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Packagelt.hl7.fhir.colorectal
Resource TypeQuestionnaire
IdQuestionnaire-questionnaire-colonoscopy-espbi.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7LT/ig-lt-colorectal/Questionnaire-questionnaire-colonoscopy-espbi.html
URLhttps://hl7.lt/fhir/colorectal/Questionnaire/questionnaire-colonoscopy-espbi
Version0.0.1
Statusactive
Date2026-03-25
NameQuestionnaireColonoscopyEspbi
TitleESPBI Colonoscopy Form
DescriptionESPBI form for colonoscopy in the Lithuanian colorectal cancer screening programme.

Resources that use this resource

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Resources that this resource uses

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Narrative

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

English

Generated Narrative: Questionnaire questionnaire-colonoscopy-espbi

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. QuestionnaireColonoscopyEspbiESPBI form for colonoscopy in the Lithuanian colorectal cancer screening programme.Questionnairehttps://hl7.lt/fhir/colorectal/Questionnaire/questionnaire-colonoscopy-espbi#0.0.1
... basicInfoBasic descriptive part0..1group
.... basicInfo.postponedColonoscopyWas colonoscopy postponed for screening?0..1boolean
.... basicInfo.anesthesiaAnesthesia0..1codingOptions: 2 options
.... basicInfo.videoColonoscopeVideo colonoscope used?0..1codingOptions: 2 options
.... basicInfo.withdrawalTimeWithdrawal time (minutes)0..1integer
.... basicInfo.procedureDateProcedure date0..1dateTime
.... basicInfo.retroflexionRectumRetroflexion in the rectum0..1codingOptions: 3 options
.... basicInfo.previousAbdominalSurgeryHistory of major abdominal surgery0..1codingOptions: 2 options
.... basicInfo.previousAbdominalSurgeryDetailsPrevious abdominal surgery details0..1textEnable When: basicInfo.previousAbdominalSurgery = Yes (SNOMED CT#373066001)
... bowelPrepBowel preparation assessment0..1group
.... bowelPrep.prepQualityBowel preparation quality adequate?0..1codingOptions: 2 options
.... bowelPrep.bbpsRightBBPS Right colon / ascending (0-3)0..1integer
.... bowelPrep.bbpsTransverseBBPS Transverse colon (0-3)0..1integer
.... bowelPrep.bbpsLeftBBPS Left colon / descending + sigmoid (0-3)0..1integer
.... bowelPrep.totalBbpsTotal BBPS score (0-9)0..1integer
.... bowelPrep.dietaryRecommendationsWere dietary recommendations given?0..1codingOptions: 2 options
.... bowelPrep.splitDoseWas split-dose protocol used?0..1codingOptions: 2 options
.... bowelPrep.prepMethodPreparation method0..1codingOptions: 2 options
.... bowelPrep.lastDoseHoursBeforeProcedureLast dose timing (hours before procedure)0..1integer
.... bowelPrep.writtenInfoWas written information about preparation given?0..1codingOptions: 2 options
.... bowelPrep.usedPreparationsUsed preparations for bowel preparation0..*codingOptions: 4 options
... scopeReachColonoscope reach0..1group
.... scopeReach.reachLocationDeepest point reached by colonoscope0..1codingOptions: 11 options
... polypFindingsPolyp findings0..*group
.... polypFindings.polypFoundPolyp found?0..1boolean
.... polypFindings.locationPolyp location0..1codingOptions: 10 options
.... polypFindings.sizeMmPolyp size (mm)0..1integer
.... polypFindings.parisClassificationParis endoscopic classification0..1codingOptions: 9 options
.... polypFindings.niceClassificationNICE classification0..1codingOptions: 3 options
.... polypFindings.predictedHistologyPredicted histology0..1codingOptions: 4 options
.... polypFindings.locationSideLocation side0..1codingOptions: 2 options
.... polypFindings.accessDifficultyAccess difficulty0..1codingOptions: 2 options
.... polypFindings.smsaScoreSMSA total score0..1integer
.... polypFindings.smsaLevelSMSA level0..1codingOptions: 4 options
.... polypFindings.polypRemovedWas polyp removed?0..1codingOptions: 2 options
.... polypFindings.removalMethodRemoval method0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 6 options
.... polypFindings.lumenFillingLumen filling method0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 3 options
.... polypFindings.resectionTypeResection type0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 2 options
.... polypFindings.hydropreparationHydropreparation substances used0..*codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 4 options
.... polypFindings.complicationAfterRemovalComplication after polyp removal?0..1codingOptions: 2 options
.... polypFindings.allPolypsRemovedSimultaneouslyAll polyps removed simultaneously?0..1codingOptions: 2 options
.... polypFindings.sentForHistologySent for histological examination?0..1codingOptions: 2 options
... tumorFindingsTumor findings0..*group
.... tumorFindings.tumorFoundTumor found?0..1boolean
.... tumorFindings.tumorLocationTumor location0..1codingOptions: 10 options
.... tumorFindings.tumorDescriptionTumor description0..1text
.... tumorFindings.biopsyPerformedBiopsy performed?0..1codingOptions: 2 options
.... tumorFindings.biopsyPostponedBiopsy postponed?0..1codingOptions: 2 options
... complicationsComplications after colonoscopy0..1group
.... complications.complicationPresenceWere there complications?0..1codingOptions: 2 options
.... complications.complicationTypeComplication type0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 5 options
.... complications.wallInjuryWall injury (Sydney classification)0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 5 options
.... complications.actionTakenAction taken0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 3 options
.... complications.bleedingControlBleeding control details0..1textEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
... conclusionsFinal conclusions0..1group
.... conclusions.conclusionConclusion0..1codingOptions: 7 options
.... conclusions.conclusionNotesConclusion notes0..1text
... recommendationsFollow-up recommendations0..1group
.... recommendations.nextColonoscopyRecommended interval for next colonoscopy0..1codingOptions: 5 options
.... recommendations.additionalNotesAdditional notes0..1text
... signaturesSignatures0..1group
.... signatures.examinerNameExaminer first name1..1string
.... signatures.examinerSurnameExaminer surname1..1string
.... signatures.examDateExamination date1..1dateTime

