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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CalcificationTypeVS

{
  "resourceType" : "ValueSet",
  "id" : "breastrad-CalcificationTypeVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>CalcificationTypeVS ValueSet</b></p>\n<p>Calcification Type\n</p>\n</div>"
  },
  "url" : "http://hl7.org/fhir/us/breast-radiology/ValueSet/breastrad-CalcificationTypeVS",
  "version" : "0.1.0",
  "name" : "CalcificationTypeVS",
  "title" : "CalcificationTypeVS",
  "status" : "draft",
  "date" : "2019-08-02T00:00:00-04:00",
  "publisher" : "Hl7 - Clinical Interoperability Council",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic"
        }
      ]
    }
  ],
  "description" : "Calcification Type",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS",
        "concept" : [
          {
            "code" : "Amorphous",
            "display" : "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."
          },
          {
            "code" : "Spherical",
            "display" : "No definition found."
          },
          {
            "code" : "Skin",
            "display" : "Usually lucent-centered and pathognomonic in appearance."
          },
          {
            "code" : "Round",
            "display" : "May vary in size and, therefore, also in opacity (when < 0.5 mm, the term 'punctate' should be used)."
          },
          {
            "code" : "Rim",
            "display" : "Appear as calcium deposited on the surface of a sphere (usually < 1 mm in thickness when viewed on edge)."
          },
          {
            "code" : "Punctate",
            "display" : "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."
          },
          {
            "code" : "PleomorphicADDFine",
            "display" : "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."
          },
          {
            "code" : "None",
            "display" : "No calcifications present."
          },
          {
            "code" : "MilkOfCalcium",
            "display" : "A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description."
          },
          {
            "code" : "LucentCentered",
            "display" : "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."
          },
          {
            "code" : "LinearADDFine",
            "display" : "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."
          },
          {
            "code" : "Layering",
            "display" : "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."
          },
          {
            "code" : "LargeRodLike",
            "display" : "Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter."
          },
          {
            "code" : "Indistinct",
            "display" : "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."
          },
          {
            "code" : "Heterogeneous",
            "display" : "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."
          },
          {
            "code" : "GenericCalcification",
            "display" : "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."
          },
          {
            "code" : "Fine",
            "display" : "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."
          },
          {
            "code" : "Eggshell",
            "display" : "These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere."
          },
          {
            "code" : "Dystrophic",
            "display" : "Irregular in shape and usually > 1 mm in size; often with lucent centers"
          },
          {
            "code" : "Coarse",
            "display" : "These calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma."
          },
          {
            "code" : "Suture",
            "display" : "Typically linear or tubular in appearance; when present, knots are frequently visible."
          },
          {
            "code" : "Vascular",
            "display" : "Parallel tracks or linear, tubular calcifications that are clearly associated with blood vessels"
          }
        ]
      }
    ]
  }
}