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

Terminology

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Terminology

This page lists all CodeSystems and ValueSets defined in this Implementation Guide.

CodeSystems

• Sydney Classification – Sydney classification for deep mural injury (DMI) of the colon (Types I-V)
• SNOMED CT Extension for Colorectal Screening – extension concepts for Paris classification, NICE classification, polyp access, tumor budding, PDC grading, MMRP expression, and invasion depth

ValueSets – Colonoscopy Procedure

• Colonoscope Reach – anatomical structures identifying how far the colonoscope reached
• Bowel Preparation Quality – overall quality (effective, inadequate, not done)
• Bowel Preparation Score Values – Boston Bowel Preparation Scale segment scores (0-3)
• BBPS Colon Segments – three segments evaluated in BBPS
• Bowel Preparation Substances – substances used for bowel preparation

ValueSets – Polyp Findings

• Paris Classification – Paris endoscopic classification of superficial neoplastic lesions
• NICE Classification – NBI International Colorectal Endoscopic classification
• Polyp Access – difficulty of access to the polyp (SMSA component)
• Polyp Predicted Histology – predicted histological type
• Polypectomy Method – methods used for polypectomy

ValueSets – Complications

• Complication Presence – yes/no
• Complication Type – hemorrhage, anesthesia, perforation
• Wall Injury Action – clipping, sutured, primary operation
• Sydney Classification – Sydney DMI Types I-V

ValueSets – Conclusions & FOBT

• Colorectal Conclusion – colonoscopy conclusion findings (~30 coded findings)
• FOBT Test Codes – LOINC codes for FOBT
• FOBT Qualitative Result – detected / not detected

ValueSets – Pathology / Histology

• Histological Diagnosis – colorectal histological diagnosis categories
• Dysplasia Grade – dysplasia grading
• Radicalism of Removal – R0/R1/RX classification
• Tumor Budding – tumor budding grades (Bd0-Bd3)
• Invasion Depth – Haggitt and Kikuchi classification
• MMRP Expression – mismatch repair protein expression status