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 "ConsistentWithCodeSystemCS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Consistent With CodeSystem</h2><div><p>ConsistentWith code system</p>\n</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/ConsistentWithCodeSystemCS 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\">Abscess<a name=\"ConsistentWithCodeSystemCS-Abscess\"> </a></td><td>Abscess</td><td>An area within the body tissue that is swollen and \r\ncontains an accumulation of pus. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Angiolipoma<a name=\"ConsistentWithCodeSystemCS-Angiolipoma\"> </a></td><td>Angiolipoma</td><td>Angiolipoma is a rare type of lipoma - a growth made \r\nof fat and blood vessels that \r\ndevelops under the skin. \r\nUnlike other types of lipomas, angiolipomas are \r\noften painful or tender. \r\n[https://www.healthline.com/health/angiolipoma] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">ApocrineMetaplasia<a name=\"ConsistentWithCodeSystemCS-ApocrineMetaplasia\"> </a></td><td>Apocrine metaplasia</td><td>A benign condition; Apocrine Metaplasia refers to \r\na particular type of cell change. \r\nThis is a type of 'umbrella term' that relates to a \r\nvariety of cystic breast disorders. \r\nThe epithelial cells are undergoing an unexpected \r\nchange. \r\nThese breast changes may show on a mammogram and \r\nbiopsy as a mass or benign lesion, \r\nor possibly even develop into a palpable mass. \r\n[https://breast-cancer.ca/apo-meta/] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Artifact<a name=\"ConsistentWithCodeSystemCS-Artifact\"> </a></td><td>Artifact</td><td>X-ray artifacts can present in a variety of ways \r\nincluding abnormal shadows noted \r\non a radiograph or degraded image quality, and have \r\nbeen produced by artificial means \r\nfrom hardware failure, operator error and software \r\n(post-processing) artifacts. \r\nThere are common and distinct artifacts for film, \r\ncomputed (CR) and digital radiography \r\n(DR). \r\nCommon causes are improper handling of the films \r\nerrors while processing the films \r\npatient movement while taking the image. \r\n[https://radiopaedia.org/articles/x-ray-artifacts?lang=us] \r\n\r\nValid for the following modalities: NM.</td></tr><tr><td style=\"white-space:nowrap\">AtypicalHyperplasia<a name=\"ConsistentWithCodeSystemCS-AtypicalHyperplasia\"> </a></td><td>Atypical hyperplasia</td><td>Atypical hyperplasia is a precancerous condition \r\nthat affects cells in the breast. \r\nAtypical hyperplasia describes an accumulation of \r\nabnormal cells in the breast. \r\nAtypical hyperplasia isn't cancer, but it can be \r\na forerunner to the development \r\nof breast cancer. \r\nOver the course of the lifetime, if the atypical \r\nhyperplasia cells keep dividing \r\nand become more abnormal, this can transition into \r\nnoninvasive breast cancer (carcinoma \r\nin situ) or invasive breast cancer. \r\n[https://www.mayoclinic.org/diseases-conditions/atypical-hyperplasia/symptoms-causes/syc-20369773] \r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">AxillaryLymphNode<a name=\"ConsistentWithCodeSystemCS-AxillaryLymphNode\"> </a></td><td>Axillary lymph node</td><td>Axillary lymph nodes are the lymph nodes located \r\nin the armpits. \r\nThey can become enlarged in many conditions including \r\ninfections, lymphomas, and \r\nbreast cancers. \r\nLymph nodes are small structures located all over \r\nthe body around blood vessels that \r\nact as filters and can accumulate germs or cancer \r\ncells. \r\nThey are a part of the lymph system of the body. \r\n[https://www.verywellhealth.com/axillary-lymph-nodes-2252131] \r\n\r\nValid for the following modalities: NM.</td></tr><tr><td style=\"white-space:nowrap\">Carcinoma<a name=\"ConsistentWithCodeSystemCS-Carcinoma\"> </a></td><td>Carcinoma</td><td>Carcinoma is a type of cancer that starts in cells \r\nthat make up the skin or the tissue \r\nlining organs. \r\n\r\n\r\nValid for the following modalities: MG US MRI NM.</td></tr><tr><td style=\"white-space:nowrap\">CarcinomaKnown<a name=\"ConsistentWithCodeSystemCS-CarcinomaKnown\"> </a></td><td>Carcinoma known</td><td>Imaging tests used in diagnosing cancer may include \r\na computerized tomography (CT) \r\nscan, bone scan, magnetic resonance imaging (MRI), \r\n(PET) scan, ultrasound and X-ray, \r\namong others. \r\nIn most cases, a biopsy is the only way to definitively \r\ndiagnose cancer. \r\nMost breast cancers are carcinomas, which are tumors \r\nthat start in the epithelial \r\ncells that line organs and tissues throughout the \r\nbody. \r\nWhen carcinomas form in the breast, they are usually \r\na more specific type called \r\nadenocarcinoma, which starts in cells in the ducts \r\n(the milk ducts) or the lobules \r\n(milk-producing glands). \r\nwww.mayoclinic.org &gt; cancer &gt; diagnosis-treatment &gt; \r\ndrc-20370594 \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">ClusterOfCysts<a name=\"ConsistentWithCodeSystemCS-ClusterOfCysts\"> </a></td><td>Cluster of cysts</td><td>A breast cyst is a non-cancerous (benign) fluid-filled \r\nsac in the breast. \r\nSome cysts are too small to feel and others may \r\nbe large and uncomfortable. \r\nSometimes there are clusters of cysts in one breast \r\nor both. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Cyst<a name=\"ConsistentWithCodeSystemCS-Cyst\"> </a></td><td>Cyst</td><td>A breast cyst is a non-cancerous (benign) fluid-filled \r\nsac in the breast. \r\nSome cysts are too small to feel and others may \r\nbe large and uncomfortable. \r\nSometimes there are clusters of cysts in one breast \r\nor both. \r\n\r\n\r\nValid for the following modalities: MG MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystComplex<a name=\"ConsistentWithCodeSystemCS-CystComplex\"> </a></td><td>Cyst complex</td><td>Complex cysts have irregular or scalloped borders, \r\nthick walls, and some evidence \r\nof solid areas and/or debris in the fluid. \r\nThese solid areas echo back the sound waves from \r\nthe ultrasound. \r\nA complex cyst is sometimes aspirated, or drained \r\nwith a fine needle, so that the \r\nfluid inside can be tested. \r\nIf blood or any unusual cells are present, further \r\ntesting may be needed to rule \r\nout breast cancer. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystComplicated<a name=\"ConsistentWithCodeSystemCS-CystComplicated\"> </a></td><td>Cyst complicated</td><td>Complicated cysts are &quot;in between&quot; simple and complex. \r\nAlthough they share most of the features of simple \r\ncysts, they tend to have some \r\ndebris inside them and echo back some of the ultrasound \r\nwaves. \r\nHowever, they don't have the thick walls or obvious \r\nsolid components that a complex \r\ncyst has. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystOil<a name=\"ConsistentWithCodeSystemCS-CystOil\"> </a></td><td>Cyst oil</td><td>Oil cysts are filled with fluid that may feel smooth \r\nand squishy. \r\nOil cysts are caused by the breakdown of fatty tissue. \r\n\r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">CystSebaceous<a name=\"ConsistentWithCodeSystemCS-CystSebaceous\"> </a></td><td>Cyst sebaceous</td><td>Sebaceous cysts are common noncancerous cysts of \r\nthe skin. \r\nCysts are abnormalities in the body that may contain \r\nliquid or semiliquid material. \r\nSebaceous cysts are mostly found on the face, neck, \r\nor torso. \r\nThey grow slowly and aren't life-threatening, but \r\nthey may become uncomfortable if \r\nthey go unchecked. \r\nwww.healthline.com &gt; health &gt; sebaceous-cyst \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">CystSimple<a name=\"ConsistentWithCodeSystemCS-CystSimple\"> </a></td><td>Cyst simple</td><td>Simple cysts have smooth, thin, regularly shaped \r\nwalls and are completely filled \r\nwith fluid. \r\nThe sound waves sent out by the ultrasound test pass \r\nright through them, indicating \r\nthere are no solid areas. \r\nSimple cysts are always benign. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystsComplex<a name=\"ConsistentWithCodeSystemCS-CystsComplex\"> </a></td><td>Cysts complex</td><td>Complex cysts have irregular or scalloped borders, \r\nthick walls, and some evidence \r\nof solid areas and/or debris in the fluid. \r\nThese solid areas echo back the sound waves from \r\nthe ultrasound. \r\nA complex cyst is sometimes aspirated, or drained \r\nwith a fine needle, so that the \r\nfluid inside can be tested. \r\nIf blood or any unusual cells are present, further \r\ntesting may be needed to rule \r\nout breast cancer. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystsComplicated<a name=\"ConsistentWithCodeSystemCS-CystsComplicated\"> </a></td><td>Cysts complicated</td><td>Complicated cysts are &quot;in between&quot; simple and complex. \r\nAlthough they share most of the features of simple \r\ncysts, they tend to have some \r\ndebris inside them and echo back some of the ultrasound \r\nwaves. \r\nHowever, they don't have the thick walls or obvious \r\nsolid components that a complex \r\ncyst has. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">CystsMicroClustered<a name=\"ConsistentWithCodeSystemCS-CystsMicroClustered\"> </a></td><td>Cysts micro clustered</td><td>Microcysts are tiny, microscopic cysts. \r\nClustered microcysts are a cluster of these tiny \r\ncysts and only have fluid inside \r\nof them. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">DCIS<a name=\"ConsistentWithCodeSystemCS-DCIS\"> </a></td><td>DCIS</td><td>Ductal carcinoma in situ (DCIS) is the presence of \r\nabnormal cells inside a milk duct \r\nin the breast. \r\nDCIS is considered the earliest form of breast cancer. \r\nDCIS is noninvasive, meaning it hasn't spread out \r\nof the milk duct and has a low \r\nrisk of becoming invasive. \r\n[https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889] \r\n\r\nValid for the following modalities: MG US MRI NM.</td></tr><tr><td style=\"white-space:nowrap\">Debris<a name=\"ConsistentWithCodeSystemCS-Debris\"> </a></td><td>Debris</td><td>Debris is a substance that is anything other than \r\na liquid inside of the cyst. \r\n\r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">Deodorant<a name=\"ConsistentWithCodeSystemCS-Deodorant\"> </a></td><td>Deodorant</td><td>Because estrogen can promote the growth of breast \r\ncancer cells, some scientists have \r\nsuggested that the aluminum-based compounds in antiperspirants \r\nmay contribute to \r\nthe development of breast cancer. \r\nIn addition, it has been suggested that aluminum \r\nmay have direct activity in breast \r\ntissue. \r\n[https://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">DermalCalcification<a name=\"ConsistentWithCodeSystemCS-DermalCalcification\"> </a></td><td>Dermal calcification</td><td>Skin calcifications in the breast usually form in \r\ndermal sweat glands after low grade \r\nfolliculitis and inspissation of sebaceous material. \r\nCalcifications may also form in moles and other skin \r\nlesions. \r\nOften, these calcifications are in groups as they \r\nextend into small glands in the \r\nskin. \r\n[https://radiopaedia.org/articles/skin-calcification-in-breast?lang=us] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">DuctEctasia<a name=\"ConsistentWithCodeSystemCS-DuctEctasia\"> </a></td><td>Duct ectasia</td><td>An abnormal dilation of a duct by lipids and cellular \r\ndebris. \r\nIn  mammary duct the condition, which tends mainly \r\nto affect postmenopausal women, \r\nmay be accompanied by inflammation and infiltration \r\nby plasma cells. \r\n[https://www.hoafredericksburg.com/duct-ectasia/] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Edema<a name=\"ConsistentWithCodeSystemCS-Edema\"> </a></td><td>Edema</td><td>Breast edema is defined as a mammographic pattern \r\nof skin thickening, increased parenchymal \r\ndensity, and interstitial marking. \r\nIt can be caused by benign or malignant diseases, \r\nas a result of a tumor in the dermal \r\nlymphatics of the breast, lymphatic congestion caused \r\nby breast, lymphatic drainage \r\nobstruction, or by congestive heart failure. \r\n[https://www.researchgate.net/publication/7988898_Unilateral_Breast_Edema_Spectrum_of_Etiologies_and_Imaging_Appearances] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">FatLobule<a name=\"ConsistentWithCodeSystemCS-FatLobule\"> </a></td><td>Fat lobule</td><td>Fat Lobule. \r\nThe normal breast is composed of numerous fat lobules \r\nmixed with dense fibroglandular \r\ntissue. \r\nFat lobule in breast. \r\nYes. \r\nBreast tissue is composed of functional elements \r\n(glands and ducts) as well as structural \r\nelements (connective tissue and vessels). \r\nThe connective tissue (or stroma) in the breast is \r\ncomposed of various proportions \r\nof fat and fibrous tissue. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">FatNecrosis<a name=\"ConsistentWithCodeSystemCS-FatNecrosis\"> </a></td><td>Fat necrosis</td><td>Breasts are made up of lobules (milk-producing glands) \r\nand ducts (tubes that carry \r\nmilk to the nipple). \r\nThese are surrounded by glandular, fibrous and fatty \r\ntissue. \r\nSometimes a lump can form if an area of the fatty \r\nbreast tissue is damaged. \r\nThis is called fat necrosis (necrosis is a medical \r\nterm used to describe damaged \r\nor dead tissue). \r\n[https://breastcancernow.org/information-support/have-i-got-breast-cancer/breast-pain-other-benign-conditions/fat-necrosis] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Fibroadenolipoma<a name=\"ConsistentWithCodeSystemCS-Fibroadenolipoma\"> </a></td><td>Fibroadenolipoma</td><td>Another name for Hamartomas, Hamartomas represent \r\nbenign proliferation of fibrous, \r\nglandular, and fatty tissue (hence fibro-adeno-lipoma) \r\nsurrounded by a thin capsule \r\nof connective tissue. \r\nAll components are found in normal breast tissue, \r\nwhich is why the lesions are considered \r\nhamartomatous. \r\n[https://radiopaedia.org/articles/breast-hamartoma?lang=us] \r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">Fibroadenoma<a name=\"ConsistentWithCodeSystemCS-Fibroadenoma\"> </a></td><td>Fibroadenoma</td><td>Fibroadenomas are common benign (non-cancerous) breast \r\ntumors made up of both glandular \r\ntissue and stromal (connective) tissue. \r\nFibroadenomas are most common in women in their 20s \r\nand 30s, but they can be found \r\nin women of any age. \r\nThey tend to shrink after a woman goes through menopause. \r\n[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/fibroadenomas-of-the-breast.html] \r\n\r\nValid for the following modalities: MG US MRI NM.</td></tr><tr><td style=\"white-space:nowrap\">FibroadenomaDegenerating<a name=\"ConsistentWithCodeSystemCS-FibroadenomaDegenerating\"> </a></td><td>Fibroadenoma degenerating</td><td>These are non-cancerous breast lumps. \r\nFibroadenomas usually go away with age. \r\nBy the time an individual is menopausal, Fibroadenomas \r\ndegenerate. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">FibrocysticChange<a name=\"ConsistentWithCodeSystemCS-FibrocysticChange\"> </a></td><td>Fibrocystic change</td><td>Fibrocystic breast changes lead to the development \r\nof fluid-filled round or oval \r\nsacs (cysts) and more prominent scar-like (fibrous) \r\ntissue, which can make breasts \r\nfeel tender, lumpy or ropy. \r\nFibrocystic breasts are composed of tissue that feels \r\nlumpy or rope-like in texture. \r\nThis is called nodular or glandular breast tissue. \r\n[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">FibroglandularTissue<a name=\"ConsistentWithCodeSystemCS-FibroglandularTissue\"> </a></td><td>Fibroglandular tissue</td><td>Fibrocystic breast changes lead to the development \r\nof fluid-filled round or oval \r\nsacs (cysts) and more prominent scar-like (fibrous) \r\ntissue, which can make breasts \r\nfeel tender, lumpy or ropy. \r\nFibrocystic breasts are composed of tissue that feels \r\nlumpy or rope-like in texture. \r\nThis is called nodular or glandular breast tissue. \r\n[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Fibrosis<a name=\"ConsistentWithCodeSystemCS-Fibrosis\"> </a></td><td>Fibrosis</td><td>Fibrosis may refer to the connective tissue deposition \r\nthat occurs as part of normal \r\nhealing or to the excess tissue deposition that occurs \r\nas a pathological process. \r\nWhen fibrosis occurs in response to injury, the term \r\n&quot;scarring&quot; is used. \r\n[https://www.news-medical.net/health/What-is-Fibrosis.aspx] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">FibrousRidge<a name=\"ConsistentWithCodeSystemCS-FibrousRidge\"> </a></td><td>Fibrous ridge</td><td>Fibrous tissue, which extends under the skin, from \r\nthe front of the breast to the \r\nback of the chest wall, supports the breast and gives \r\nit shape. \r\nStrands of supportive tissue surround the breast \r\nand form a prominent ridge called \r\nthe inframammary ridge. \r\n[https://www.stjoeshealth.org/find-a-service-or-specialty/womens-health/] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Folliculitis<a name=\"ConsistentWithCodeSystemCS-Folliculitis\"> </a></td><td>Folliculitis</td><td>Folliculitis is the inflammation of hair follicles \r\ndue to an infection, injury, or \r\nirritation. \r\nIt is characterized by tender, swollen areas that \r\nform around hair follicles, often \r\non the neck, breasts, buttocks, and face. \r\nBoils (also referred to as furuncles) are pus-filled \r\nlesions that are painful and \r\nusually firm. \r\n[https://www.hopkinsmedicine.org/health/conditions-and-diseases/folliculitis-boils-and-carbuncles] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Gynecomastia<a name=\"ConsistentWithCodeSystemCS-Gynecomastia\"> </a></td><td>Gynecomastia</td><td>Gynecomastia is an enlargement or swelling of breast \r\ntissue in males. \r\nIt is most commonly caused by male estrogen levels \r\nthat are too high or are out of \r\nbalance with testosterone levels. \r\n[https://my.clevelandclinic.org/health/diseases/16227-enlarged-male-breast-tissue-gynecomastia] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">Hamartoma<a name=\"ConsistentWithCodeSystemCS-Hamartoma\"> </a></td><td>Hamartoma</td><td>A benign (not cancer) growth made up of an abnormal \r\nmixture of cells and tissues \r\nnormally found in the area of the body where the \r\ngrowth occurs. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/hamartoma] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">Hematoma<a name=\"ConsistentWithCodeSystemCS-Hematoma\"> </a></td><td>Hematoma</td><td>A breast hematoma is a collection of blood that forms \r\nunder the skin's surface. \r\nIt's not unlike having a large bruise in your breast. \r\nThe mass it forms is not cancerous, but it can sometimes \r\nlead to inflammation, fever, \r\nskin discoloration, and may leave behind scar tissue \r\nthat mimics the shape of a breast \r\ntumor. \r\n[https://www.verywellhealth.com/breast-hematomas-430281] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">HormonalStimulation<a name=\"ConsistentWithCodeSystemCS-HormonalStimulation\"> </a></td><td>Hormonal stimulation</td><td>Hormonal effects of certain medications including \r\nantihypertensives, antidepressants, \r\nH2 blockers, \r\nillicit drugs, and endocrine active tumors stimulate \r\ndevelopment of rudimentary breast \r\ntissue. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">IntracysticLesion<a name=\"ConsistentWithCodeSystemCS-IntracysticLesion\"> </a></td><td>Intracystic lesion</td><td>Intracystic tumors of the breast are uncommon and, \r\nat the time of ultrasonography \r\nand aspiration cytology, it is difficult to distinguish \r\ncancer from a benign tumor. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/11911303] \r\n\r\nValid for the following modalities: US NM.</td></tr><tr><td style=\"white-space:nowrap\">IntramammaryNode<a name=\"ConsistentWithCodeSystemCS-IntramammaryNode\"> </a></td><td>Intramammary node</td><td>These are lymph  nodes within the breast tissue. \r\nThey are generally 1 cm or smaller \r\nin size. \r\nThey frequently occur in the lateral and usually \r\nupper portions of the breast closer \r\nto the \r\naxilla (armpit area), although they may occur anywhere \r\nin the breast. \r\nThey usually are seen adjacent to a vein, because \r\nthe lymphatic drainage of the breast \r\nparallels the venous drainage. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">Lipoma<a name=\"ConsistentWithCodeSystemCS-Lipoma\"> </a></td><td>Lipoma</td><td>A lipoma is a slow-growing, fatty lump that's most \r\noften situated between the skin \r\nand the underlying muscle layer. \r\nA lipoma, which feels doughy and usually isn't tender, \r\nmoves readily with slight \r\nfinger pressure. \r\nLipomas are usually detected in middle age. \r\nSome people have more than one lipoma.A lipoma isn't \r\ncancer and usually is harmless. \r\nwww.mayoclinic.org &gt; lipoma &gt; symptoms-causes &gt; syc-20374470 \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">LumpectomyCavity<a name=\"ConsistentWithCodeSystemCS-LumpectomyCavity\"> </a></td><td>Lumpectomy cavity</td><td>With a lumpectomy, the surgeon removes only the tumor \r\nand a small amount of normal \r\nsurrounding tissue. \r\nThe cavity is the hollow area or hole left behind \r\nafter the tumor and surrounding \r\ntissue is removed. \r\n\r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">LumpectomySite<a name=\"ConsistentWithCodeSystemCS-LumpectomySite\"> </a></td><td>Lumpectomy site</td><td>The area of the breast where the incision is made \r\nduring the lumpectomy. \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">LymphNode<a name=\"ConsistentWithCodeSystemCS-LymphNode\"> </a></td><td>Lymph node</td><td>A small bean-shaped structure that is part of the \r\nbody's immune system. \r\nLymph nodes filter substances that travel through \r\nthe lymphatic fluid, and they contain \r\nlymphocytes (white blood cells) that help the body \r\nfight infection and disease. \r\nThere are hundreds of lymph nodes found throughout \r\nthe body. \r\nThey are connected to one another by lymph vessels. \r\nClusters of lymph nodes are found in the neck, axilla \r\n(underarm), chest, abdomen, \r\nand groin. \r\nFor example, there are about 20-40 lymph nodes in \r\nthe axilla. \r\nAlso called lymph gland. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph-node] \r\n\r\nValid for the following modalities: MG US MRI NM.