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

CalcificationTypeVS

@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:ValueSet;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "breastrad-CalcificationTypeVS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>CalcificationTypeVS ValueSet</b></p>\n<p>Calcification Type\n</p>\n</div>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/ValueSet/breastrad-CalcificationTypeVS"];
  fhir:ValueSet.version [ fhir:value "0.1.0"];
  fhir:ValueSet.name [ fhir:value "CalcificationTypeVS"];
  fhir:ValueSet.title [ fhir:value "CalcificationTypeVS"];
  fhir:ValueSet.status [ fhir:value "draft"];
  fhir:ValueSet.date [ fhir:value "2019-08-02T00:00:00-04:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "Hl7 - Clinical Interoperability Council"];
  fhir:ValueSet.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:ValueSet.description [ fhir:value "Calcification Type"];
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Amorphous" ];
         fhir:ValueSet.compose.include.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:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Spherical" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "No definition found." ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Skin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Usually lucent-centered and pathognomonic in appearance." ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Round" ];
         fhir:ValueSet.compose.include.concept.display [ 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:ValueSet.compose.include.concept.code [ fhir:value "Rim" ];
         fhir:ValueSet.compose.include.concept.display [ 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:ValueSet.compose.include.concept.code [ fhir:value "Punctate" ];
         fhir:ValueSet.compose.include.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:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PleomorphicADDFine" ];
         fhir:ValueSet.compose.include.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:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "None" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "No calcifications present." ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MilkOfCalcium" ];
         fhir:ValueSet.compose.include.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:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LucentCentered" ];
         fhir:ValueSet.compose.include.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:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LinearADDFine" ];
         fhir:ValueSet.compose.include.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:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Layering" ];
         fhir:ValueSet.compose.include.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:index 12;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LargeRodLike" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter." ]       ], [
         fhir:index 13;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Indistinct" ];
         fhir:ValueSet.compose.include.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:index 14;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Heterogeneous" ];
         fhir:ValueSet.compose.include.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:index 15;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "GenericCalcification" ];
         fhir:ValueSet.compose.include.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:index 16;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Fine" ];
         fhir:ValueSet.compose.include.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:index 17;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Eggshell" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere." ]       ], [
         fhir:index 18;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Dystrophic" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Irregular in shape and usually > 1 mm in size; often with lucent centers" ]       ], [
         fhir:index 19;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Coarse" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "These calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma." ]       ], [
         fhir:index 20;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Suture" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Typically linear or tubular in appearance; when present, knots are frequently visible." ]       ], [
         fhir:index 21;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Vascular" ];
         fhir:ValueSet.compose.include.concept.display [ 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.