doco Documentation for this format

Options Sets

Answer options for basicInfo.anesthesia

  • http://snomed.info/sct#398166005 ("Performed")
  • http://snomed.info/sct#385660001 ("Not done")

Answer options for basicInfo.videoColonoscope

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for basicInfo.retroflexionRectum

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")
  • http://snomed.info/sct#48031000087101 ("Postponed")

Answer options for basicInfo.previousAbdominalSurgery

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.prepQuality

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.dietaryRecommendations

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.splitDose

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.prepMethod

  • null#null ("Two-day split preparation")
  • null#null ("Same-day non-split preparation")

Answer options for bowelPrep.writtenInfo

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.usedPreparations

  • http://snomed.info/sct#712567003 ("Macrogol 4000 (substance)")
  • http://snomed.info/sct#712566007 ("Macrogol 3350 (substance)")
  • http://snomed.info/sct#715699009 ("Product containing citric acid and magnesium oxide and sodium picosulfate (medicinal product)")
  • http://snomed.info/sct#69958001 ("Sodium sulfate (substance)")

Answer options for scopeReach.reachLocation

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")
  • http://snomed.info/sct#181261002 ("Entire rectum (body structure)")

Answer options for polypFindings.location

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")

Answer options for polypFindings.parisClassification

  • null#null ("I-p Pedunculated")
  • null#null ("I-sp Semi-pedunculated")
  • null#null ("I-s Sessile")
  • null#null ("IIa Slightly elevated")
  • null#null ("IIb Flat")
  • null#null ("IIc Slightly depressed")
  • null#null ("III Excavated")
  • null#null ("LST-G Granular laterally spreading")
  • null#null ("LST-NG Non-granular laterally spreading")

Answer options for polypFindings.niceClassification

  • null#null ("Type I (Hyperplastic)")
  • null#null ("Type II (Adenoma)")
  • null#null ("Type III (Invasive)")

Answer options for polypFindings.predictedHistology

  • null#null ("Hyperplastic")
  • null#null ("Sessile serrated lesion (SSL)")
  • null#null ("Adenoma")
  • null#null ("Adenoma with suspicion of malignancy")

Answer options for polypFindings.locationSide

  • null#null ("Left side")
  • null#null ("Right side")

Answer options for polypFindings.accessDifficulty

  • null#null ("Easy")
  • null#null ("Difficult")

Answer options for polypFindings.smsaLevel

  • null#null ("Level 1 (4-5 points)")
  • null#null ("Level 2 (6-8 points)")
  • null#null ("Level 3 (9-12 points)")
  • null#null ("Level 4 (>12 points)")

Answer options for polypFindings.polypRemoved

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.removalMethod

  • null#null ("Cold forceps")
  • null#null ("Cold snare")
  • null#null ("Hot snare")
  • null#null ("EMR")
  • null#null ("ESD")
  • null#null ("Piecemeal EMR")

Answer options for polypFindings.lumenFilling

  • null#null ("Air insufflation")
  • null#null ("Water immersion")
  • null#null ("CO2 insufflation")

Answer options for polypFindings.resectionType

  • null#null ("En bloc resection")
  • null#null ("Piecemeal resection")

Answer options for polypFindings.hydropreparation

  • null#null ("Normal saline")
  • null#null ("Adrenaline")
  • null#null ("Methylene blue")
  • null#null ("Gelofusine")

Answer options for polypFindings.complicationAfterRemoval

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.allPolypsRemovedSimultaneously

