Breast Radiology Reporting - 1st for comment ballot

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

LymphNodeQualifiersCS


<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="breastrad-LymphNodeQualifiersCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<p><b>LymphNodeQualifiersCS CodeSystem</b></p>
<p>Lymph Node Qualifiers
</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-LymphNodeQualifiersCS"/>
  <version value="0.1.0"/>
  <name value="LymphNodeQualifiersCS"/>
  <title value="LymphNodeQualifiersCS"/>
  <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="Lymph Node Qualifiers"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="8"/>
  <concept>
    <code value="LevelILymphNode"/>
    <display
             value="Level I is the bottom level, below the lower edge of the pectoralis minor muscle."/>
    <definition
                value="Level I is the bottom level, below the lower edge of the pectoralis minor muscle."/>
  </concept>
  <concept>
    <code value="LevelIILymphNode"/>
    <display value="Level II is lying underneath the pectoralis minor muscle."/>
    <definition
                value="Level II is lying underneath the pectoralis minor muscle."/>
  </concept>
  <concept>
    <code value="LevelIIILymphNode"/>
    <display value="Level III is above the pectoralis minor muscle."/>
    <definition value="Level III is above the pectoralis minor muscle."/>
  </concept>
  <concept>
    <code value="NormalLymphNode"/>
    <display
             value="Nodes are generally considered to be normal if they are up to 1 cm in diameter; however, some authors suggest that epitrochlear nodes larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be considered abnormal.7,8 Little information exists to suggest that a specific diagnosis can be based on node size."/>
    <definition
                value="Nodes are generally considered to be normal if they are up to 1 cm in diameter; however, some authors suggest that epitrochlear nodes larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be considered abnormal.7,8 Little information exists to suggest that a specific diagnosis can be based on node size."/>
  </concept>
  <concept>
    <code value="WithEccentricThickeningCortex"/>
    <display
             value="Eccentric en- largement with focal thickening of the cortex is a strong indicator of malignant transformation. Indentation of the hilum, and especially ob- literation of the hilum, is highly suggestive of malignancy (4). ... Enlargement of lymph nodes can be due to a variety of benign and malignant causes."/>
    <definition
                value="Eccentric en- largement with focal thickening of the cortex is a strong indicator of malignant transformation. Indentation of the hilum, and especially ob- literation of the hilum, is highly suggestive of malignancy (4). ... Enlargement of lymph nodes can be due to a variety of benign and malignant causes."/>
  </concept>
  <concept>
    <code value="WithEnlargementOfNode"/>
    <display
             value="When cancer has spread to the axillary lymph nodes, the nodes may feel enlarged, or there may be a noticeable lump. A breast cancer prognosis is better when the cancer is only in the breast, and the lymph nodes are not affected. Most people who have enlarged axillary lymph nodes do not have cancer at all."/>
    <definition
                value="When cancer has spread to the axillary lymph nodes, the nodes may feel enlarged, or there may be a noticeable lump. A breast cancer prognosis is better when the cancer is only in the breast, and the lymph nodes are not affected. Most people who have enlarged axillary lymph nodes do not have cancer at all."/>
  </concept>
  <concept>
    <code value="WithFocalThickeningCortex"/>
    <display
             value="Currently many studies utilize cortical thickening and hilum absence as criteria for definition of the risk for metastasis(11,12-16). ... Metastatic deposits accumulate in the lymph node peripheral area, causing enlargement of the cortex, usually focal (at early stages), or uniform."/>
    <definition
                value="Currently many studies utilize cortical thickening and hilum absence as criteria for definition of the risk for metastasis(11,12-16). ... Metastatic deposits accumulate in the lymph node peripheral area, causing enlargement of the cortex, usually focal (at early stages), or uniform."/>
  </concept>
  <concept>
    <code value="WithUniformThickeningCortex"/>
    <display
             value="Lymph node cortical thickness and uniformity are the most important criteria for distinguishing between normal and abnormal nodes. Normal lymph nodes have a reniform shape, a uniformly hypoechoic cortex with a maximal thickness of 3 mm, smooth margins, and a central fatty hilum (Fig 1). Findings of cortical thickness in excess of 3 mm, eccentric thickening, irregular margins, and encroachment on or displacement of the fatty hilum are suggestive of a pathologic process."/>
    <definition
                value="Lymph node cortical thickness and uniformity are the most important criteria for distinguishing between normal and abnormal nodes. Normal lymph nodes have a reniform shape, a uniformly hypoechoic cortex with a maximal thickness of 3 mm, smooth margins, and a central fatty hilum (Fig 1). Findings of cortical thickness in excess of 3 mm, eccentric thickening, irregular margins, and encroachment on or displacement of the fatty hilum are suggestive of a pathologic process."/>
  </concept>
</CodeSystem>