Lithuanian Laboratory Implementation Guide
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Lithuanian Laboratory 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-lab/ and changes regularly. See the Directory of published versions

Terminology

Terminology Overview

This page summarizes the terminology (ValueSets and CodeSystems) used in the Lithuanian Laboratory IG. For full definitions and bindings, see Artifacts.

Why this matters: Consistent codes and units enable interoperable exchange between laboratory systems, EHRs, and national registries. Standardised bindings support correct data capture, automated validation, and reliable use in clinical decision support.

Clinical Chemistry

Resource Description
Cholesterol LDL Method LOINC codes for LDL cholesterol measurement methods (direct or calculated).
eGFR Method LOINC codes for eGFR calculation formulas (CKD-EPI).

Pathology

Resource Description
Pathology Service Codes for pathology service types (histopathology, cytology, molecular, autopsy).
Pathology Procedure SNOMED CT procedure codes for classifying pathology diagnostic reports.
ICD-O-3 Morphology Cancer morphology codes from the ICD-O-3 classification.
Histological Grading Histological grade of tumor differentiation (AJCC).

Tumor Staging

Resource Description
Prostate Tumor Stage T Pathological primary tumor (pT) staging codes for prostate cancer.
Prostate Tumor Stage N Regional lymph node (pN) staging codes for prostate cancer.
Prostate Tumor Stage M Distant metastasis (pM) staging codes for prostate cancer.
Tumor Type SNOMED CT codes for tumor types.
Tumor Focality Codes for tumor focality (unifocal, multifocal).

Tumor Invasion

Resource Description
Periprostatic Fat Invasion Extraprostatic extension findings.
Seminal Vesicle Invasion Seminal vesicle invasion findings.
Perineural Invasion Perineural invasion findings.
Lymphovascular Invasion Lymphovascular invasion findings.
Tumor Volume Methodology Methods for tumor volume estimation.
pLVI Classification (CS) / (VS) Peritumoral lymphovascular invasion 6-level classification.

HER2 and Receptor Status

Resource Description
HER2 Receptor Status (CS) / (VS) HER2 expression status (overexpressed/not overexpressed).
HER2 IHC Score (CS) / (VS) HER2 immunohistochemical scoring (0+ to 3+).
HER2 FISH/CISH/SISH Result (CS) / (VS) HER2 gene amplification result classification.
IHC Expression Level (CS) / (VS) Immunohistochemical expression levels (negative, weak, moderate, strong).

Specimen

Resource Description
Specimen Adequacy Specimen adequacy assessment codes (satisfactory, unsatisfactory).
Specimen Additive Additives used in specimen collection and processing.
Sample Examination Macroscopic and microscopic examination methods.

Other CodeSystems

Resource Description
Tumor Component Codes Local codes for tumor observable component slicing.
Lithuanian UCUM UCUM extensions with Lithuanian translations.

Resolving terminology

Canonical terminology is published at https://tx.hl7.lt/fhir/. Use this base URL to resolve ValueSet and CodeSystem resources and to validate codes in instances.