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.sentForHistology

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for tumorFindings.tumorLocation

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")

Answer options for tumorFindings.biopsyPerformed

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for tumorFindings.biopsyPostponed

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for complications.complicationPresence

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for complications.complicationType

  • null#null ("Perforation")
  • null#null ("Bleeding")
  • null#null ("Post-polypectomy syndrome")
  • null#null ("Cardiopulmonary")
  • null#null ("Other")

Answer options for complications.wallInjury

  • null#null ("Type I - Superficial mucosal injury")
  • null#null ("Type II - Deep mucosal injury")
  • null#null ("Type III - Muscularis propria injury")
  • null#null ("Type IV - Serosal injury")
  • null#null ("Type V - Transmural perforation")

Answer options for complications.actionTaken

  • null#null ("Conservative management")
  • null#null ("Endoscopic treatment")
  • null#null ("Surgical intervention")

Answer options for conclusions.conclusion

  • null#null ("Normal")
  • null#null ("Polyps found")
  • null#null ("Polyps and diverticulosis")
  • null#null ("Diverticulosis")
  • null#null ("Tumor found")
  • null#null ("Inflammatory bowel disease")
  • null#null ("Other pathology")

Answer options for recommendations.nextColonoscopy

  • null#null ("1 year")
  • null#null ("3 years")
  • null#null ("5 years")
  • null#null ("10 years")
  • null#null ("Not applicable")

Lithuanian

Generated Narrative: Questionnaire questionnaire-colonoscopy-espbi

Language: en

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. QuestionnaireColonoscopyEspbiESPBI form for colonoscopy in the Lithuanian colorectal cancer screening programme.Questionnairehttps://hl7.lt/fhir/colorectal/Questionnaire/questionnaire-colonoscopy-espbi#0.0.1
... basicInfoBasic descriptive part0..1group
.... basicInfo.postponedColonoscopyWas colonoscopy postponed for screening?0..1boolean
.... basicInfo.anesthesiaAnesthesia0..1codingOptions: 2 options
.... basicInfo.videoColonoscopeVideo colonoscope used?0..1codingOptions: 2 options
.... basicInfo.withdrawalTimeWithdrawal time (minutes)0..1integer
.... basicInfo.procedureDateProcedure date0..1dateTime
.... basicInfo.retroflexionRectumRetroflexion in the rectum0..1codingOptions: 3 options
.... basicInfo.previousAbdominalSurgeryHistory of major abdominal surgery0..1codingOptions: 2 options
.... basicInfo.previousAbdominalSurgeryDetailsPrevious abdominal surgery details0..1textEnable When: basicInfo.previousAbdominalSurgery = Yes (SNOMED CT#373066001)
... bowelPrepBowel preparation assessment0..1group
.... bowelPrep.prepQualityBowel preparation quality adequate?0..1codingOptions: 2 options
.... bowelPrep.bbpsRightBBPS Right colon / ascending (0-3)0..1integer
.... bowelPrep.bbpsTransverseBBPS Transverse colon (0-3)0..1integer
.... bowelPrep.bbpsLeftBBPS Left colon / descending + sigmoid (0-3)0..1integer
.... bowelPrep.totalBbpsTotal BBPS score (0-9)0..1integer
.... bowelPrep.dietaryRecommendationsWere dietary recommendations given?0..1codingOptions: 2 options
.... bowelPrep.splitDoseWas split-dose protocol used?0..1codingOptions: 2 options
.... bowelPrep.prepMethodPreparation method0..1codingOptions: 2 options
.... bowelPrep.lastDoseHoursBeforeProcedureLast dose timing (hours before procedure)0..1integer
.... bowelPrep.writtenInfoWas written information about preparation given?0..1codingOptions: 2 options
.... bowelPrep.usedPreparationsUsed preparations for bowel preparation0..*codingOptions: 4 options
... scopeReachColonoscope reach0..1group
.... scopeReach.reachLocationDeepest point reached by colonoscope0..1codingOptions: 11 options
... polypFindingsPolyp findings0..*group
.... polypFindings.polypFoundPolyp found?0..1boolean
.... polypFindings.locationPolyp location0..1codingOptions: 10 options
.... polypFindings.sizeMmPolyp size (mm)0..1integer
.... polypFindings.parisClassificationParis endoscopic classification0..1codingOptions: 9 options
.... polypFindings.niceClassificationNICE classification0..1codingOptions: 3 options
.... polypFindings.predictedHistologyPredicted histology0..1codingOptions: 4 options
.... polypFindings.locationSideLocation side0..1codingOptions: 2 options
.... polypFindings.accessDifficultyAccess difficulty0..1codingOptions: 2 options
.... polypFindings.smsaScoreSMSA total score0..1integer
.... polypFindings.smsaLevelSMSA level0..1codingOptions: 4 options
.... polypFindings.polypRemovedWas polyp removed?0..1codingOptions: 2 options
.... polypFindings.removalMethodRemoval method0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 6 options
.... polypFindings.lumenFillingLumen filling method0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 3 options
.... polypFindings.resectionTypeResection type0..1codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 2 options
.... polypFindings.hydropreparationHydropreparation substances used0..*codingEnable When: polypFindings.polypRemoved = Yes (SNOMED CT#373066001)
Options: 4 options
.... polypFindings.complicationAfterRemovalComplication after polyp removal?0..1codingOptions: 2 options
.... polypFindings.allPolypsRemovedSimultaneouslyAll polyps removed simultaneously?0..1codingOptions: 2 options
.... polypFindings.sentForHistologySent for histological examination?0..1codingOptions: 2 options
... tumorFindingsTumor findings0..*group
.... tumorFindings.tumorFoundTumor found?0..1boolean
.... tumorFindings.tumorLocationTumor location0..1codingOptions: 10 options
.... tumorFindings.tumorDescriptionTumor description0..1text
.... tumorFindings.biopsyPerformedBiopsy performed?0..1codingOptions: 2 options
.... tumorFindings.biopsyPostponedBiopsy postponed?0..1codingOptions: 2 options
... complicationsComplications after colonoscopy0..1group
.... complications.complicationPresenceWere there complications?0..1codingOptions: 2 options
.... complications.complicationTypeComplication type0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 5 options
.... complications.wallInjuryWall injury (Sydney classification)0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 5 options
.... complications.actionTakenAction taken0..1codingEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
Options: 3 options
.... complications.bleedingControlBleeding control details0..1textEnable When: complications.complicationPresence = Yes (SNOMED CT#373066001)
... conclusionsFinal conclusions0..1group
.... conclusions.conclusionConclusion0..1codingOptions: 7 options
.... conclusions.conclusionNotesConclusion notes0..1text
... recommendationsFollow-up recommendations0..1group
.... recommendations.nextColonoscopyRecommended interval for next colonoscopy0..1codingOptions: 5 options
.... recommendations.additionalNotesAdditional notes0..1text
... signaturesSignatures0..1group
.... signatures.examinerNameExaminer first name1..1string
.... signatures.examinerSurnameExaminer surname1..1string
.... signatures.examDateExamination date1..1dateTime

