Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

Calcification Distribution CodeSystem - TTL Representation

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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 "CalcificationDistributionCS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Calcification Distribution CodeSystem</h2><div><p>Calcification Distribution in an abnormality code system.</p>\n</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/CalcificationDistributionCS 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\">ClusteredDistribution<a name=\"CalcificationDistributionCS-ClusteredDistribution\"> </a></td><td>Clustered distribution</td><td>Grouped (historically, &quot;clustered&quot;) \r\nThis term should be used when relatively few calcifications \r\noccupy a small portion \r\nof breast \r\ntissue. \r\nThe lower limit for use of this descriptor is usually \r\nwhen 5 calcifications are grouped \r\nwithin 1 cm of each other or when a definable pattern \r\nis identified. \r\nThe upper limit for use \r\nof this descriptor is when larger numbers of calcifications \r\nare grouped within 2 \r\ncm of each \r\nother. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 73] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">DiffuseDistribution<a name=\"CalcificationDistributionCS-DiffuseDistribution\"> </a></td><td>Diffuse distribution</td><td>Diffuse or Scattered: diffuse calcifications may \r\nbe scattered calcifications or multiple similar appearing \r\nclusters of calcifications throughout the whole breast. \r\nDiffuse or scattered distribution is typically seen \r\nin benign entities. \r\nEven when clusters of calcifications are scattered \r\nthroughout the breast, this favors a benign entity. \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">GroupedDistribution<a name=\"CalcificationDistributionCS-GroupedDistribution\"> </a></td><td>Grouped distribution</td><td>This term should be used when relatively few calcifications \r\noccupy a \r\nsmall portion of breast tissue. \r\nThe lower limit for use of this descriptor is usually \r\nwhen 5 calcifications \r\nare grouped within 1 cm of each other or when a definable \r\npattern is identified. \r\nThe upper limit for use of this descriptor is when \r\nlarger numbers of \r\n\r\ncalcifications are grouped within 2 cm of each other. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 74] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">LinearDistribution<a name=\"CalcificationDistributionCS-LinearDistribution\"> </a></td><td>Linear distribution</td><td>These are calcifications arrayed in a line. \r\nThis distribution may elevate suspicion for malignancy, \r\nas it suggests deposits in a duct. \r\nNote that both vascular and large rod-like calcifications \r\nalso are usually linear in distribution, but that \r\nthese typically \r\nbenign calcifications have a characteristically benign \r\n\r\nmorphology. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">RegionalDistribution<a name=\"CalcificationDistributionCS-RegionalDistribution\"> </a></td><td>Regional distribution</td><td>Scattered in a larger volume (&gt; 2 cc) of breast tissue \r\nand not in the expected ductal distribution. \r\nRegional distribution according to the BI-RADS atlas \r\nwould favor a non-ductal distribution (i.e. \r\n\r\nbenignity) \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">ScatteredDistribution<a name=\"CalcificationDistributionCS-ScatteredDistribution\"> </a></td><td>Scattered distribution</td><td>Scattered distributions are also called diffuse distributions. \r\nThese are calcifications that are distributed randomly \r\nthroughout the breast. \r\nPunctate and amorphous calcifications in this distribution \r\nare almost always benign, especially \r\nif bilateral (in both breasts). \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 70] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SegmentalDistribution<a name=\"CalcificationDistributionCS-SegmentalDistribution\"> </a></td><td>Segmental distribution</td><td>Segmental: calcium deposits in ducts and branches \r\nof a segment or lobe. \r\nSegmental distribution would favor a ductal distribution \r\n(i.e. \r\nmalignancy). \r\nSometimes this differentiation can be made, but in \r\nmany cases the differentiation between 'regional' \r\nand 'segmental' is problematic, because it is not \r\nclear on a mammogram or MRI where the bounderies \r\nof a segment (or a lobe) exactly are. \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/CalcificationDistributionCS"];
  fhir:CodeSystem.version [ fhir:value "0.2.0"];
  fhir:CodeSystem.name [ fhir:value "CalcificationDistributionCS"];
  fhir:CodeSystem.title [ fhir:value "Calcification Distribution 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 "Calcification Distribution in an abnormality code system."];
  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 "7"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "ClusteredDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Clustered distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Grouped (historically, \"clustered\") \r\nThis term should be used when relatively few calcifications \r\noccupy a small portion \r\nof breast \r\ntissue. \r\nThe lower limit for use of this descriptor is usually \r\nwhen 5 calcifications are grouped \r\nwithin 1 cm of each other or when a definable pattern \r\nis identified. \r\nThe upper limit for use \r\nof this descriptor is when larger numbers of calcifications \r\nare grouped within 2 \r\ncm of each \r\nother. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 73] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "DiffuseDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diffuse distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Diffuse or Scattered: diffuse calcifications may \r\nbe scattered calcifications or multiple similar appearing \r\nclusters of calcifications throughout the whole breast. \r\nDiffuse or scattered distribution is typically seen \r\nin benign entities. \r\nEven when clusters of calcifications are scattered \r\nthroughout the breast, this favors a benign entity. \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "GroupedDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Grouped distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "This term should be used when relatively few calcifications \r\noccupy a \r\nsmall portion of breast tissue. \r\nThe lower limit for use of this descriptor is usually \r\nwhen 5 calcifications \r\nare grouped within 1 cm of each other or when a definable \r\npattern is identified. \r\nThe upper limit for use of this descriptor is when \r\nlarger numbers of \r\n\r\ncalcifications are grouped within 2 cm of each other. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 74] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "LinearDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Linear distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "These are calcifications arrayed in a line. \r\nThis distribution may elevate suspicion for malignancy, \r\nas it suggests deposits in a duct. \r\nNote that both vascular and large rod-like calcifications \r\nalso are usually linear in distribution, but that \r\nthese typically \r\nbenign calcifications have a characteristically benign \r\n\r\nmorphology. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "RegionalDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Regional distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Scattered in a larger volume (> 2 cc) of breast tissue \r\nand not in the expected ductal distribution. \r\nRegional distribution according to the BI-RADS atlas \r\nwould favor a non-ductal distribution (i.e. \r\n\r\nbenignity) \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "ScatteredDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Scattered distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Scattered distributions are also called diffuse distributions. \r\nThese are calcifications that are distributed randomly \r\nthroughout the breast. \r\nPunctate and amorphous calcifications in this distribution \r\nare almost always benign, especially \r\nif bilateral (in both breasts). \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 70] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "SegmentalDistribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Segmental distribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Segmental: calcium deposits in ducts and branches \r\nof a segment or lobe. \r\nSegmental distribution would favor a ductal distribution \r\n(i.e. \r\nmalignancy). \r\nSometimes this differentiation can be made, but in \r\nmany cases the differentiation between 'regional' \r\nand 'segmental' is problematic, because it is not \r\nclear on a mammogram or MRI where the bounderies \r\nof a segment (or a lobe) exactly are. \r\n[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] \r\n\r\nValid for the following modalities: MG." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.