This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "breastrad-CalcificationTypeCS"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>CalcificationTypeCS CodeSystem</b></p>\n<p>Calcification Type\n</p>\n</div>" ]; fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS"]; fhir:CodeSystem.version [ fhir:value "0.1.0"]; fhir:CodeSystem.name [ fhir:value "CalcificationTypeCS"]; fhir:CodeSystem.title [ fhir:value "CalcificationTypeCS"]; fhir:CodeSystem.status [ fhir:value "draft"]; fhir:CodeSystem.date [ fhir:value "2019-08-02T00:00:00-04:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "Hl7 - Clinical Interoperability Council"]; fhir:CodeSystem.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic" ] ] ]; fhir:CodeSystem.description [ fhir:value "Calcification Type"]; fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.count [ fhir:value "22"^^xsd:nonNegativeInteger]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "Amorphous" ]; fhir:CodeSystem.concept.display [ fhir:value "Amorphous or indistinct calcifications are defined as 'without a clearly defined shape or form'. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined." ]; fhir:CodeSystem.concept.definition [ fhir:value "Amorphous or indistinct calcifications are defined as 'without a clearly defined shape or form'. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined." ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "Spherical" ]; fhir:CodeSystem.concept.display [ fhir:value "No definition found." ]; fhir:CodeSystem.concept.definition [ fhir:value "No definition found." ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "Skin" ]; fhir:CodeSystem.concept.display [ fhir:value "Usually lucent-centered and pathognomonic in appearance." ]; fhir:CodeSystem.concept.definition [ fhir:value "Usually lucent-centered and pathognomonic in appearance." ] ], [ fhir:index 3; fhir:CodeSystem.concept.code [ fhir:value "Round" ]; fhir:CodeSystem.concept.display [ fhir:value "May vary in size and, therefore, also in opacity (when < 0.5 mm, the term 'punctate' should be used)." ]; fhir:CodeSystem.concept.definition [ fhir:value "May vary in size and, therefore, also in opacity (when < 0.5 mm, the term 'punctate' should be used)." ] ], [ fhir:index 4; fhir:CodeSystem.concept.code [ fhir:value "Rim" ]; fhir:CodeSystem.concept.display [ fhir:value "Appear as calcium deposited on the surface of a sphere (usually < 1 mm in thickness when viewed on edge)." ]; fhir:CodeSystem.concept.definition [ fhir:value "Appear as calcium deposited on the surface of a sphere (usually < 1 mm in thickness when viewed on edge)." ] ], [ fhir:index 5; fhir:CodeSystem.concept.code [ fhir:value "Punctate" ]; fhir:CodeSystem.concept.display [ fhir:value "Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). ... Macrocalcifications are common -- they are found in approximately half of women over age 50, and one in 10 women under age 50 -- and are considered noncancerous." ]; fhir:CodeSystem.concept.definition [ fhir:value "Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). ... Macrocalcifications are common -- they are found in approximately half of women over age 50, and one in 10 women under age 50 -- and are considered noncancerous." ] ], [ fhir:index 6; fhir:CodeSystem.concept.code [ fhir:value "PleomorphicADDFine" ]; fhir:CodeSystem.concept.display [ fhir:value "Microcalcifications that vary in size and shape are of more concern — you may hear these referred to as 'pleomorphic calcifications' — and they may be clustered in a specific area of the breast. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ]; fhir:CodeSystem.concept.definition [ fhir:value "Microcalcifications that vary in size and shape are of more concern — you may hear these referred to as 'pleomorphic calcifications' — and they may be clustered in a specific area of the breast. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ] ], [ fhir:index 7; fhir:CodeSystem.concept.code [ fhir:value "None" ]; fhir:CodeSystem.concept.display [ fhir:value "No calcifications present." ]; fhir:CodeSystem.concept.definition [ fhir:value "No calcifications present." ] ], [ fhir:index 8; fhir:CodeSystem.concept.code [ fhir:value "MilkOfCalcium" ]; fhir:CodeSystem.concept.display [ fhir:value "A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description." ]; fhir:CodeSystem.concept.definition [ fhir:value "A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description." ] ], [ fhir:index 9; fhir:CodeSystem.concept.code [ fhir:value "LucentCentered" ]; fhir:CodeSystem.concept.display [ fhir:value "They are different from malignant-type fine branching calcifications, because they are usually > 1 mm in diameter. They may have lucent centers if the calcium is in the wall of the duct. These calcifications follow a ductal distribution, radiating toward the nipple and are usually bilateral." ]; fhir:CodeSystem.concept.definition [ fhir:value "They are different from malignant-type fine branching calcifications, because they are usually > 1 mm in diameter. They may have lucent centers if the calcium is in the wall of the duct. These calcifications follow a ductal distribution, radiating toward the nipple and are usually bilateral." ] ], [ fhir:index 10; fhir:CodeSystem.concept.code [ fhir:value "LinearADDFine" ]; fhir:CodeSystem.concept.display [ fhir:value "These are suspicious calcifications arranged in a line or showing a branching pattern, suggesting deposits in a duct. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ]; fhir:CodeSystem.concept.definition [ fhir:value "These are suspicious calcifications arranged in a line or showing a branching pattern, suggesting deposits in a duct. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ] ], [ fhir:index 11; fhir:CodeSystem.concept.code [ fhir:value "Layering" ]; fhir:CodeSystem.concept.display [ fhir:value "Benign calcifications: These are described as layered, tea-cup shaped, or milk of calcium. These are from benign causes such as fibrocystic breast changes or ruptured breast cysts." ]; fhir:CodeSystem.concept.definition [ fhir:value "Benign calcifications: These are described as layered, tea-cup shaped, or milk of calcium. These are from benign causes such as fibrocystic breast changes or ruptured breast cysts." ] ], [ fhir:index 12; fhir:CodeSystem.concept.code [ fhir:value "LargeRodLike" ]; fhir:CodeSystem.concept.display [ fhir:value "Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter." ]; fhir:CodeSystem.concept.definition [ fhir:value "Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter." ] ], [ fhir:index 13; fhir:CodeSystem.concept.code [ fhir:value "Indistinct" ]; fhir:CodeSystem.concept.display [ fhir:value "near and segmentally distributed calcifications are arranged in a line or branching pattern, indicating that the deposits are in a duct and these tend to be malignant, since most of the common malignancies are ductal." ]; fhir:CodeSystem.concept.definition [ fhir:value "near and segmentally distributed calcifications are arranged in a line or branching pattern, indicating that the deposits are in a duct and these tend to be malignant, since most of the common malignancies are ductal." ] ], [ fhir:index 14; fhir:CodeSystem.concept.code [ fhir:value "Heterogeneous" ]; fhir:CodeSystem.concept.display [ fhir:value "Coarse heterogeneous calcifications are irregular calcifications that are between 0.5 mm and 1 mm in size. They are usually in a group and are smaller in size than dystrophic calcifications. ... Coarse heterogeneous calcifications in a linear or segmental distribution are suspicious." ]; fhir:CodeSystem.concept.definition [ fhir:value "Coarse heterogeneous calcifications are irregular calcifications that are between 0.5 mm and 1 mm in size. They are usually in a group and are smaller in size than dystrophic calcifications. ... Coarse heterogeneous calcifications in a linear or segmental distribution are suspicious." ] ], [ fhir:index 15; fhir:CodeSystem.concept.code [ fhir:value "GenericCalcification" ]; fhir:CodeSystem.concept.display [ fhir:value "Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). In some instances, certain types of breast calcifications may suggest early breast cancer." ]; fhir:CodeSystem.concept.definition [ fhir:value "Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). In some instances, certain types of breast calcifications may suggest early breast cancer." ] ], [ fhir:index 16; fhir:CodeSystem.concept.code [ fhir:value "Fine" ]; fhir:CodeSystem.concept.display [ fhir:value "Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ]; fhir:CodeSystem.concept.definition [ fhir:value "Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue." ] ], [ fhir:index 17; fhir:CodeSystem.concept.code [ fhir:value "Eggshell" ]; fhir:CodeSystem.concept.display [ fhir:value "These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere." ]; fhir:CodeSystem.concept.definition [ fhir:value "These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere." ] ], [ fhir:index 18; fhir:CodeSystem.concept.code [ fhir:value "Dystrophic" ]; fhir:CodeSystem.concept.display [ fhir:value "Irregular in shape and usually > 1 mm in size; often with lucent centers" ]; fhir:CodeSystem.concept.definition [ fhir:value "Irregular in shape and usually > 1 mm in size; often with lucent centers" ] ], [ fhir:index 19; fhir:CodeSystem.concept.code [ fhir:value "Coarse" ]; fhir:CodeSystem.concept.display [ fhir:value "These calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma." ]; fhir:CodeSystem.concept.definition [ fhir:value "These calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma." ] ], [ fhir:index 20; fhir:CodeSystem.concept.code [ fhir:value "Suture" ]; fhir:CodeSystem.concept.display [ fhir:value "Typically linear or tubular in appearance; when present, knots are frequently visible." ]; fhir:CodeSystem.concept.definition [ fhir:value "Typically linear or tubular in appearance; when present, knots are frequently visible." ] ], [ fhir:index 21; fhir:CodeSystem.concept.code [ fhir:value "Vascular" ]; fhir:CodeSystem.concept.display [ fhir:value "Parallel tracks or linear, tubular calcifications that are clearly associated with blood vessels" ]; fhir:CodeSystem.concept.definition [ fhir:value "Parallel tracks or linear, tubular calcifications that are clearly associated with blood vessels" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.