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Packagelt.hl7.fhir.colorectal
Resource TypeCodeSystem
IdCodeSystem-sydney-classification-cs.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7LT/ig-lt-colorectal/CodeSystem-sydney-classification-cs.html
URLhttps://tx.hl7.lt/fhir/CodeSystem/sydney-classification
Version0.0.1
Statusactive
Date2026-03-29T14:00:12+00:00
NameSydneyClassificationCS
TitleSydney Classification for Colon Wall Injury
DescriptionSydney 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.
Contentcomplete

Resources that use this resource

ValueSet
lt.hl7.fhir.colorectal#currentsydney-classificationSydney Classification

Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: CodeSystem sydney-classification-cs

Language: en

This case-sensitive code system https://tx.hl7.lt/fhir/CodeSystem/sydney-classification defines the following codes:

CodeDisplayDefinition
type-1 Sydney DMI Type IType I: Intact submucosa and muscularis propria with superficial mucosal injury only. No specific treatment is usually required.
type-2 Sydney DMI Type IIType II: Loss of clear distinction between submucosa and muscularis propria with focal loss of the submucosal plane. Endoscopic closure is usually suggested.
type-3 Sydney DMI Type IIIType III: Visible target sign indicating injury to the muscularis propria. Endoscopic closure is required.
type-4 Sydney DMI Type IVType IV: Clearly visible small-to-medium perforation, typically surrounded by a white cautery ring, without significant fecal contamination.
type-5 Sydney DMI Type VType V: Large perforation with a visible hole and fecal contamination of the peritoneal cavity.

Lithuanian


Generated Narrative: CodeSystem sydney-classification-cs

Language: en

This case-sensitive code system https://tx.hl7.lt/fhir/CodeSystem/sydney-classification defines the following codes:

CodeDisplayDefinition
type-1 Sydney DMI Type IType I: Intact submucosa and muscularis propria with superficial mucosal injury only. No specific treatment is usually required.
type-2 Sydney DMI Type IIType II: Loss of clear distinction between submucosa and muscularis propria with focal loss of the submucosal plane. Endoscopic closure is usually suggested.
type-3 Sydney DMI Type IIIType III: Visible target sign indicating injury to the muscularis propria. Endoscopic closure is required.
type-4 Sydney DMI Type IVType IV: Clearly visible small-to-medium perforation, typically surrounded by a white cautery ring, without significant fecal contamination.
type-5 Sydney DMI Type VType V: Large perforation with a visible hole and fecal contamination of the peritoneal cavity.

Source1

{
  "resourceType": "CodeSystem",
  "id": "sydney-classification-cs",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://tx.hl7.lt/fhir/CodeSystem/sydney-classification",
  "version": "0.0.1",
  "name": "SydneyClassificationCS",
  "title": "Sydney Classification for Colon Wall Injury",
  "status": "active",
  "experimental": false,
  "date": "2026-03-29T14:00:12+00:00",
  "publisher": "Lithuanian Medical Library",
  "contact": [
    {
      "name": "Lithuanian Medical Library",
      "telecom": [
        {
          "system": "url",
          "value": "https://medicinosnk.lt"
        },
        {
          "system": "email",
          "value": "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description": "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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 5,
  "concept": [
    {
      "code": "type-1",
      "display": "Sydney DMI Type I",
      "definition": "Type I: Intact submucosa and muscularis propria with superficial mucosal injury only. No specific treatment is usually required."
    },
    {
      "code": "type-2",
      "display": "Sydney DMI Type II",
      "definition": "Type II: Loss of clear distinction between submucosa and muscularis propria with focal loss of the submucosal plane. Endoscopic closure is usually suggested."
    },
    {
      "code": "type-3",
      "display": "Sydney DMI Type III",
      "definition": "Type III: Visible target sign indicating injury to the muscularis propria. Endoscopic closure is required."
    },
    {
      "code": "type-4",
      "display": "Sydney DMI Type IV",
      "definition": "Type IV: Clearly visible small-to-medium perforation, typically surrounded by a white cautery ring, without significant fecal contamination."
    },
    {
      "code": "type-5",
      "display": "Sydney DMI Type V",
      "definition": "Type V: Large perforation with a visible hole and fecal contamination of the peritoneal cavity."
    }
  ]
}