</td></tr><tr><td style=\"white-space:nowrap\">LymphNodeEnlarged<a name=\"ConsistentWithCodeSystemCS-LymphNodeEnlarged\"> </a></td><td>Lymph node enlarged</td><td>Enlarged or swollen lymph nodes usually indicate \r\na common infection, but can \r\nalso signal a medical condition, such as an immune \r\ndisorder or, rarely, a type of \r\ncancer. \r\nLymph nodes are small, round structures that play \r\na vital role in the body's immune \r\nsystem. \r\nSwollen lymph nodes are also known as swollen glands. \r\n\r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">LymphNodeNormal<a name=\"ConsistentWithCodeSystemCS-LymphNodeNormal\"> </a></td><td>Lymph node normal</td><td>Lymph nodes filter substances that travel through \r\nthe lymphatic fluid, and they contain \r\nlymphocytes (white blood cells) that help the body \r\nfight infection and disease. \r\nThere are hundreds of lymph nodes found throughout \r\nthe body. \r\nThe lymph nodes are connected to one another by \r\nlymph vessels. \r\nClusters of lymph nodes are found in the neck, axilla \r\n(underarm), chest, abdomen, \r\nand groin. \r\nA normal sized lymph node is about pea-sized or bean-sized \r\n(or smaller than 1/2 inch \r\nor 12mm). \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">LymphNodePathological<a name=\"ConsistentWithCodeSystemCS-LymphNodePathological\"> </a></td><td>Lymph node pathological</td><td>Lymphadenopathy (or adenopathy) is, if anything, \r\na broader term, referring to any \r\npathology of lymph nodes, not necessarily resulting \r\nin increased size; this includes \r\nabnormal number of nodes, or derangement of internal \r\narchitecture (e.g. \r\ncystic or necrotic nodes). \r\n[https://radiopaedia.org/articles/lymph-node-enlargement?lang=us] \r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">MassSolid<a name=\"ConsistentWithCodeSystemCS-MassSolid\"> </a></td><td>Mass solid</td><td>An abnormal mass of tissue that usually does not \r\ncontain cysts or liquid areas. \r\nSolid masses or tumors may be benign (not cancer), \r\nor malignant (cancer). \r\nDifferent types of solid mass/ tumors are named for \r\nthe type of cells that form them. \r\nExamples of solid tumors are sarcomas, carcinomas, \r\nand lymphomas. \r\nLeukemias (cancer of the blood) generally do not \r\nform solid mass/tumors. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">MassSolidW/tumorVasc<a name=\"ConsistentWithCodeSystemCS-MassSolidW.47tumorVasc\"> </a></td><td>Mass solid w/tumor vasc</td><td>An abnormal mass of tissue that usually does not \r\ncontain cysts or liquid areas. \r\nSolid masses or tumors may be benign (not cancer), \r\nor malignant (cancer). \r\nDifferent types of solid mass/ tumors are named for \r\nthe type of cells that form them. \r\nExamples of solid tumors are sarcomas, carcinomas, \r\nand lymphomas. \r\nLeukemias (cancer of the blood) generally do not \r\nform solid mass/tumors. \r\nA vascular tumor is a type of tumor that forms from \r\ncells that make blood vessels \r\nor lymph vessels. \r\nVascular tumors may be benign (not cancer) or malignant \r\n(cancer) and can occur anywhere \r\nin the body. \r\nThey may form on the skin, in the tissues below the \r\nskin, and/or in an organ. \r\nThere are many types of vascular tumors. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor ] \r\n\r\nhttps://www.cancer.gov/publications/dictionaries/cancer-terms/def/vascular-tumor \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">Mastitis<a name=\"ConsistentWithCodeSystemCS-Mastitis\"> </a></td><td>Mastitis</td><td>Infection of the breast tissue resulting in pain, \r\nswelling, warmth and redness. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">MilkOfCalcium<a name=\"ConsistentWithCodeSystemCS-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: MG.</td></tr><tr><td style=\"white-space:nowrap\">Multi-focalCancer<a name=\"ConsistentWithCodeSystemCS-Multi-focalCancer\"> </a></td><td>Multi-focal cancer</td><td>Multifocal breast cancer occurs when there are two \r\nor more tumors in the same breast. \r\nAll of the tumors begin in one original tumor. \r\nThe tumors are also all in the same quadrant - or \r\nsection - of the breast. \r\n[https://www.healthline.com/health/breast-cancer/multifocal-breast-cancer] \r\n\r\nValid for the following modalities: NM.</td></tr><tr><td style=\"white-space:nowrap\">PapillaryLesion<a name=\"ConsistentWithCodeSystemCS-PapillaryLesion\"> </a></td><td>Papillary lesion</td><td>Breast papillary lesions are characterised by growth \r\ninside the milk ducts, and they \r\nrepresent a heterogeneous pathology. \r\nThey are rare and constitute less than 10% of benign \r\nbreast lesions and less than \r\n1% of malignant breast neoplasms. \r\nBreast papillary lesions are usually detected by \r\nimaging or clinically by the presence \r\nof a palpable breast mass or unilateral spontaneous \r\nnipple discharge. \r\n[https://ecancer.org/es/journal/article/461-breast-papillary-lesions-an-analysis-of-70-cases] \r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">Papilloma<a name=\"ConsistentWithCodeSystemCS-Papilloma\"> </a></td><td>Papilloma</td><td>Intraductal papillomas are benign (non-cancerous), \r\nwart-like tumors that grow within \r\nthe milk ducts of the breast. \r\nThey are made up of gland tissue along with fibrous \r\ntissue and blood vessels (called \r\nfibrovascular tissue). \r\n[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/intraductal-papillomas.html] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">PhyllodesTumor<a name=\"ConsistentWithCodeSystemCS-PhyllodesTumor\"> </a></td><td>Phyllodes tumor</td><td>Phyllodes tumors of the breast are rare, accounting \r\nfor less than 1% of all breast \r\ntumors. \r\nThe name &quot;phyllodes,&quot; which is taken from the Greek \r\nlanguage and means &quot;leaflike,&quot; refers \r\nto that fact that the tumor cells grow in a leaflike \r\npattern. \r\nOther names for these tumors are phylloides tumor \r\nand cystosarcoma phyllodes. \r\nPhyllodes tumors tend to grow quickly, but they rarely \r\nspread outside the breast. \r\nAlthough most phyllodes tumors are benign (not cancerous), \r\nsome are malignant (cancerous) \r\nand some are borderline (in between noncancerous \r\nand cancerous). \r\nAll three kinds of phyllodes tumors tend to grow \r\nquickly, and they require surgery \r\nto reduce the risk of a phyllodes tumor coming back \r\nin the breast (local recurrence). \r\n[https://www.breastcancer.org/symptoms/types/phyllodes] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">PostLumpectomyScar<a name=\"ConsistentWithCodeSystemCS-PostLumpectomyScar\"> </a></td><td>Post lumpectomy scar</td><td>This is scarring that occurs from the lumpectomy \r\nsite. \r\nIt can include nerve pain or numbness if scar tissue \r\nforms around nerves. \r\nA lump of scar tissue forms in the hole left after \r\nbreast tissue is removed. \r\nIf scar tissue forms around a stitch from surgery \r\nit's called a suture granuloma \r\nand also feels like a lump. \r\nChanges in breast appearance. \r\nScar tissue and fluid retention can make breast tissue \r\nappear a little firmer or \r\nrounder than before surgery and/or radiation. \r\n[https://www.breastcancer.org/treatment/side_effects/scar_tissue] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">PostSurgicalScar<a name=\"ConsistentWithCodeSystemCS-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 NM.