Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions
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@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:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "AssociatedFeatureCS"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Associated Feature CodeSystem</h2><div><p>Associated Feature seen during a breast examination.</p>\n</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">ArchitecturalDistortion<a name=\"AssociatedFeatureCS-ArchitecturalDistortion\"> </a></td><td>Architectural distortion</td><td>Many breast masses are found within the zone of fibroglandular \r\ntissue or at a fat-fibroglandular \r\njunction. \r\nIf the mass blurs a tissue plane between fat and \r\nfibroglandular tissue or if the \r\nmass produces \r\ndistortion of the ducts, these findings may be termed \r\narchitectural distortion. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 139] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">AxillaryAdenopathy<a name=\"AssociatedFeatureCS-AxillaryAdenopathy\"> </a></td><td>Axillary adenopathy</td><td>Enlarged axillary (under the armpit) lymph nodes. \r\nAdditional evaluation is needed to determine the \r\ncause. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 110] \r\n\r\nValid for the following modalities: MG MRI.</td></tr><tr><td style=\"white-space:nowrap\">BiopsyClip<a name=\"AssociatedFeatureCS-BiopsyClip\"> </a></td><td>Biopsy clip</td><td>Tissue marker placement after image-guided breast \r\nbiopsy has become a routine component \r\nof clinical practice. \r\nMarker placement distinguishes multiple biopsied \r\nlesions within the same breast, \r\nprevents re-biopsy of benign lesions, enables multi-modality \r\ncorrelation, guides \r\npre-operative localization and helps confirm surgical \r\ntarget removal. \r\nNumerous breast tissue markers are currently available, \r\nwith varied shapes, composition, \r\nand associated bio-absorbable components. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/30059952] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">BrachytherapyTube<a name=\"AssociatedFeatureCS-BrachytherapyTube\"> </a></td><td>Brachytherapy tube</td><td>Brachytherapy may be temporary or permanent. \r\nTemporary brachytherapy places radioactive material \r\ninside a catheter for a specific \r\namount of time and then it is removed. \r\nIt is given at a low-dose rate (LDR) or high-dose \r\nrate (HDR). \r\nPermanent brachytherapy is also called seed implantation. \r\nIt puts radioactive seeds (about the size of a grain \r\nof rice) in or near the tumor \r\npermanently. \r\nAfter several months, the seeds lose their radioactivity. \r\n[https://www.radiologyinfo.org/en/info.cfm?pg=brachy] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">ChestWallInvasion<a name=\"AssociatedFeatureCS-ChestWallInvasion\"> </a></td><td>Chest wall invasion</td><td>A tumor of the lung that has invaded the chest wall. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CooperDistorted<a name=\"AssociatedFeatureCS-CooperDistorted\"> </a></td><td>Cooper distorted</td><td>The cooper's ligaments are fibrous bands extending \r\nvertically from surface attached to \r\nchest wall muscles. \r\nThese ligaments maintain the shape and structure \r\nof the breasts and help to prevent \r\nsagging. \r\nCooper's ligaments support the breasts on the chest \r\nwall, maintain their contour, \r\nand keep them in position. \r\nBreasts become distorted if cancerous tumors grow \r\non the ligaments. \r\nThe normal breast contours can be noticeably different \r\nonce distorted. \r\nThis can be because of swelling, bulges, retraction, \r\netc. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">CooperThickened<a name=\"AssociatedFeatureCS-CooperThickened\"> </a></td><td>Cooper thickened</td><td>The cooper's ligaments are fibrous bands extending \r\nvertically from surface attached \r\nto chest wall muscles. \r\nThese ligaments maintain the shape and structure \r\nof the breasts and help to prevent \r\nsagging. \r\nCooper's ligaments support the breasts on the chest \r\nwall, maintain their contour, \r\nand keep them in position. \r\nThese support breast tissue; and can become contracted \r\nin cancer of breast, producing \r\ndimples in overlying skin. \r\nThickening occurs when there are skin changes usually \r\nassociated with the presence \r\nof a mass, benign or malignant, that causes shortening \r\nin the Coopers ligaments due \r\nto fibrosis. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Edema<a name=\"AssociatedFeatureCS-Edema\"> </a></td><td>Edema</td><td>Edema (swelling of the breasts) may be due to blockage \r\nof subdermal lymphatics by tumor cells or an inflammatory \r\nprocess within the breast or axilla. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">EdemaAdj<a name=\"AssociatedFeatureCS-EdemaAdj\"> </a></td><td>Edema adj</td><td>This is swelling of one or both breasts. \r\nA mammographic pattern of skin thickening, increased \r\nparenchymal density, and interstitial marking. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">GoldSeed<a name=\"AssociatedFeatureCS-GoldSeed\"> </a></td><td>Gold Seed</td><td>Tiny, gold seeds, about the size of a grain of rice, \r\nthat are put in and/or around \r\na tumor to show exactly where it is in the body. \r\nThe tumor can then be directly targeted and be given \r\nhigher doses of radiation \r\nwith less harm to nearby healthy tissue. \r\nAlso called gold fiducial marker seeds, gold fiducial \r\nmarkers, and gold-seed fiducial \r\nmarkers. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gold-seeds] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">Hematoma<a name=\"AssociatedFeatureCS-Hematoma\"> </a></td><td>Hematoma</td><td>A hematoma is a localized bleeding outside of blood \r\nvessels, due to either disease \r\nor trauma including injury or surgery and may involve \r\nblood continuing to seep from \r\nbroken capillaries. \r\nen.wikipedia.org > wiki > Hematoma \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">NippleRetraction<a name=\"AssociatedFeatureCS-NippleRetraction\"> </a></td><td>Nipple retraction</td><td>Retracted nipples lie flat against the areola. \r\nThe condition can be the result of inflammation or \r\nscarring of the tissue behind \r\nthe nipple, and caused by numerous conditions, not \r\njust cancer. \r\nIn the case of breast cancer, nipple retraction occurs \r\nwhen the tumor attacks the \r\nduct behind the nipple, pulling it in. \r\n\r\n\r\nValid for the following modalities: MG MRI.</td></tr><tr><td style=\"white-space:nowrap\">NOChestWallInvasion<a name=\"AssociatedFeatureCS-NOChestWallInvasion\"> </a></td><td>NO Chest wall invasion</td><td>The mass has not attached itself to the chest wall. \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">PectoralisMuscleInvasion<a name=\"AssociatedFeatureCS-PectoralisMuscleInvasion\"> </a></td><td>Pectoralis muscle invasion</td><td>Pectoralis muscle invasion is when a tumor has become \r\nlarge enough to invade into \r\nthe pectoralis muscle. \r\n\r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">PectoralisMuscleInvolvement<a name=\"AssociatedFeatureCS-PectoralisMuscleInvolvement\"> </a></td><td>Pectoralis muscle involvement</td><td>Pectoralis muscle involvement of the tumor has been \r\ndetected on the MRI by muscle \r\nenhancement with obliteration of the fat plane between \r\nthe tumor and the muscle. \r\npubs.rsna.org > doi > pdf \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">PectoralisMuscleTenting<a name=\"AssociatedFeatureCS-PectoralisMuscleTenting\"> </a></td><td>Pectoralis muscle tenting</td><td>The tent sign is a term referring to a characteristic \r\nappearance of the posterior \r\nedge of the breast parenchyma when a mass (usually \r\nan infiltrating lesion) causes \r\nits retraction and forms an inverted "V" that resembles \r\nthe tip of a circus tent. \r\n[https://radiopaedia.org/articles/tent-sign-breast?lang=us] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">PostSurgicalScar<a name=\"AssociatedFeatureCS-PostSurgicalScar\"> </a></td><td>Post surgical scar</td><td>Post surgical scarring happens because of the incisions \r\nneeded to surgically remove \r\ntumor, cells, etc. \r\nThe amount of scarring is connected to the different \r\nstages of wound healing. \r\nSurgical scar care should be continued for a year. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">Seroma<a name=\"AssociatedFeatureCS-Seroma\"> </a></td><td>Seroma</td><td>A breast seroma is a collection (pocket) of serous \r\nfluid that can develop after trauma \r\nto the breast or following procedures such as breast \r\nsurgery or radiation therapy. \r\nSerous fluid is a pale yellow, transparent fluid \r\nthat contains protein, but no blood \r\ncells or pus. \r\n[https://www.verywellhealth.com/seroma-medical-definition-430372] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SkinInvolvement<a name=\"AssociatedFeatureCS-SkinInvolvement\"> </a></td><td>Skin involvement</td><td>The mass or lesion has attached itself to the skin \r\nof the breast. \r\nThere are several layers of skin that the mass or \r\nlesion can penetrate and that is \r\nwhat determines the level of skin invasion. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SkinLesion<a name=\"AssociatedFeatureCS-SkinLesion\"> </a></td><td>Skin lesion</td><td>A skin lesion is a part of the skin that has an abnormal \r\ngrowth or appearance compared \r\nto the skin around it.In order to diagnose a skin \r\nlesion, a full physical exam is necessary. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SkinRetraction<a name=\"AssociatedFeatureCS-SkinRetraction\"> </a></td><td>Skin retraction</td><td>Skin retraction (or inversion) or Skin retraction. \r\nBreast cancers that are located near the skin or \r\nnipple may cause scarring within \r\nthe breast that pulls at the nipple or nearby skin. \r\nSkin and nipple retraction are more obvious when \r\na woman raises her arms above her \r\nhead or leans forward. \r\n[https://www.drholmesmd.com/blog/early-signs-of-breast-cancer] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SkinThickening<a name=\"AssociatedFeatureCS-SkinThickening\"> </a></td><td>Skin thickening</td><td>The presence of skin thickening on mammography is \r\nvariably defined, usually being \r\nmore than 2 mm in thickness. \r\nIt can result from a number of both benign and malignant \r\ncauses. \r\n[https://radiopaedia.org/articles/skin-thickening-on-mammography-differential?lang=us] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalClip<a name=\"AssociatedFeatureCS-SurgicalClip\"> </a></td><td>Surgical clip</td><td>Most surgical clips are currently made of titanium, \r\nand as many as 30 to 40 clips \r\nmay be used during a single surgical procedure. \r\nSurgical clips may remain inside the patient's body \r\nafter the wounds are healed. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">TrabecularThickening<a name=\"AssociatedFeatureCS-TrabecularThickening\"> </a></td><td>Trabecular thickening</td><td>Trabecular thickening-thickening of the Cooper's ligaments \r\nand fibrous stroma-is \r\nan imaging finding of breast edema, usually secondary \r\nto dilated lymphatics. \r\nSkin thickening and trabecular thickening often occur \r\ntogether, and they have similar \r\ndifferential diagnoses. \r\n[https://oxfordmedicine.com/view/10.1093/med/9780190270261.001.0001/med-9780190270261-chapter-48] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">CalcificationInMass<a name=\"AssociatedFeatureCS-CalcificationInMass\"> </a></td><td>Calcification in mass</td><td>Calcifications usually can't be felt, but appear \r\non a mammogram. \r\nDepending on how calcifications are clustered; shape, \r\nsize, and number, further tests may be necessary. \r\nLarger "macrocalcifications" are usually not associated \r\nwith cancer. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">CalcificationNotOnMammogarm<a name=\"AssociatedFeatureCS-CalcificationNotOnMammogarm\"> </a></td><td>Calcification Not on mammogarm</td><td>Calcifications usually can't be felt, but appear \r\non a mammogram. \r\nCalcifications can be clustered and their shape, \r\nsize, and number. \r\nLarge "macrocalcifications" are usually not associated \r\nwith cancer. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">CalcificationOnMammogram<a name=\"AssociatedFeatureCS-CalcificationOnMammogram\"> </a></td><td>Calcification on mammogram</td><td>Calcifications are small deposits of calcium that \r\nshow up on mammograms as bright \r\nwhite specks or dots on the soft tissue background \r\nof the breasts. \r\nThe calcium readily absorbs the X-rays from mammograms \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Calcifications<a name=\"AssociatedFeatureCS-Calcifications\"> </a></td><td>Calcifications</td><td>Calcifications are small deposits of calcium that \r\nshow up on mammograms as bright \r\nwhite specks or dots on the soft tissue background \r\nof the breasts. \r\n\r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">MicroCalcifications<a name=\"AssociatedFeatureCS-MicroCalcifications\"> </a></td><td>Micro calcifications</td><td>Micro-calcifications show up as fine, white specks \r\nin a mammogram, similar to grains of salt; usually \r\nnoncancerous, but certain patterns can be an early \r\nsign of cancer. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">MilkOfCalcium<a name=\"AssociatedFeatureCS-MilkOfCalcium\"> </a></td><td>Milk of calcium</td><td>The term milk of calcium (MOC) is given to dependent, \r\nsedimented calcification within \r\na cystic structure or hollow organ. \r\nThis sort of colloidal calcium suspension layering \r\ncan occur in various regions. \r\n[https://radiopaedia.org/articles/milk-of-calcium-disambiguation?lang=us] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">RimCalcifications<a name=\"AssociatedFeatureCS-RimCalcifications\"> </a></td><td>Rim calcifications</td><td>These are very thin benign calcifications that appear \r\nas calcium is deposited on \r\nthe surface of a sphere. \r\nAlthough fat necrosis can produce these thin deposits, \r\ncalcifications in the wall \r\nof cysts are the most common 'rim' calcifications. \r\n\r\n\r\nValid for the following modalities: US.</td></tr></table></div>" ]; fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS"]; fhir:CodeSystem.version [ fhir:value "0.2.0"]; fhir:CodeSystem.name [ fhir:value "AssociatedFeatureCS"]; fhir:CodeSystem.title [ fhir:value "Associated Feature CodeSystem"]; fhir:CodeSystem.status [ fhir:value "draft"]; fhir:CodeSystem.date [ fhir:value "2019-11-01T00:00:00+00:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "Hl7 - Clinical Interoperability Council"]; fhir:CodeSystem.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/Special/committees/cic" ] ] ]; fhir:CodeSystem.description [ fhir:value "Associated Feature seen during a breast examination."]; fhir:CodeSystem.jurisdiction [ fhir:index 0; fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ]; fhir:Coding.code [ fhir:value "001" ] ] ]; fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.count [ fhir:value "31"^^xsd:nonNegativeInteger]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "ArchitecturalDistortion" ]; fhir:CodeSystem.concept.display [ fhir:value "Architectural distortion" ]; fhir:CodeSystem.concept.definition [ fhir:value "Many breast masses are found within the zone of fibroglandular \r\ntissue or at a fat-fibroglandular \r\njunction. \r\nIf the mass blurs a tissue plane between fat and \r\nfibroglandular tissue or if the \r\nmass produces \r\ndistortion of the ducts, these findings may be termed \r\narchitectural distortion. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 139] \r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "AxillaryAdenopathy" ]; fhir:CodeSystem.concept.display [ fhir:value "Axillary adenopathy" ]; fhir:CodeSystem.concept.definition [ fhir:value "Enlarged axillary (under the armpit) lymph nodes. \r\nAdditional evaluation is needed to determine the \r\ncause. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 110] \r\n\r\nValid for the following modalities: MG MRI." ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "BiopsyClip" ]; fhir:CodeSystem.concept.display [ fhir:value "Biopsy clip" ]; fhir:CodeSystem.concept.definition [ fhir:value "Tissue marker placement after image-guided breast \r\nbiopsy has become a routine component \r\nof clinical practice. \r\nMarker placement distinguishes multiple biopsied \r\nlesions within the same breast, \r\nprevents re-biopsy of benign lesions, enables multi-modality \r\ncorrelation, guides \r\npre-operative localization and helps confirm surgical \r\ntarget removal. \r\nNumerous breast tissue markers are currently available, \r\nwith varied shapes, composition, \r\nand associated bio-absorbable components. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/30059952] \r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 3; fhir:CodeSystem.concept.code [ fhir:value "BrachytherapyTube" ]; fhir:CodeSystem.concept.display [ fhir:value "Brachytherapy tube" ]; fhir:CodeSystem.concept.definition [ fhir:value "Brachytherapy may be temporary or permanent. \r\nTemporary brachytherapy places radioactive material \r\ninside a catheter for a specific \r\namount of time and then it is removed. \r\nIt is given at a low-dose rate (LDR) or high-dose \r\nrate (HDR). \r\nPermanent brachytherapy is also called seed implantation. \r\nIt puts radioactive seeds (about the size of a grain \r\nof rice) in or near the tumor \r\npermanently. \r\nAfter several months, the seeds lose their radioactivity. \r\n[https://www.radiologyinfo.org/en/info.cfm?pg=brachy] \r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 4; fhir:CodeSystem.concept.code [ fhir:value "ChestWallInvasion" ]; fhir:CodeSystem.concept.display [ fhir:value "Chest wall invasion" ]; fhir:CodeSystem.concept.definition [ fhir:value "A tumor of the lung that has invaded the chest wall. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 5; fhir:CodeSystem.concept.code [ fhir:value "CooperDistorted" ]; fhir:CodeSystem.concept.display [ fhir:value "Cooper distorted" ]; fhir:CodeSystem.concept.definition [ fhir:value "The cooper's ligaments are fibrous bands extending \r\nvertically from surface attached to \r\nchest wall muscles. \r\nThese ligaments maintain the shape and structure \r\nof the breasts and help to prevent \r\nsagging. \r\nCooper's ligaments support the breasts on the chest \r\nwall, maintain their contour, \r\nand keep them in position. \r\nBreasts become distorted if cancerous tumors grow \r\non the ligaments. \r\nThe normal breast contours can be noticeably different \r\nonce distorted. \r\nThis can be because of swelling, bulges, retraction, \r\netc. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 6; fhir:CodeSystem.concept.code [ fhir:value "CooperThickened" ]; fhir:CodeSystem.concept.display [ fhir:value "Cooper thickened" ]; fhir:CodeSystem.concept.definition [ fhir:value "The cooper's ligaments are fibrous bands extending \r\nvertically from surface attached \r\nto chest wall muscles. \r\nThese ligaments maintain the shape and structure \r\nof the breasts and help to prevent \r\nsagging. \r\nCooper's ligaments support the breasts on the chest \r\nwall, maintain their contour, \r\nand keep them in position. \r\nThese support breast tissue; and can become contracted \r\nin cancer of breast, producing \r\ndimples in overlying skin. \r\nThickening occurs when there are skin changes usually \r\nassociated with the presence \r\nof a mass, benign or malignant, that causes shortening \r\nin the Coopers ligaments due \r\nto fibrosis. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 7; fhir:CodeSystem.concept.code [ fhir:value "Edema" ]; fhir:CodeSystem.concept.display [ fhir:value "Edema" ]; fhir:CodeSystem.concept.definition [ fhir:value "Edema (swelling of the breasts) may be due to blockage \r\nof subdermal lymphatics by tumor cells or an inflammatory \r\nprocess within the breast or axilla. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 8; fhir:CodeSystem.concept.code [ fhir:value "EdemaAdj" ]; fhir:CodeSystem.concept.display [ fhir:value "Edema adj" ]; fhir:CodeSystem.concept.definition [ fhir:value "This is swelling of one or both breasts. \r\nA mammographic pattern of skin thickening, increased \r\nparenchymal density, and interstitial marking. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 9; fhir:CodeSystem.concept.code [ fhir:value "GoldSeed" ]; fhir:CodeSystem.concept.display [ fhir:value "Gold Seed" ]; fhir:CodeSystem.concept.definition [ fhir:value "Tiny, gold seeds, about the size of a grain of rice, \r\nthat are put in and/or around \r\na tumor to show exactly where it is in the body. \r\nThe tumor can then be directly targeted and be given \r\nhigher doses of radiation \r\nwith less harm to nearby healthy tissue. \r\nAlso called gold fiducial marker seeds, gold fiducial \r\nmarkers, and gold-seed fiducial \r\nmarkers. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gold-seeds] \r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 10; fhir:CodeSystem.concept.code [ fhir:value "Hematoma" ]; fhir:CodeSystem.concept.display [ fhir:value "Hematoma" ]; fhir:CodeSystem.concept.definition [ fhir:value "A hematoma is a localized bleeding outside of blood \r\nvessels, due to either disease \r\nor trauma including injury or surgery and may involve \r\nblood continuing to seep from \r\nbroken capillaries. \r\nen.wikipedia.org > wiki > Hematoma \r\n\r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 11; fhir:CodeSystem.concept.code [ fhir:value "NippleRetraction" ]; fhir:CodeSystem.concept.display [ fhir:value "Nipple retraction" ]; fhir:CodeSystem.concept.definition [ fhir:value "Retracted nipples lie flat against the areola. \r\nThe condition can be the result of inflammation or \r\nscarring of the tissue behind \r\nthe nipple, and caused by numerous conditions, not \r\njust cancer. \r\nIn the case of breast cancer, nipple retraction occurs \r\nwhen the tumor attacks the \r\nduct behind the nipple, pulling it in. \r\n\r\n\r\nValid for the following modalities: MG MRI." ] ], [ fhir:index 12; fhir:CodeSystem.concept.code [ fhir:value "NOChestWallInvasion" ]; fhir:CodeSystem.concept.display [ fhir:value "NO Chest wall invasion" ]; fhir:CodeSystem.concept.definition [ fhir:value "The mass has not attached itself to the chest wall. \r\n\r\n\r\nValid for the following modalities: MRI." ] ], [ fhir:index 13; fhir:CodeSystem.concept.code [ fhir:value "PectoralisMuscleInvasion" ]; fhir:CodeSystem.concept.display [ fhir:value "Pectoralis muscle invasion" ]; fhir:CodeSystem.concept.definition [ fhir:value "Pectoralis muscle invasion is when a tumor has become \r\nlarge enough to invade into \r\nthe pectoralis muscle. \r\n\r\n\r\nValid for the following modalities: US MRI." ] ], [ fhir:index 14; fhir:CodeSystem.concept.code [ fhir:value "PectoralisMuscleInvolvement" ]; fhir:CodeSystem.concept.display [ fhir:value "Pectoralis muscle involvement" ]; fhir:CodeSystem.concept.definition [ fhir:value "Pectoralis muscle involvement of the tumor has been \r\ndetected on the MRI by muscle \r\nenhancement with obliteration of the fat plane between \r\nthe tumor and the muscle. \r\npubs.rsna.org > doi > pdf \r\n\r\n\r\nValid for the following modalities: MRI." ] ], [ fhir:index 15; fhir:CodeSystem.concept.code [ fhir:value "PectoralisMuscleTenting" ]; fhir:CodeSystem.concept.display [ fhir:value "Pectoralis muscle tenting" ]; fhir:CodeSystem.concept.definition [ fhir:value "The tent sign is a term referring to a characteristic \r\nappearance of the posterior \r\nedge of the breast parenchyma when a mass (usually \r\nan infiltrating lesion) causes \r\nits retraction and forms an inverted \"V\" that