doco Documentation for this format

Options Sets

Answer options for basicInfo.anesthesia

  • http://snomed.info/sct#398166005 ("Performed")
  • http://snomed.info/sct#385660001 ("Not done")

Answer options for basicInfo.videoColonoscope

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for basicInfo.retroflexionRectum

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")
  • http://snomed.info/sct#48031000087101 ("Postponed")

Answer options for basicInfo.previousAbdominalSurgery

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.prepQuality

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.dietaryRecommendations

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.splitDose

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.prepMethod

  • null#null ("Two-day split preparation")
  • null#null ("Same-day non-split preparation")

Answer options for bowelPrep.writtenInfo

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for bowelPrep.usedPreparations

  • http://snomed.info/sct#712567003 ("Macrogol 4000 (substance)")
  • http://snomed.info/sct#712566007 ("Macrogol 3350 (substance)")
  • http://snomed.info/sct#715699009 ("Product containing citric acid and magnesium oxide and sodium picosulfate (medicinal product)")
  • http://snomed.info/sct#69958001 ("Sodium sulfate (substance)")

Answer options for scopeReach.reachLocation

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")
  • http://snomed.info/sct#181261002 ("Entire rectum (body structure)")

Answer options for polypFindings.location

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")

Answer options for polypFindings.parisClassification

  • null#null ("I-p Pedunculated")
  • null#null ("I-sp Semi-pedunculated")
  • null#null ("I-s Sessile")
  • null#null ("IIa Slightly elevated")
  • null#null ("IIb Flat")
  • null#null ("IIc Slightly depressed")
  • null#null ("III Excavated")
  • null#null ("LST-G Granular laterally spreading")
  • null#null ("LST-NG Non-granular laterally spreading")

Answer options for polypFindings.niceClassification

  • null#null ("Type I (Hyperplastic)")
  • null#null ("Type II (Adenoma)")
  • null#null ("Type III (Invasive)")

Answer options for polypFindings.predictedHistology

  • null#null ("Hyperplastic")
  • null#null ("Sessile serrated lesion (SSL)")
  • null#null ("Adenoma")
  • null#null ("Adenoma with suspicion of malignancy")

Answer options for polypFindings.locationSide

  • null#null ("Left side")
  • null#null ("Right side")

Answer options for polypFindings.accessDifficulty

  • null#null ("Easy")
  • null#null ("Difficult")

Answer options for polypFindings.smsaLevel

  • null#null ("Level 1 (4-5 points)")
  • null#null ("Level 2 (6-8 points)")
  • null#null ("Level 3 (9-12 points)")
  • null#null ("Level 4 (>12 points)")

