<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="snomed-extension-code"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: CodeSystem snomed-extension-code</b></p><a name="snomed-extension-code"> </a><a name="hcsnomed-extension-code"> </a><p>This  code system <code>https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-code</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">interstitial-non-subpleural<a name="snomed-extension-code-interstitial-non-subpleural"> </a></td><td>Interstitial lung changes - non-subpleural</td><td>Non-subpleural interstitial lung changes (&gt;5% of lung volume)</td></tr><tr><td style="white-space:nowrap">interstitial-subpleural-non-fibrotic<a name="snomed-extension-code-interstitial-subpleural-non-fibrotic"> </a></td><td>Interstitial lung changes - subpleural non-fibrotic</td><td>Subpleural non-fibrotic interstitial lung changes</td></tr><tr><td style="white-space:nowrap">interstitial-subpleural-fibrous<a name="snomed-extension-code-interstitial-subpleural-fibrous"> </a></td><td>Interstitial lung changes - subpleural fibrous</td><td>Subpleural fibrous interstitial lung changes</td></tr><tr><td style="white-space:nowrap">interstitial-rb-ipl<a name="snomed-extension-code-interstitial-rb-ipl"> </a></td><td>Respiratory bronchiolitis (RB-IPL)</td><td>Respiratory bronchiolitis-associated interstitial lung disease</td></tr><tr><td style="white-space:nowrap">cac-none<a name="snomed-extension-code-cac-none"> </a></td><td>No coronary calcification</td><td>No coronary artery calcification detected by visual assessment</td></tr><tr><td style="white-space:nowrap">cac-mild<a name="snomed-extension-code-cac-mild"> </a></td><td>Mild coronary calcification</td><td>Mild coronary artery calcification by visual assessment</td></tr><tr><td style="white-space:nowrap">cac-moderate<a name="snomed-extension-code-cac-moderate"> </a></td><td>Moderate coronary calcification</td><td>Moderate coronary artery calcification by visual assessment</td></tr><tr><td style="white-space:nowrap">cac-severe<a name="snomed-extension-code-cac-severe"> </a></td><td>Severe coronary calcification</td><td>Severe coronary artery calcification by visual assessment</td></tr><tr><td style="white-space:nowrap">calcified<a name="snomed-extension-code-calcified"> </a></td><td>Calcified</td><td>Calcified density or texture finding</td></tr></table></div>
  </text>
  <url value="https://tx.hl7.lt/fhir/CodeSystem/snomed-extension-code"/>
  <version value="0.0.1"/>
  <name value="SnomedExtensionCode"/>
  <title value="SNOMED CT Extension Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-10T11:25:56+00:00"/>
  <publisher value="Lithuanian Medical Library"/>
  <contact>
    <name value="Lithuanian Medical Library"/>
    <telecom>
      <system value="url"/>
      <value value="https://medicinosnk.lt"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@medicinosnk.lt"/>
    </telecom>
  </contact>
  <description value="Local extension codes used in the Lithuanian lung cancer early diagnosis&#xA;programme when no suitable SNOMED CT code is available. These codes extend&#xA;SNOMED CT concepts with local granularity required by the ADP dataset."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="LT"/>
    </coding>
  </jurisdiction>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="interstitial-non-subpleural"/>
    <display value="Interstitial lung changes - non-subpleural"/>
    <definition value="Non-subpleural interstitial lung changes (&gt;5% of lung volume)"/>
  </concept>
  <concept>
    <code value="interstitial-subpleural-non-fibrotic"/>
    <display value="Interstitial lung changes - subpleural non-fibrotic"/>
    <definition value="Subpleural non-fibrotic interstitial lung changes"/>
  </concept>
  <concept>
    <code value="interstitial-subpleural-fibrous"/>
    <display value="Interstitial lung changes - subpleural fibrous"/>
    <definition value="Subpleural fibrous interstitial lung changes"/>
  </concept>
  <concept>
    <code value="interstitial-rb-ipl"/>
    <display value="Respiratory bronchiolitis (RB-IPL)"/>
    <definition value="Respiratory bronchiolitis-associated interstitial lung disease"/>
  </concept>
  <concept>
    <code value="cac-none"/>
    <display value="No coronary calcification"/>
    <definition value="No coronary artery calcification detected by visual assessment"/>
  </concept>
  <concept>
    <code value="cac-mild"/>
    <display value="Mild coronary calcification"/>
    <definition value="Mild coronary artery calcification by visual assessment"/>
  </concept>
  <concept>
    <code value="cac-moderate"/>
    <display value="Moderate coronary calcification"/>
    <definition value="Moderate coronary artery calcification by visual assessment"/>
  </concept>
  <concept>
    <code value="cac-severe"/>
    <display value="Severe coronary calcification"/>
    <definition value="Severe coronary artery calcification by visual assessment"/>
  </concept>
  <concept>
    <code value="calcified"/>
    <display value="Calcified"/>
    <definition value="Calcified density or texture finding"/>
  </concept>
</CodeSystem>