resembles \r\nthe tip of a circus tent. \r\n[https://radiopaedia.org/articles/tent-sign-breast?lang=us] \r\n\r\nValid for the following modalities: US MRI." ] ], [ fhir:index 16; fhir:CodeSystem.concept.code [ fhir:value "PostSurgicalScar" ]; fhir:CodeSystem.concept.display [ fhir:value "Post surgical scar" ]; fhir:CodeSystem.concept.definition [ fhir:value "Post surgical scarring happens because of the incisions \r\nneeded to surgically remove \r\ntumor, cells, etc. \r\nThe amount of scarring is connected to the different \r\nstages of wound healing. \r\nSurgical scar care should be continued for a year. \r\n\r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 17; fhir:CodeSystem.concept.code [ fhir:value "Seroma" ]; fhir:CodeSystem.concept.display [ fhir:value "Seroma" ]; fhir:CodeSystem.concept.definition [ fhir:value "A breast seroma is a collection (pocket) of serous \r\nfluid that can develop after trauma \r\nto the breast or following procedures such as breast \r\nsurgery or radiation therapy. \r\nSerous fluid is a pale yellow, transparent fluid \r\nthat contains protein, but no blood \r\ncells or pus. \r\n[https://www.verywellhealth.com/seroma-medical-definition-430372] \r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 18; fhir:CodeSystem.concept.code [ fhir:value "SkinInvolvement" ]; fhir:CodeSystem.concept.display [ fhir:value "Skin involvement" ]; fhir:CodeSystem.concept.definition [ fhir:value "The mass or lesion has attached itself to the skin \r\nof the breast. \r\nThere are several layers of skin that the mass or \r\nlesion can penetrate and that is \r\nwhat determines the level of skin invasion. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 19; fhir:CodeSystem.concept.code [ fhir:value "SkinLesion" ]; fhir:CodeSystem.concept.display [ fhir:value "Skin lesion" ]; fhir:CodeSystem.concept.definition [ fhir:value "A skin lesion is a part of the skin that has an abnormal \r\ngrowth or appearance compared \r\nto the skin around it.In order to diagnose a skin \r\nlesion, a full physical exam is necessary. \r\n\r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 20; fhir:CodeSystem.concept.code [ fhir:value "SkinRetraction" ]; fhir:CodeSystem.concept.display [ fhir:value "Skin retraction" ]; fhir:CodeSystem.concept.definition [ fhir:value "Skin retraction (or inversion) or Skin retraction. \r\nBreast cancers that are located near the skin or \r\nnipple may cause scarring within \r\nthe breast that pulls at the nipple or nearby skin. \r\nSkin and nipple retraction are more obvious when \r\na woman raises her arms above her \r\nhead or leans forward. \r\n[https://www.drholmesmd.com/blog/early-signs-of-breast-cancer] \r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 21; fhir:CodeSystem.concept.code [ fhir:value "SkinThickening" ]; fhir:CodeSystem.concept.display [ fhir:value "Skin thickening" ]; fhir:CodeSystem.concept.definition [ fhir:value "The presence of skin thickening on mammography is \r\nvariably defined, usually being \r\nmore than 2 mm in thickness. \r\nIt can result from a number of both benign and malignant \r\ncauses. \r\n[https://radiopaedia.org/articles/skin-thickening-on-mammography-differential?lang=us] \r\n\r\nValid for the following modalities: MG US MRI." ] ], [ fhir:index 22; fhir:CodeSystem.concept.code [ fhir:value "SurgicalClip" ]; fhir:CodeSystem.concept.display [ fhir:value "Surgical clip" ]; fhir:CodeSystem.concept.definition [ fhir:value "Most surgical clips are currently made of titanium, \r\nand as many as 30 to 40 clips \r\nmay be used during a single surgical procedure. \r\nSurgical clips may remain inside the patient's body \r\nafter the wounds are healed. \r\n\r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 23; fhir:CodeSystem.concept.code [ fhir:value "TrabecularThickening" ]; fhir:CodeSystem.concept.display [ fhir:value "Trabecular thickening" ]; fhir:CodeSystem.concept.definition [ fhir:value "Trabecular thickening-thickening of the Cooper's