Answer options for polypFindings.polypRemoved

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.removalMethod

  • null#null ("Cold forceps")
  • null#null ("Cold snare")
  • null#null ("Hot snare")
  • null#null ("EMR")
  • null#null ("ESD")
  • null#null ("Piecemeal EMR")

Answer options for polypFindings.lumenFilling

  • null#null ("Air insufflation")
  • null#null ("Water immersion")
  • null#null ("CO2 insufflation")

Answer options for polypFindings.resectionType

  • null#null ("En bloc resection")
  • null#null ("Piecemeal resection")

Answer options for polypFindings.hydropreparation

  • null#null ("Normal saline")
  • null#null ("Adrenaline")
  • null#null ("Methylene blue")
  • null#null ("Gelofusine")

Answer options for polypFindings.complicationAfterRemoval

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.allPolypsRemovedSimultaneously

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for polypFindings.sentForHistology

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for tumorFindings.tumorLocation

  • http://snomed.info/sct#34402009 ("Rectum structure (body structure)")
  • http://snomed.info/sct#60184004 ("Sigmoid colon structure (body structure)")
  • http://snomed.info/sct#32622004 ("Descending colon structure (body structure)")
  • http://snomed.info/sct#72592005 ("Structure of left colic flexure (body structure)")
  • http://snomed.info/sct#485005 ("Transverse colon structure (body structure)")
  • http://snomed.info/sct#48338005 ("Structure of right colic flexure (body structure)")
  • http://snomed.info/sct#9040008 ("Ascending colon structure (body structure)")
  • http://snomed.info/sct#32713005 ("Cecum structure (body structure)")
  • http://snomed.info/sct#34516001 ("Ileal structure (body structure)")
  • http://snomed.info/sct#85774003 ("Structure of distal portion of ileum (body structure)")

Answer options for tumorFindings.biopsyPerformed

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for tumorFindings.biopsyPostponed

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for complications.complicationPresence

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for complications.complicationType

  • null#null ("Perforation")
  • null#null ("Bleeding")
  • null#null ("Post-polypectomy syndrome")
  • null#null ("Cardiopulmonary")
  • null#null ("Other")

Answer options for complications.wallInjury

  • null#null ("Type I - Superficial mucosal injury")
  • null#null ("Type II - Deep mucosal injury")
  • null#null ("Type III - Muscularis propria injury")
  • null#null ("Type IV - Serosal injury")
  • null#null ("Type V - Transmural perforation")

Answer options for complications.actionTaken

  • null#null ("Conservative management")
  • null#null ("Endoscopic treatment")
  • null#null ("Surgical intervention")

Answer options for conclusions.conclusion

  • null#null ("Normal")
  • null#null ("Polyps found")
  • null#null ("Polyps and diverticulosis")
  • null#null ("Diverticulosis")
  • null#null ("Tumor found")
  • null#null ("Inflammatory bowel disease")
  • null#null ("Other pathology")

Answer options for recommendations.nextColonoscopy

  • null#null ("1 year")
  • null#null ("3 years")
  • null#null ("5 years")
  • null#null ("10 years")
  • null#null ("Not applicable")

