normal saline for lesion lifting
hydro-adrenaline Adrenaline Submucosal injection of adrenaline for lesion lifting
hydro-methylene-blue Methylene blue Submucosal injection of methylene blue for lesion lifting
hydro-gelofusine Gelofusine Submucosal injection of Gelofusine for lesion lifting
bleeding-clip Hemostatic clipping Bleeding control using hemostatic clips
bleeding-adrenaline-injection Adrenaline injection Bleeding control using local adrenaline injection
bleeding-coagulation Thermal coagulation Bleeding control using thermal coagulation
bleeding-other Other bleeding control method Other method of bleeding control not specified above

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