ligaments \r\nand fibrous stroma-is \r\nan imaging finding of breast edema, usually secondary \r\nto dilated lymphatics. \r\nSkin thickening and trabecular thickening often occur \r\ntogether, and they have similar \r\ndifferential diagnoses. \r\n[https://oxfordmedicine.com/view/10.1093/med/9780190270261.001.0001/med-9780190270261-chapter-48] \r\n\r\nValid for the following modalities: MG." ] ], [ fhir:index 24; fhir:CodeSystem.concept.code [ fhir:value "CalcificationInMass" ]; fhir:CodeSystem.concept.display [ fhir:value "Calcification in mass" ]; fhir:CodeSystem.concept.definition [ fhir:value "Calcifications usually can't be felt, but appear \r\non a mammogram. \r\nDepending on how calcifications are clustered; shape, \r\nsize, and number, further tests may be necessary. \r\nLarger \"macrocalcifications\" are usually not associated \r\nwith cancer. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 25; fhir:CodeSystem.concept.code [ fhir:value "CalcificationNotOnMammogarm" ]; fhir:CodeSystem.concept.display [ fhir:value "Calcification Not on mammogarm" ]; fhir:CodeSystem.concept.definition [ fhir:value "Calcifications usually can't be felt, but appear \r\non a mammogram. \r\nCalcifications can be clustered and their shape, \r\nsize, and number. \r\nLarge \"macrocalcifications\" are usually not associated \r\nwith cancer. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 26; fhir:CodeSystem.concept.code [ fhir:value "CalcificationOnMammogram" ]; fhir:CodeSystem.concept.display [ fhir:value "Calcification on mammogram" ]; fhir:CodeSystem.concept.definition [ fhir:value "Calcifications are small deposits of calcium that \r\nshow up on mammograms as bright \r\nwhite specks or dots on the soft tissue background \r\nof the breasts. \r\nThe calcium readily absorbs the X-rays from mammograms \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 27; fhir:CodeSystem.concept.code [ fhir:value "Calcifications" ]; fhir:CodeSystem.concept.display [ fhir:value "Calcifications" ]; fhir:CodeSystem.concept.definition [ fhir:value "Calcifications are small deposits of calcium that \r\nshow up on mammograms as bright \r\nwhite specks or dots on the soft tissue background \r\nof the breasts. \r\n\r\n\r\nValid for the following modalities: MG US." ] ], [ fhir:index 28; fhir:CodeSystem.concept.code [ fhir:value "MicroCalcifications" ]; fhir:CodeSystem.concept.display [ fhir:value "Micro calcifications" ]; fhir:CodeSystem.concept.definition [ fhir:value "Micro-calcifications show up as fine, white specks \r\nin a mammogram, similar to grains of salt; usually \r\nnoncancerous, but certain patterns can be an early \r\nsign of cancer. \r\n\r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 29; fhir:CodeSystem.concept.code [ fhir:value "MilkOfCalcium" ]; fhir:CodeSystem.concept.display [ fhir:value "Milk of calcium" ]; fhir:CodeSystem.concept.definition [ fhir:value "The term milk of calcium (MOC) is given to dependent, \r\nsedimented calcification within \r\na cystic structure or hollow organ. \r\nThis sort of colloidal calcium suspension layering \r\ncan occur in various regions. \r\n[https://radiopaedia.org/articles/milk-of-calcium-disambiguation?lang=us] \r\n\r\nValid for the following modalities: US." ] ], [ fhir:index 30; fhir:CodeSystem.concept.code [ fhir:value "RimCalcifications" ]; fhir:CodeSystem.concept.display [ fhir:value "Rim calcifications" ]; fhir:CodeSystem.concept.definition [ fhir:value "These are very thin benign calcifications that appear \r\nas calcium is deposited on \r\nthe surface of a sphere. \r\nAlthough fat necrosis can produce these thin deposits, \r\ncalcifications in the wall \r\nof cysts are the most common 'rim' calcifications. \r\n\r\n\r\nValid for the following modalities: US." ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.
IG © 2019+ Hl7 - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.2.0 based on FHIR 4.0.1. Generated 2020-04-07
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