Source1

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-colonoscopy-espbi",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.lt/fhir/colorectal/Questionnaire/questionnaire-colonoscopy-espbi",
  "version": "0.0.1",
  "name": "QuestionnaireColonoscopyEspbi",
  "title": "ESPBI Colonoscopy Form",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "date": "2026-03-25",
  "publisher": "Lithuanian Medical Library",
  "contact": [
    {
      "name": "Lithuanian Medical Library",
      "telecom": [
        {
          "system": "url",
          "value": "https://medicinosnk.lt"
        },
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          "system": "email",
          "value": "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description": "ESPBI form for colonoscopy in the Lithuanian colorectal cancer screening programme.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "basicInfo",
      "text": "Basic descriptive part",
      "type": "group",
      "item": [
        {
          "linkId": "basicInfo.postponedColonoscopy",
          "text": "Was colonoscopy postponed for screening?",
          "type": "boolean"
        },
        {
          "linkId": "basicInfo.anesthesia",
          "text": "Anesthesia",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "385660001",
                "display": "Not done"
              }
            }
          ]
        },
        {
          "linkId": "basicInfo.videoColonoscope",
          "text": "Video colonoscope used?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
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            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
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            }
          ]
        },
        {
          "linkId": "basicInfo.withdrawalTime",
          "text": "Withdrawal time (minutes)",
          "type": "integer"
        },
        {
          "linkId": "basicInfo.procedureDate",
          "text": "Procedure date",
          "type": "dateTime"
        },
        {
          "linkId": "basicInfo.retroflexionRectum",
          "text": "Retroflexion in the rectum",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
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            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "48031000087101",
                "display": "Postponed"
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            }
          ]
        },
        {
          "linkId": "basicInfo.previousAbdominalSurgery",
          "text": "History of major abdominal surgery",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
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                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "basicInfo.previousAbdominalSurgeryDetails",
          "text": "Previous abdominal surgery details",
          "type": "text",
          "enableWhen": [
            {
              "question": "basicInfo.previousAbdominalSurgery",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "bowelPrep",
      "text": "Bowel preparation assessment",
      "type": "group",
      "item": [
        {
          "linkId": "bowelPrep.prepQuality",
          "text": "Bowel preparation quality adequate?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
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              "valueCoding": {
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                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "bowelPrep.bbpsRight",
          "text": "BBPS Right colon / ascending (0-3)",
          "type": "integer"
        },
        {
          "linkId": "bowelPrep.bbpsTransverse",
          "text": "BBPS Transverse colon (0-3)",
          "type": "integer"
        },
        {
          "linkId": "bowelPrep.bbpsLeft",
          "text": "BBPS Left colon / descending + sigmoid (0-3)",
          "type": "integer"
        },
        {
          "linkId": "bowelPrep.totalBbps",
          "text": "Total BBPS score (0-9)",
          "type": "integer"
        },
        {
          "linkId": "bowelPrep.dietaryRecommendations",
          "text": "Were dietary recommendations given?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
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                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "bowelPrep.splitDose",
          "text": "Was split-dose protocol used?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "bowelPrep.prepMethod",
          "text": "Preparation method",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Two-day split preparation"
              }
            },
            {
              "valueCoding": {
                "display": "Same-day non-split preparation"
              }
            }
          ]
        },
        {
          "linkId": "bowelPrep.lastDoseHoursBeforeProcedure",
          "text": "Last dose timing (hours before procedure)",
          "type": "integer"
        },
        {
          "linkId": "bowelPrep.writtenInfo",
          "text": "Was written information about preparation given?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "bowelPrep.usedPreparations",
          "text": "Used preparations for bowel preparation",
          "type": "coding",
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "712567003",
                "display": "Macrogol 4000 (substance)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "712566007",
                "display": "Macrogol 3350 (substance)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "715699009",
                "display": "Product containing citric acid and magnesium oxide and sodium picosulfate (medicinal product)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "69958001",
                "display": "Sodium sulfate (substance)"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "scopeReach",
      "text": "Colonoscope reach",
      "type": "group",
      "item": [
        {
          "linkId": "scopeReach.reachLocation",
          "text": "Deepest point reached by colonoscope",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34402009",
                "display": "Rectum structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "60184004",
                "display": "Sigmoid colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "32622004",
                "display": "Descending colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "72592005",
                "display": "Structure of left colic flexure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "485005",
                "display": "Transverse colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "48338005",
                "display": "Structure of right colic flexure (body structure)"
              }
            },
            {
              "valueCoding": {
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                "code": "9040008",
                "display": "Ascending colon structure (body structure)"
              }
            },
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                "code": "32713005",
                "display": "Cecum structure (body structure)"
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            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34516001",
                "display": "Ileal structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "85774003",
                "display": "Structure of distal portion of ileum (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "181261002",
                "display": "Entire rectum (body structure)"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "polypFindings",
      "text": "Polyp findings",
      "type": "group",
      "repeats": true,
      "item": [
        {
          "linkId": "polypFindings.polypFound",
          "text": "Polyp found?",
          "type": "boolean"
        },
        {
          "linkId": "polypFindings.location",
          "text": "Polyp location",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34402009",
                "display": "Rectum structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "60184004",
                "display": "Sigmoid colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "32622004",
                "display": "Descending colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "72592005",
                "display": "Structure of left colic flexure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "485005",
                "display": "Transverse colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "48338005",
                "display": "Structure of right colic flexure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "9040008",
                "display": "Ascending colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "32713005",
                "display": "Cecum structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34516001",