</td></tr><tr><td style=\"white-space:nowrap\">PreviousBiopsy<a name=\"ConsistentWithCodeSystemCS-PreviousBiopsy\"> </a></td><td>Previous biopsy</td><td>Findings on mammogram are  consistent with previous \r\nbiopsy. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">PreviousSurgery<a name=\"ConsistentWithCodeSystemCS-PreviousSurgery\"> </a></td><td>Previous surgery</td><td>Findings on mammogram are consistent with previous \r\nsurgery. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">PreviousTrauma<a name=\"ConsistentWithCodeSystemCS-PreviousTrauma\"> </a></td><td>Previous trauma</td><td>Findings on mammogram are consistent with previous \r\ntrauma to breast. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">RadialScar<a name=\"ConsistentWithCodeSystemCS-RadialScar\"> </a></td><td>Radial scar</td><td>Radial scar is a growth that looks like a scar when \r\nthe tissue is viewed under a \r\nmicroscope. \r\nIt has a central core containing benign ducts. \r\nGrowing out of this core are ducts and lobules that \r\nshow evidence of unusual changes \r\nsuch as cysts and epithelial hyperplasia (overgrowth \r\nof their inner lining). \r\nOften, more than one radial scar is present. \r\nAnother term for this condition is complex sclerosing \r\nlesions. \r\n[https://www.breastcancer.org/symptoms/benign/radial-scars] \r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">RadiationChanges<a name=\"ConsistentWithCodeSystemCS-RadiationChanges\"> </a></td><td>Radiation changes</td><td>Radiation levels during radiation therapy may change \r\nas a result of side effects \r\nor to complete a more aggressive cancer treatment. \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">RadiationTherapy<a name=\"ConsistentWithCodeSystemCS-RadiationTherapy\"> </a></td><td>Radiation therapy</td><td>The use of high-energy radiation from x-rays, gamma \r\nrays, neutrons, protons, and \r\nother sources to kill cancer cells and shrink tumors. \r\nRadiation may come from a machine outside the body \r\n(external-beam radiation therapy), \r\nor it may come from radioactive material placed in \r\nthe body near cancer cells (internal \r\nradiation therapy or brachytherapy). \r\nSystemic radiation therapy uses a radioactive substance, \r\nsuch as a radiolabeled monoclonal \r\nantibody, that travels in the blood to tissues throughout \r\nthe body. \r\nAlso called irradiation and radiotherapy. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/44971] \r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">Scar<a name=\"ConsistentWithCodeSystemCS-Scar\"> </a></td><td>Scar</td><td>Scar tissue forms as part of the healing process \r\nafter a skin injury. \r\nA scar is fibrous tissue made of collagen that replaces \r\nthe injured skin. \r\n[https://www.breastcancer.org/treatment/side_effects/scar_tissue] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">ScarWithShadowing<a name=\"ConsistentWithCodeSystemCS-ScarWithShadowing\"> </a></td><td>Scar with shadowing</td><td>In cases when the appropriate history is not available, \r\na postsurgical scar may mimic \r\na malignancy. \r\nAt sonographic evaluation, an area of posterior acoustic \r\nshadowing may be seen. \r\nThis lack of a central mass helps differentiate \r\na scar from a carcinoma, which has \r\nshadowing arising from a central mass. \r\nonlinelibrary.wiley.com &gt; doi &gt; full &gt; jum.2004.23.1.73 \r\n\r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SclerosingAdenosis<a name=\"ConsistentWithCodeSystemCS-SclerosingAdenosis\"> </a></td><td>Sclerosing adenosis</td><td>Sclerosing adenosis is a type of adenosis in which \r\nenlarged acini become slightly \r\ndistorted by surrounded stromal fibrosis (&quot;sclerosis&quot;). \r\nThe normal lobular architecture of the breast is \r\nmaintained, but becomes exaggerated \r\nand distorted. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SecretoryCalcification<a name=\"ConsistentWithCodeSystemCS-SecretoryCalcification\"> </a></td><td>Secretory calcification</td><td>Secretory calcifications are benign calcifications \r\nusually in women older than 60. \r\nThey classically appear as solid or discontinuous, \r\nsmooth, linear and rod-like calcifications. \r\nUsually bilateral and symmetric and may appear lucent-centered. \r\nAlso known as plasma cell mastitis. \r\n[https://radiopaedia.org/cases/secretory-calcifications?lang=us] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SentinelNode<a name=\"ConsistentWithCodeSystemCS-SentinelNode\"> </a></td><td>Sentinel node</td><td>The sentinel nodes are the first few lymph nodes \r\ninto which a tumor drains. \r\nSentinel node biopsy involves injecting a tracer \r\nmaterial that helps the surgeon \r\nlocate the sentinel nodes during surgery. \r\nThe sentinel nodes are removed and analyzed in a \r\nlaboratory. \r\n[https://www.mayoclinic.org/tests-procedures/sentinel-node-biopsy/about/pac-20385264] \r\n\r\nValid for the following modalities: NM.</td></tr><tr><td style=\"white-space:nowrap\">Seroma<a name=\"ConsistentWithCodeSystemCS-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 US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SkinLesion<a name=\"ConsistentWithCodeSystemCS-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. \r\nPrimary skin lesions are abnormal skin conditions \r\npresent at birth or acquired over \r\na person's lifetime. \r\nSecondary skin lesions are the result of irritated \r\nor manipulated primary skin lesions. \r\n[https://www.healthline.com/health/skin-lesions] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">Surgery<a name=\"ConsistentWithCodeSystemCS-Surgery\"> </a></td><td>Surgery</td><td>The branch of medicine that employs operations in \r\nthe treatment of disease or injury. \r\nSurgery can involve cutting, abrading, suturing, \r\nor otherwise physically changing \r\nbody tissues and organs. \r\n[https://www.medicinenet.com/script/main/art.asp?articlekey=5603] \r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">Trauma<a name=\"ConsistentWithCodeSystemCS-Trauma\"> </a></td><td>Trauma</td><td>Previous injury to breast consistent with surgery, \r\ninfection, etc. \r\n\r\n\r\nValid for the following modalities: MRI.</td></tr><tr><td style=\"white-space:nowrap\">VascularCalcifications<a name=\"ConsistentWithCodeSystemCS-VascularCalcifications\"> </a></td><td>Vascular calcifications</td><td>Parallel tracks, or linear tubular calcifications \r\nthat are clearly associated with \r\nblood vessels. \r\nWhile most vascular calcification is not difficult \r\nto identify, if only a few discontinuous \r\ncalcific \r\nparticles are visible in a single location and if \r\nassociation with a tubular structure \r\nis questionable, \r\nthen additional spot-compression magnification views \r\nmay be needed to further characterize \r\ntheir nature. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 38] \r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">VenousStasis<a name=\"ConsistentWithCodeSystemCS-VenousStasis\"> </a></td><td>Venous stasis</td><td>Venous stasis dermatitis happens when there's a problem \r\nwith the veins, that keeps \r\nblood from moving through very well. \r\nAs more fluid and pressure build, some of the blood \r\nleaks out of the veins and into \r\nthe skin. \r\n[https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis#1] \r\n\r\nValid for the following modalities: NM.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/ConsistentWithCodeSystemCS"];
  fhir:CodeSystem.version [ fhir:value "0.2.0"];
