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

Example: BreastAbnormalityExample1

{
  "resourceType" : "Observation",
  "id" : "BreastAbnormalityExample1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/breast-radiology/StructureDefinition/breastrad-BreastAbnormality"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\nThis is an example Breast Abnormality Observation.<br/>\r\n<br/>\r\n<b>Id</b>: BreastAbnormalityExample1<br/>\r\n<b>Status</b>: 'Final'<br/>\r\n<b>Code</b>: [http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS] 'BreastAbnormalityObservationCode'<br/>\r\n<b>Subject</b>: Reference to subject of exam<br/>\r\n<b>AbnormalityDensity [Component]</b>: CentralLucent<br/>\r\n<b>AsymmetryTypes [Component]</b>: DensityFocalAsymmetry<br/>\r\n<b>BiRadCode [Component]</b>: BIRAD2Benign<br/>\r\n<b>CalcificationType [Component]</b>: Spherical<br/>\r\n<b>Change [Component]</b>: DecreaseInCalcifications<br/>\r\n<b>CystTypes [Component]</b>: ComplexCyst<br/>\r\n<b>ForeignBody [Component]</b>: BiopsyClip<br/>\r\n<b>Hilum [Component]</b>: HilumFatty<br/>\r\n<b>LymphNodeQualifiers [Component]</b>: LevelILymphNode<br/>\r\n<b>Margin [Component]</b>: AngularMargin<br/>\r\n<b>MassTypes [Component]</b>: xxyyz<br/>\r\n<b>NodeTypes [Component]</b>: AxillaryNode<br/>\r\n<b>Shape [Component]</b>: IrregularShape<br/>\r\n<b>Vascularity [Component]</b>: Adjacent<br/>\r\n<b>Wall [Component]</b>: IrregularInternalWall<br/>\r\n<b>MaxLength [Component]</b>: 1 mm<br/>\r\n<b>MaxWidth [Component]</b>: 2 mm<br/>\r\n</div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
        "code" : "BreastAbnormalityObservationCode"
      }
    ]
  },
  "subject" : {
    "display" : "Reference to subject of exam"
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "AbnormalityDensity"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-AbnormalityDensityCS",
            "code" : "CentralLucent"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "AsymmetryTypes"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-AsymmetryTypesCS",
            "code" : "DensityFocalAsymmetry"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "BiRadCode"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BiRadCodeCS",
            "code" : "BIRAD2Benign"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "CalcificationType"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS",
            "code" : "Spherical"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Change"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-ChangeCS",
            "code" : "DecreaseInCalcifications"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "CystTypes"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CystTypesCS",
            "code" : "ComplexCyst"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "ForeignBody"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-ForeignBodyCS",
            "code" : "BiopsyClip"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Hilum"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-HilumCS",
            "code" : "HilumFatty"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "LymphNodeQualifiers"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-LymphNodeQualifiersCS",
            "code" : "LevelILymphNode"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Margin"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-MarginCS",
            "code" : "AngularMargin"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "MassTypes"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-MassTypesCS",
            "code" : "IntraductalMass"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "NodeTypes"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-NodeTypesCS",
            "code" : "AxillaryNode"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Shape"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-ShapeCS",
            "code" : "IrregularShape"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Vascularity"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-VascularityCS",
            "code" : "Adjacent"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "Wall"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-WallCS",
            "code" : "IrregularInternalWall"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "MaxLength"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 1,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-BreastAbnormalityCodesCS",
            "code" : "MaxWidth"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 2,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    }
  ]
}