                "display": "Ileal structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "85774003",
                "display": "Structure of distal portion of ileum (body structure)"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.sizeMm",
          "text": "Polyp size (mm)",
          "type": "integer"
        },
        {
          "linkId": "polypFindings.parisClassification",
          "text": "Paris endoscopic classification",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "I-p Pedunculated"
              }
            },
            {
              "valueCoding": {
                "display": "I-sp Semi-pedunculated"
              }
            },
            {
              "valueCoding": {
                "display": "I-s Sessile"
              }
            },
            {
              "valueCoding": {
                "display": "IIa Slightly elevated"
              }
            },
            {
              "valueCoding": {
                "display": "IIb Flat"
              }
            },
            {
              "valueCoding": {
                "display": "IIc Slightly depressed"
              }
            },
            {
              "valueCoding": {
                "display": "III Excavated"
              }
            },
            {
              "valueCoding": {
                "display": "LST-G Granular laterally spreading"
              }
            },
            {
              "valueCoding": {
                "display": "LST-NG Non-granular laterally spreading"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.niceClassification",
          "text": "NICE classification",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Type I (Hyperplastic)"
              }
            },
            {
              "valueCoding": {
                "display": "Type II (Adenoma)"
              }
            },
            {
              "valueCoding": {
                "display": "Type III (Invasive)"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.predictedHistology",
          "text": "Predicted histology",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Hyperplastic"
              }
            },
            {
              "valueCoding": {
                "display": "Sessile serrated lesion (SSL)"
              }
            },
            {
              "valueCoding": {
                "display": "Adenoma"
              }
            },
            {
              "valueCoding": {
                "display": "Adenoma with suspicion of malignancy"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.locationSide",
          "text": "Location side",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Left side"
              }
            },
            {
              "valueCoding": {
                "display": "Right side"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.accessDifficulty",
          "text": "Access difficulty",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Easy"
              }
            },
            {
              "valueCoding": {
                "display": "Difficult"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.smsaScore",
          "text": "SMSA total score",
          "type": "integer"
        },
        {
          "linkId": "polypFindings.smsaLevel",
          "text": "SMSA level",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Level 1 (4-5 points)"
              }
            },
            {
              "valueCoding": {
                "display": "Level 2 (6-8 points)"
              }
            },
            {
              "valueCoding": {
                "display": "Level 3 (9-12 points)"
              }
            },
            {
              "valueCoding": {
                "display": "Level 4 (>12 points)"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.polypRemoved",
          "text": "Was polyp removed?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.removalMethod",
          "text": "Removal method",
          "type": "coding",
          "enableWhen": [
            {
              "question": "polypFindings.polypRemoved",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            }
          ],
          "answerOption": [
            {
              "valueCoding": {
                "display": "Cold forceps"
              }
            },
            {
              "valueCoding": {
                "display": "Cold snare"
              }
            },
            {
              "valueCoding": {
                "display": "Hot snare"
              }
            },
            {
              "valueCoding": {
                "display": "EMR"
              }
            },
            {
              "valueCoding": {
                "display": "ESD"
              }
            },
            {
              "valueCoding": {
                "display": "Piecemeal EMR"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.lumenFilling",
          "text": "Lumen filling method",
          "type": "coding",
          "enableWhen": [
            {
              "question": "polypFindings.polypRemoved",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            }
          ],
          "answerOption": [
            {
              "valueCoding": {
                "display": "Air insufflation"
              }
            },
            {
              "valueCoding": {
                "display": "Water immersion"
              }
            },
            {
              "valueCoding": {
                "display": "CO2 insufflation"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.resectionType",
          "text": "Resection type",
          "type": "coding",
          "enableWhen": [
            {
              "question": "polypFindings.polypRemoved",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            }
          ],
          "answerOption": [
            {
              "valueCoding": {
                "display": "En bloc resection"
              }
            },
            {
              "valueCoding": {
                "display": "Piecemeal resection"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.hydropreparation",
          "text": "Hydropreparation substances used",
          "type": "coding",
          "enableWhen": [
            {
              "question": "polypFindings.polypRemoved",
              "operator": "=",
              "answerCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
              }
            }
          ],
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "display": "Normal saline"
              }
            },
            {
              "valueCoding": {
                "display": "Adrenaline"
              }
            },
            {
              "valueCoding": {
                "display": "Methylene blue"
              }
            },
            {
              "valueCoding": {
                "display": "Gelofusine"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.complicationAfterRemoval",
          "text": "Complication after polyp removal?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
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              "valueCoding": {
                "system": "http://snomed.info/sct",
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                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.allPolypsRemovedSimultaneously",
          "text": "All polyps removed simultaneously?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
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            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        },
        {
          "linkId": "polypFindings.sentForHistology",
          "text": "Sent for histological examination?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
                "display": "Yes"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
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            }
          ]
        }
      ]
    },
    {
      "linkId": "tumorFindings",
      "text": "Tumor findings",
      "type": "group",
      "repeats": true,
      "item": [
        {
          "linkId": "tumorFindings.tumorFound",
          "text": "Tumor found?",
          "type": "boolean"
        },
        {
          "linkId": "tumorFindings.tumorLocation",
          "text": "Tumor location",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34402009",
                "display": "Rectum structure (body structure)"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "60184004",
                "display": "Sigmoid colon structure (body structure)"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "32622004",
                "display": "Descending colon structure (body structure)"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "72592005",