  fhir:CodeSystem.name [ fhir:value "ConsistentWithCodeSystemCS"];
  fhir:CodeSystem.title [ fhir:value "Consistent With 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 "ConsistentWith 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 "74"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "Abscess" ];
     fhir:CodeSystem.concept.display [ fhir:value "Abscess" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An area within the body tissue that is swollen and \r\ncontains an accumulation of pus. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "Angiolipoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Angiolipoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Angiolipoma is a rare type of lipoma - a growth made \r\nof fat and blood vessels that \r\ndevelops under the skin. \r\nUnlike other types of lipomas, angiolipomas are \r\noften painful or tender. \r\n[https://www.healthline.com/health/angiolipoma] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "ApocrineMetaplasia" ];
     fhir:CodeSystem.concept.display [ fhir:value "Apocrine metaplasia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A benign condition; Apocrine Metaplasia refers to \r\na particular type of cell change. \r\nThis is a type of 'umbrella term' that relates to a \r\nvariety of cystic breast disorders. \r\nThe epithelial cells are undergoing an unexpected \r\nchange. \r\nThese breast changes may show on a mammogram and \r\nbiopsy as a mass or benign lesion, \r\nor possibly even develop into a palpable mass. \r\n[https://breast-cancer.ca/apo-meta/] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "Artifact" ];
     fhir:CodeSystem.concept.display [ fhir:value "Artifact" ];
     fhir:CodeSystem.concept.definition [ fhir:value "X-ray artifacts can present in a variety of ways \r\nincluding abnormal shadows noted \r\non a radiograph or degraded image quality, and have \r\nbeen produced by artificial means \r\nfrom hardware failure, operator error and software \r\n(post-processing) artifacts. \r\nThere are common and distinct artifacts for film, \r\ncomputed (CR) and digital radiography \r\n(DR). \r\nCommon causes are improper handling of the films \r\nerrors while processing the films \r\npatient movement while taking the image. \r\n[https://radiopaedia.org/articles/x-ray-artifacts?lang=us] \r\n\r\nValid for the following modalities: NM." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "AtypicalHyperplasia" ];
     fhir:CodeSystem.concept.display [ fhir:value "Atypical hyperplasia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Atypical hyperplasia is a precancerous condition \r\nthat affects cells in the breast. \r\nAtypical hyperplasia describes an accumulation of \r\nabnormal cells in the breast. \r\nAtypical hyperplasia isn't cancer, but it can be \r\na forerunner to the development \r\nof breast cancer. \r\nOver the course of the lifetime, if the atypical \r\nhyperplasia cells keep dividing \r\nand become more abnormal, this can transition into \r\nnoninvasive breast cancer (carcinoma \r\nin situ) or invasive breast cancer. \r\n[https://www.mayoclinic.org/diseases-conditions/atypical-hyperplasia/symptoms-causes/syc-20369773] \r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "AxillaryLymphNode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Axillary lymph node" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Axillary lymph nodes are the lymph nodes located \r\nin the armpits. \r\nThey can become enlarged in many conditions including \r\ninfections, lymphomas, and \r\nbreast cancers. \r\nLymph nodes are small structures located all over \r\nthe body around blood vessels that \r\nact as filters and can accumulate germs or cancer \r\ncells. \r\nThey are a part of the lymph system of the body. \r\n[https://www.verywellhealth.com/axillary-lymph-nodes-2252131] \r\n\r\nValid for the following modalities: NM." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "Carcinoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Carcinoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Carcinoma is a type of cancer that starts in cells \r\nthat make up the skin or the tissue \r\nlining organs. \r\n\r\n\r\nValid for the following modalities: MG US MRI NM." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "CarcinomaKnown" ];
     fhir:CodeSystem.concept.display [ fhir:value "Carcinoma known" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Imaging tests used in diagnosing cancer may include \r\na computerized tomography (CT) \r\nscan, bone scan, magnetic resonance imaging (MRI), \r\n(PET) scan, ultrasound and X-ray, \r\namong others. \r\nIn most cases, a biopsy is the only way to definitively \r\ndiagnose cancer. \r\nMost breast cancers are carcinomas, which are tumors \r\nthat start in the epithelial \r\ncells that line organs and tissues throughout the \r\nbody. \r\nWhen carcinomas form in the breast, they are usually \r\na more specific type called \r\nadenocarcinoma, which starts in cells in the ducts \r\n(the milk ducts) or the lobules \r\n(milk-producing glands). \r\nwww.mayoclinic.org > cancer > diagnosis-treatment > \r\ndrc-20370594 \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "ClusterOfCysts" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cluster of cysts" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A breast cyst is a non-cancerous (benign) fluid-filled \r\nsac in the breast. \r\nSome cysts are too small to feel and others may \r\nbe large and uncomfortable. \r\nSometimes there are clusters of cysts in one breast \r\nor both. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "Cyst" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A breast cyst is a non-cancerous (benign) fluid-filled \r\nsac in the breast. \r\nSome cysts are too small to feel and others may \r\nbe large and uncomfortable. \r\nSometimes there are clusters of cysts in one breast \r\nor both. \r\n\r\n\r\nValid for the following modalities: MG MRI." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "CystComplex" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst complex" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Complex cysts have irregular or scalloped borders, \r\nthick walls, and some evidence \r\nof solid areas and/or debris in the fluid. \r\nThese solid areas echo back the sound waves from \r\nthe ultrasound. \r\nA complex cyst is sometimes aspirated, or drained \r\nwith a fine needle, so that the \r\nfluid inside can be tested. \r\nIf blood or any unusual cells are present, further \r\ntesting may be needed to rule \r\nout breast cancer. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "CystComplicated" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst complicated" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Complicated cysts are \"in between\" simple and complex. \r\nAlthough they share most of the features of simple \r\ncysts, they tend to have some \r\ndebris inside them and echo back some of the ultrasound \r\nwaves. \r\nHowever, they don't have the thick walls or obvious \r\nsolid components that a complex \r\ncyst has. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "CystOil" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst oil" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oil cysts are filled with fluid that may feel smooth \r\nand squishy. \r\nOil cysts are caused by the breakdown of fatty tissue. \r\n\r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "CystSebaceous" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst sebaceous" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Sebaceous cysts are common noncancerous cysts of \r\nthe skin. \r\nCysts are abnormalities in the body that may contain \r\nliquid or semiliquid material. \r\nSebaceous cysts are mostly found on the face, neck, \r\nor torso. \r\nThey grow slowly and aren't life-threatening, but \r\nthey may become uncomfortable if \r\nthey go unchecked. \r\nwww.healthline.com > health > sebaceous-cyst \r\n\r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "CystSimple" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cyst simple" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Simple cysts have smooth, thin, regularly shaped \r\nwalls and are completely filled \r\nwith fluid. \r\nThe sound waves sent out by the ultrasound test pass \r\nright through them, indicating \r\nthere are no solid areas. \r\nSimple cysts are always benign. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "CystsComplex" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cysts complex" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Complex cysts have irregular or scalloped borders, \r\nthick walls, and some evidence \r\nof solid areas and/or debris in the fluid. \r\nThese solid areas echo back the sound waves from \r\nthe ultrasound. \r\nA complex cyst is sometimes aspirated, or drained \r\nwith a fine needle, so that the \r\nfluid inside can be tested. \r\nIf blood or any unusual cells are present, further \r\ntesting may be needed to rule \r\nout breast cancer. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "CystsComplicated" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cysts complicated" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Complicated cysts are \"in between\" simple and complex. \r\nAlthough they share most of the features of simple \r\ncysts, they tend to have some \r\ndebris inside them and echo back some of the ultrasound \r\nwaves. \r\nHowever, they don't have the thick walls or obvious \r\nsolid components that a complex \r\ncyst has. \r\n[https://www.breastcancer.org/symptoms/benign/cysts] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "CystsMicroClustered" ];
     fhir:CodeSystem.concept.display [ fhir:value "Cysts micro clustered" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Microcysts are tiny, microscopic cysts. \r\nClustered microcysts are a cluster of these tiny \r\ncysts and only have fluid inside \r\nof them. \r\n\r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "DCIS" ];
     fhir:CodeSystem.concept.display [ fhir:value "DCIS" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ductal carcinoma in situ (DCIS) is the presence of \r\nabnormal cells inside a milk duct \r\nin the breast. \r\nDCIS is considered the earliest form of breast cancer. \r\nDCIS is noninvasive, meaning it hasn't spread out \r\nof the milk duct and has a low \r\nrisk of becoming invasive. \r\n[https://www.mayoclinic.org/diseases-conditions/dcis/symptoms-causes/syc-20371889] \r\n\r\nValid for the following modalities: MG US MRI NM." ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "Debris" ];
     fhir:CodeSystem.concept.display [ fhir:value "Debris" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Debris is a substance that is anything other than \r\na liquid inside of the cyst. \r\n\r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "Deodorant" ];
     fhir:CodeSystem.concept.display [ fhir:value "Deodorant" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Because estrogen can promote the growth of breast \r\ncancer cells, some scientists have \r\nsuggested that the aluminum-based compounds in antiperspirants \r\nmay contribute to \r\nthe development of breast cancer. \r\nIn addition, it has been suggested that aluminum \r\nmay have direct activity in breast \r\ntissue. \r\n[https://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "DermalCalcification" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dermal calcification" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Skin calcifications in the breast usually form in \r\ndermal sweat glands after low grade \r\nfolliculitis and inspissation of sebaceous material. \r\nCalcifications may also form in moles and other skin \r\nlesions. \r\nOften, these calcifications are in groups as they \r\nextend into small glands in the \r\nskin. \r\n[https://radiopaedia.org/articles/skin-calcification-in-breast?lang=us] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "DuctEctasia" ];
     fhir:CodeSystem.concept.display [ fhir:value "Duct ectasia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An abnormal dilation of a duct by lipids and cellular \r\ndebris. \r\nIn  mammary duct the condition, which tends mainly \r\nto affect postmenopausal women, \r\nmay be accompanied by inflammation and infiltration \r\nby plasma cells. \r\n[https://www.hoafredericksburg.com/duct-ectasia/] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "Edema" ];
     fhir:CodeSystem.concept.display [ fhir:value "Edema" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Breast edema is defined as a mammographic pattern \r\nof skin thickening, increased parenchymal \r\ndensity, and interstitial marking. \r\nIt can be caused by benign or malignant diseases, \r\nas a result of a tumor in the dermal \r\nlymphatics of the breast, lymphatic congestion caused \r\nby breast, lymphatic drainage \r\nobstruction, or by congestive heart failure. \r\n[https://www.researchgate.net/publication/7988898_Unilateral_Breast_Edema_Spectrum_of_Etiologies_and_Imaging_Appearances] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "FatLobule" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fat lobule" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fat Lobule. \r\nThe normal breast is composed of numerous fat lobules \r\nmixed with dense fibroglandular \r\ntissue. \r\nFat lobule in breast. \r\nYes. \r\nBreast tissue is composed of functional elements \r\n(glands and ducts) as well as structural \r\nelements (connective tissue and vessels). \r\nThe connective tissue (or stroma) in the breast is \r\ncomposed of various proportions \r\nof fat and fibrous tissue. \r\n\r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "FatNecrosis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fat necrosis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Breasts are made up of lobules (milk-producing glands) \r\nand ducts (tubes that carry \r\nmilk to the nipple). \r\nThese are surrounded by glandular, fibrous and fatty \r\ntissue. \r\nSometimes a lump can form if an area of the fatty \r\nbreast tissue is damaged. \r\nThis is called fat necrosis (necrosis is a medical \r\nterm used to describe damaged \r\nor dead tissue). \r\n[https://breastcancernow.org/information-support/have-i-got-breast-cancer/breast-pain-other-benign-conditions/fat-necrosis] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "Fibroadenolipoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibroadenolipoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Another name for Hamartomas, Hamartomas represent \r\nbenign proliferation of fibrous, \r\nglandular, and fatty tissue (hence fibro-adeno-lipoma) \r\nsurrounded by a thin capsule \r\nof connective tissue. \r\nAll components are found in normal breast tissue, \r\nwhich is why the lesions are considered \r\nhamartomatous. \r\n[https://radiopaedia.org/articles/breast-hamartoma?lang=us] \r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "Fibroadenoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibroadenoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fibroadenomas are common benign (non-cancerous) breast \r\ntumors made up of both glandular \r\ntissue and stromal (connective) tissue. \r\nFibroadenomas are most common in women in their 20s \r\nand 30s, but they can be found \r\nin women of any age. \r\nThey tend to shrink after a woman goes through menopause. \r\n[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/fibroadenomas-of-the-breast.html] \r\n\r\nValid for the following modalities: MG US MRI NM." ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "FibroadenomaDegenerating" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibroadenoma degenerating" ];
