ESPBI form for colonoscopy in the Lithuanian colorectal cancer screening programme.

Profile for recording bowel preparation quality assessment using the Boston Bowel Preparation Scale (BBPS) in the Lithuanian colorectal cancer screening program. Quality is poor when total < 6 points, or at least one segment has a score of 0 or 1.

Profile for recording a colon polyp, enforcing the inclusion of size, Paris/NICE classifications, and SMSA scoring.

Profile for recording how far the colonoscope reached during a colorectal cancer screening program. Used to calculate the Cecum intubation rate.

Profile for recording bleeding control procedures performed during colonoscopy in the Lithuanian colorectal cancer screening program. Captures the method used (clip, epinephrine injection, etc.).

Profile for recording whether there was a complication after diagnostic colonoscopy.

Profile for recording the complication type after diagnostic colonoscopy. This observation is recorded only if complication presence is Yes.

Colonoscopy screening episode composition for the Lithuanian colorectal cancer prevention program. Links all observations and procedures from a colonoscopy examination into a single clinical document.

Profile for recording the final diagnostic conclusion of a colonoscopy examination in the Lithuanian colorectal cancer screening program.

Profile for recording the colonoscopy procedure in the Lithuanian colorectal cancer screening program. Captures whether the procedure was performed with or without anesthesia, video colonoscope usage, and withdrawal time.

Colonoscopy screening report for the Lithuanian colorectal cancer prevention program. Wraps a ColonoscopyCompositionLtColorectal and aggregates structured results from the colonoscopy procedure.

Profile for recording Sydney classification and action taken after colon wall injury during diagnostic colonoscopy. This observation is recorded only if accidental organ perforation during a procedure or perforation of large intestine was selected as the complication type.

Diagnostic report representing a fecal occult blood test examination based on stool specimen analysis using an immunochemical method.

Profile for recording histological diagnosis results from polyp or tumor biopsy specimens in the Lithuanian colorectal cancer screening program. Captures histological type, dysplasia grade, radicalism of removal, tumor budding, invasion depth, and MMR protein expression.

Profile for recording molecular test results in the Lithuanian colorectal cancer screening program. Covers MSI (microsatellite instability), KRAS, NRAS, and BRAF V600E mutation testing. Each test is a separate Observation instance.

Default for adenocarcinoma: all molecular tests are automatically indicated but may be postponed.

Profile for recording the result of a fecal occult blood test in the context of colorectal cancer screening.

CarePlan tracking the colorectal cancer screening programme cycle. Captures programme enrollment, current status, scheduled activities (FOBT testing, colonoscopy referrals, follow-up intervals), and care recommendations after colonoscopy.

Profile for recording tumor findings during colonoscopy in the Lithuanian colorectal cancer screening program. Captures location, description, and links to biopsy procedures.

SNOMED CT codes representing the three segments of the colon evaluated in the Boston Bowel Preparation Scale.

Methods used for controlling bleeding during or after colonoscopy.

Methods of bowel preparation timing for colonoscopy.

SNOMED CT codes representing the overall quality of bowel preparation for a colonoscopy procedure.

SNOMED CT codes representing the Boston Bowel Preparation Scale segment scores (0 to 3 points).

Substances used for bowel preparation before colonoscopy.

SNOMED CT anatomical structures identifying how far the colonoscope reached during the examination.

Indicates whether there was a complication after diagnostic colonoscopy.

Complications that may occur after diagnostic colonoscopy.

Actions taken after colon wall injury during diagnostic colonoscopy.

Standard Yes/No qualifier values for the Colorectal screening program.

Shared SNOMED CT codes representing the anatomical segments of the colon and rectum. Used for recording locations of tumors, polyps, and colonoscope reach.

SNOMED CT codes representing the final diagnostic conclusions of the colonoscopy.

Histological diagnosis categories for pathological examination in the colorectal cancer screening program.

Histologic grade / degree of differentiation for colorectal carcinoma.

Grades of dysplasia for histological assessment in colorectal pathology.

Qualitative result values for fecal occult blood testing.

LOINC codes for fecal occult blood (hemoglobin) testing.

Substances used for submucosal injection (hydropreparation) during polypectomy.

Vascular invasion status for colorectal carcinoma.

Depth of invasion classification (Haggitt and Kikuchi) for colorectal lesions.

Method used to distend the colonic lumen during polypectomy.