                "display": "Structure of left colic flexure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "485005",
                "display": "Transverse colon structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "48338005",
                "display": "Structure of right colic flexure (body structure)"
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "9040008",
                "display": "Ascending colon structure (body structure)"
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            },
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              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "32713005",
                "display": "Cecum structure (body structure)"
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            },
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              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "34516001",
                "display": "Ileal structure (body structure)"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "85774003",
                "display": "Structure of distal portion of ileum (body structure)"
              }
            }
          ]
        },
        {
          "linkId": "tumorFindings.tumorDescription",
          "text": "Tumor description",
          "type": "text"
        },
        {
          "linkId": "tumorFindings.biopsyPerformed",
          "text": "Biopsy performed?",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
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              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
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            }
          ]
        },
        {
          "linkId": "tumorFindings.biopsyPostponed",
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          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373066001",
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            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373067005",
                "display": "No"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "complications",
      "text": "Complications after colonoscopy",
      "type": "group",
      "item": [
        {
          "linkId": "complications.complicationPresence",
          "text": "Were there complications?",
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          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
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              "valueCoding": {
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            }
          ]
        },
        {
          "linkId": "complications.complicationType",
          "text": "Complication type",
          "type": "coding",
          "enableWhen": [
            {
              "question": "complications.complicationPresence",
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                "system": "http://snomed.info/sct",
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          ],
          "answerOption": [
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              "valueCoding": {
                "display": "Perforation"
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            },
            {
              "valueCoding": {
                "display": "Bleeding"
              }
            },
            {
              "valueCoding": {
                "display": "Post-polypectomy syndrome"
              }
            },
            {
              "valueCoding": {
                "display": "Cardiopulmonary"
              }
            },
            {
              "valueCoding": {
                "display": "Other"
              }
            }
          ]
        },
        {
          "linkId": "complications.wallInjury",
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          "type": "coding",
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            {
              "question": "complications.complicationPresence",
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          ],
          "answerOption": [
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              "valueCoding": {
                "display": "Type I - Superficial mucosal injury"
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            },
            {
              "valueCoding": {
                "display": "Type II - Deep mucosal injury"
              }
            },
            {
              "valueCoding": {
                "display": "Type III - Muscularis propria injury"
              }
            },
            {
              "valueCoding": {
                "display": "Type IV - Serosal injury"
              }
            },
            {
              "valueCoding": {
                "display": "Type V - Transmural perforation"
              }
            }
          ]
        },
        {
          "linkId": "complications.actionTaken",
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          "type": "coding",
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              "question": "complications.complicationPresence",
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          ],
          "answerOption": [
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              "valueCoding": {
                "display": "Conservative management"
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            },
            {
              "valueCoding": {
                "display": "Endoscopic treatment"
              }
            },
            {
              "valueCoding": {
                "display": "Surgical intervention"
              }
            }
          ]
        },
        {
          "linkId": "complications.bleedingControl",
          "text": "Bleeding control details",
          "type": "text",
          "enableWhen": [
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              "question": "complications.complicationPresence",
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            }
          ]
        }
      ]
    },
    {
      "linkId": "conclusions",
      "text": "Final conclusions",
      "type": "group",
      "item": [
        {
          "linkId": "conclusions.conclusion",
          "text": "Conclusion",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "Normal"
              }
            },
            {
              "valueCoding": {
                "display": "Polyps found"
              }
            },
            {
              "valueCoding": {
                "display": "Polyps and diverticulosis"
              }
            },
            {
              "valueCoding": {
                "display": "Diverticulosis"
              }
            },
            {
              "valueCoding": {
                "display": "Tumor found"
              }
            },
            {
              "valueCoding": {
                "display": "Inflammatory bowel disease"
              }
            },
            {
              "valueCoding": {
                "display": "Other pathology"
              }
            }
          ]
        },
        {
          "linkId": "conclusions.conclusionNotes",
          "text": "Conclusion notes",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "recommendations",
      "text": "Follow-up recommendations",
      "type": "group",
      "item": [
        {
          "linkId": "recommendations.nextColonoscopy",
          "text": "Recommended interval for next colonoscopy",
          "type": "coding",
          "answerOption": [
            {
              "valueCoding": {
                "display": "1 year"
              }
            },
            {
              "valueCoding": {
                "display": "3 years"
              }
            },
            {
              "valueCoding": {
                "display": "5 years"
              }
            },
            {
              "valueCoding": {
                "display": "10 years"
              }
            },
            {
              "valueCoding": {
                "display": "Not applicable"
              }
            }
          ]
        },
        {
          "linkId": "recommendations.additionalNotes",
          "text": "Additional notes",
          "type": "text"
        }
      ]
    },
    {
      "linkId": "signatures",
      "text": "Signatures",
      "type": "group",
      "item": [
        {
          "linkId": "signatures.examinerName",
          "text": "Examiner first name",
          "type": "string",
          "required": true
        },
        {
          "linkId": "signatures.examinerSurname",
          "text": "Examiner surname",
          "type": "string",
          "required": true
        },
        {
          "linkId": "signatures.examDate",
          "text": "Examination date",
          "type": "dateTime",
          "required": true
        }
      ]
    }
  ]
}