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

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CalcificationTypeCS

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="breastrad-CalcificationTypeCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<p><b>CalcificationTypeCS CodeSystem</b></p>
<p>Calcification Type
</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS"/>
  <version value="0.1.0"/>
  <name value="CalcificationTypeCS"/>
  <title value="CalcificationTypeCS"/>
  <status value="draft"/>
  <date value="2019-08-02T00:00:00-04:00"/>
  <publisher value="Hl7 - Clinical Interoperability Council"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description value="Calcification Type"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="22"/>
  <concept>
    <code value="Amorphous"/>
    <display
             value="Amorphous or indistinct calcifications are defined as &#39;without a clearly defined shape or form&#39;. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined."/>
    <definition
                value="Amorphous or indistinct calcifications are defined as &#39;without a clearly defined shape or form&#39;. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined."/>
  </concept>
  <concept>
    <code value="Spherical"/>
    <display value="No definition found."/>
    <definition value="No definition found."/>
  </concept>
  <concept>
    <code value="Skin"/>
    <display value="Usually lucent-centered and pathognomonic in appearance."/>
    <definition value="Usually lucent-centered and pathognomonic in appearance."/>
  </concept>
  <concept>
    <code value="Round"/>
    <display
             value="May vary in size and, therefore, also in opacity (when &lt; 0.5 mm, the term &#39;punctate&#39; should be used)."/>
    <definition
                value="May vary in size and, therefore, also in opacity (when &lt; 0.5 mm, the term &#39;punctate&#39; should be used)."/>
  </concept>
  <concept>
    <code value="Rim"/>
    <display
             value="Appear as calcium deposited on the surface of a sphere (usually &lt; 1 mm in thickness when viewed on edge)."/>
    <definition
                value="Appear as calcium deposited on the surface of a sphere (usually &lt; 1 mm in thickness when viewed on edge)."/>
  </concept>
  <concept>
    <code value="Punctate"/>
    <display
             value="Breast calcifications are small calcium deposits that develop in a woman&#39;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."/>
    <definition
                value="Breast calcifications are small calcium deposits that develop in a woman&#39;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."/>
  </concept>
  <concept>
    <code value="PleomorphicADDFine"/>
    <display
             value="Microcalcifications that vary in size and shape are of more concern — you may hear these referred to as &#39;pleomorphic calcifications&#39; — 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."/>
    <definition
                value="Microcalcifications that vary in size and shape are of more concern — you may hear these referred to as &#39;pleomorphic calcifications&#39; — 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."/>
  </concept>
  <concept>
    <code value="None"/>
    <display value="No calcifications present."/>
    <definition value="No calcifications present."/>
  </concept>
  <concept>
    <code value="MilkOfCalcium"/>
    <display
             value="A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description."/>
    <definition
                value="A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description."/>
  </concept>
  <concept>
    <code value="LucentCentered"/>
    <display
             value="They are different from malignant-type fine branching calcifications, because they are usually &gt; 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."/>
    <definition
                value="They are different from malignant-type fine branching calcifications, because they are usually &gt; 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."/>
  </concept>
  <concept>
    <code value="LinearADDFine"/>
    <display
             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."/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="Layering"/>
    <display
             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."/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="LargeRodLike"/>
    <display
             value="Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter."/>
    <definition
                value="Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter."/>
  </concept>
  <concept>
    <code value="Indistinct"/>
    <display
             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."/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="Heterogeneous"/>
    <display
             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."/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="GenericCalcification"/>
    <display
             value="Breast calcifications are small calcium deposits that develop in a woman&#39;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."/>
    <definition
                value="Breast calcifications are small calcium deposits that develop in a woman&#39;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."/>
  </concept>
  <concept>
    <code value="Fine"/>
    <display
             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."/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="Eggshell"/>
    <display
             value="These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere."/>
    <definition
                value="These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere."/>
  </concept>
  <concept>
    <code value="Dystrophic"/>
    <display
             value="Irregular in shape and usually &gt; 1 mm in size; often with lucent centers"/>
    <definition
                value="Irregular in shape and usually &gt; 1 mm in size; often with lucent centers"/>
  </concept>
  <concept>
    <code value="Coarse"/>
    <display
             value="These calcifications are classic, large (&gt; 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma."/>
    <definition
                value="These calcifications are classic, large (&gt; 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma."/>
  </concept>
  <concept>
    <code value="Suture"/>
    <display
             value="Typically linear or tubular in appearance; when present, knots are frequently visible."/>
    <definition
                value="Typically linear or tubular in appearance; when present, knots are frequently visible."/>
  </concept>
  <concept>
    <code value="Vascular"/>
    <display
             value="Parallel tracks or linear, tubular calcifications that are clearly associated with blood vessels"/>
    <definition
                value="Parallel tracks or linear, tubular calcifications that are clearly associated with blood vessels"/>
  </concept>
</CodeSystem>