Mismatch repair protein expression status (microsatellite instability assessment) for colorectal carcinoma.

Result values for molecular testing in the colorectal cancer screening program.

Types of molecular tests performed in the colorectal cancer screening program: MSI, KRAS, NRAS, and BRAF V600E.

NBI International Colorectal Endoscopic (NICE) classification for prediction of polyp histology.

Paris endoscopic classification of superficial neoplastic lesions for polyp morphology assessment.

Difficulty of access to the polyp during endoscopy, used in SMSA scoring.

Virtual chromoendoscopy-based predicted histological type of a colorectal polyp.

Instruments used for polypectomy during colonoscopy.

Methods used for polypectomy during colonoscopy.

Thermal technique used during polypectomy.

Grading of poorly differentiated clusters in colorectal carcinoma.

Assessment of completeness of lesion removal (R classification).

Whether the lesion was removed en bloc or piecemeal.

Grading for squamous cell carcinoma of the colorectum.

Sydney classification types for colon wall injury during diagnostic colonoscopy.

Tumor budding classification for colorectal carcinoma.

Local codes for polyp classifications (Paris, NICE, Access, SMSA) used in the Lithuanian colorectal screening program.

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

Sydney classification for deep mural injury (DMI) of the colon occurring during colonoscopy. The classification describes the severity of injury to the colon wall layers and helps guide appropriate management.

Example of a diagnostic report for a qualitative fecal occult blood test with 'Not detected' result.

Example of an observation recording accidental organ perforation during a procedure after diagnostic colonoscopy.

Example of an observation recording complication of anesthesia after diagnostic colonoscopy.

Example of a BRAF V600E mutation test that has been postponed.

Example of an observation recording that the bowel preparation was effective (adequate quality).

Example of an observation recording that the bowel preparation was inadequate (poor quality).

Example of an observation recording that the colonoscope reached the Cecum.

Example of an observation recording that the colonoscope reached the Terminal ileum.

Example of an observation recording an excellent (3 points) Boston scale score for the Left colon.

Example of an observation recording a good (2 points) Boston scale score for the Transverse colon.

Example of a single observation recording both the overall Effective quality and the Total Boston Scale score.

Example of a single observation recording both the overall Inadequate quality and the Total Boston Scale score.

Example of an observation recording that the bowel preparation was not done (no Boston scale score applicable).

Records the final conclusion of the procedure as Normal.

Records the final conclusion showing Polyps and Diverticulosis.

Example recording a colon polyp, properly mapped to the ColorectalPolypCodesLt CodeSystem.

Example recording the presence of a tumor, including its location and description.

Example of an observation recording that no complication occurred after diagnostic colonoscopy.

Example of an observation recording that a complication occurred after diagnostic colonoscopy.

Example of a qualitative fecal occult blood test result with 'Detected' value.

Example of a qualitative fecal occult blood test result with 'Not detected' value.

Example of a quantitative fecal occult blood test result.

Example of an observation recording hemorrhage of colon after diagnostic colonoscopy.

Example of a KRAS mutation test with detected mutation result.

Example of a microsatellite instability (MSI) test with established result.

Example of an NRAS mutation test with no mutation detected.

Example of an observation recording perforation of large intestine after diagnostic colonoscopy.

Example showing Sydney classification type 3 and closure by clip after colon wall injury during diagnostic colonoscopy.

Example showing Sydney classification type 4 and closure by suture after colon wall injury during diagnostic colonoscopy.

Example showing Sydney classification type 5 and operation on colon after colon wall injury during diagnostic colonoscopy.

Example of a healthcare organization

An example Patient conforming to the Lithuanian Base Profile.

An example Practitioner conforming to the Lithuanian Base Profile.

Example showing closure by clip under the reason of bleeding control.

Example showing injection of epinephrine under reason of bleeding control.

Example of colonoscopic control of colon bleeding.

Example recording that the biopsy of the discovered tumor was postponed.

Example of screening colonoscopy.

Example of screening colonoscopy where anesthesia and/or sedation is recorded as the reason.

A completed ESPBI colonoscopy form for the Lithuanian colorectal cancer screening programme. Shows a colonoscopy with anesthesia, adequate bowel preparation (BBPS 7), cecum reached, one sigmoid polyp removed with cold snare, no complications, conclusion: polyps found, next colonoscopy in 3 years.

Example of a stool specimen used for fecal occult blood testing.