     fhir:CodeSystem.concept.definition [ fhir:value "These are non-cancerous breast lumps. \r\nFibroadenomas usually go away with age. \r\nBy the time an individual is menopausal, Fibroadenomas \r\ndegenerate. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.concept.code [ fhir:value "FibrocysticChange" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibrocystic change" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fibrocystic breast changes lead to the development \r\nof fluid-filled round or oval \r\nsacs (cysts) and more prominent scar-like (fibrous) \r\ntissue, which can make breasts \r\nfeel tender, lumpy or ropy. \r\nFibrocystic breasts are composed of tissue that feels \r\nlumpy or rope-like in texture. \r\nThis is called nodular or glandular breast tissue. \r\n[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.concept.code [ fhir:value "FibroglandularTissue" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibroglandular tissue" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fibrocystic breast changes lead to the development \r\nof fluid-filled round or oval \r\nsacs (cysts) and more prominent scar-like (fibrous) \r\ntissue, which can make breasts \r\nfeel tender, lumpy or ropy. \r\nFibrocystic breasts are composed of tissue that feels \r\nlumpy or rope-like in texture. \r\nThis is called nodular or glandular breast tissue. \r\n[https://www.mayoclinic.org/diseases-conditions/fibrocystic-breasts/symptoms-causes/syc-20350438] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.concept.code [ fhir:value "Fibrosis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibrosis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fibrosis may refer to the connective tissue deposition \r\nthat occurs as part of normal \r\nhealing or to the excess tissue deposition that occurs \r\nas a pathological process. \r\nWhen fibrosis occurs in response to injury, the term \r\n\"scarring\" is used. \r\n[https://www.news-medical.net/health/What-is-Fibrosis.aspx] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.concept.code [ fhir:value "FibrousRidge" ];
     fhir:CodeSystem.concept.display [ fhir:value "Fibrous ridge" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Fibrous tissue, which extends under the skin, from \r\nthe front of the breast to the \r\nback of the chest wall, supports the breast and gives \r\nit shape. \r\nStrands of supportive tissue surround the breast \r\nand form a prominent ridge called \r\nthe inframammary ridge. \r\n[https://www.stjoeshealth.org/find-a-service-or-specialty/womens-health/] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.concept.code [ fhir:value "Folliculitis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Folliculitis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Folliculitis is the inflammation of hair follicles \r\ndue to an infection, injury, or \r\nirritation. \r\nIt is characterized by tender, swollen areas that \r\nform around hair follicles, often \r\non the neck, breasts, buttocks, and face. \r\nBoils (also referred to as furuncles) are pus-filled \r\nlesions that are painful and \r\nusually firm. \r\n[https://www.hopkinsmedicine.org/health/conditions-and-diseases/folliculitis-boils-and-carbuncles] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.concept.code [ fhir:value "Gynecomastia" ];
     fhir:CodeSystem.concept.display [ fhir:value "Gynecomastia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Gynecomastia is an enlargement or swelling of breast \r\ntissue in males. \r\nIt is most commonly caused by male estrogen levels \r\nthat are too high or are out of \r\nbalance with testosterone levels. \r\n[https://my.clevelandclinic.org/health/diseases/16227-enlarged-male-breast-tissue-gynecomastia] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "Hamartoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hamartoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A benign (not cancer) growth made up of an abnormal \r\nmixture of cells and tissues \r\nnormally found in the area of the body where the \r\ngrowth occurs. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/hamartoma] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "Hematoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hematoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A breast hematoma is a collection of blood that forms \r\nunder the skin's surface. \r\nIt's not unlike having a large bruise in your breast. \r\nThe mass it forms is not cancerous, but it can sometimes \r\nlead to inflammation, fever, \r\nskin discoloration, and may leave behind scar tissue \r\nthat mimics the shape of a breast \r\ntumor. \r\n[https://www.verywellhealth.com/breast-hematomas-430281] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "HormonalStimulation" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hormonal stimulation" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hormonal effects of certain medications including \r\nantihypertensives, antidepressants, \r\nH2 blockers, \r\nillicit drugs, and endocrine active tumors stimulate \r\ndevelopment of rudimentary breast \r\ntissue. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "IntracysticLesion" ];
     fhir:CodeSystem.concept.display [ fhir:value "Intracystic lesion" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Intracystic tumors of the breast are uncommon and, \r\nat the time of ultrasonography \r\nand aspiration cytology, it is difficult to distinguish \r\ncancer from a benign tumor. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/11911303] \r\n\r\nValid for the following modalities: US NM." ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "IntramammaryNode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Intramammary node" ];
     fhir:CodeSystem.concept.definition [ fhir:value "These are lymph  nodes within the breast tissue. \r\nThey are generally 1 cm or smaller \r\nin size. \r\nThey frequently occur in the lateral and usually \r\nupper portions of the breast closer \r\nto the \r\naxilla (armpit area), although they may occur anywhere \r\nin the breast. \r\nThey usually are seen adjacent to a vein, because \r\nthe lymphatic drainage of the breast \r\nparallels the venous drainage. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "Lipoma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lipoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A lipoma is a slow-growing, fatty lump that's most \r\noften situated between the skin \r\nand the underlying muscle layer. \r\nA lipoma, which feels doughy and usually isn't tender, \r\nmoves readily with slight \r\nfinger pressure. \r\nLipomas are usually detected in middle age. \r\nSome people have more than one lipoma.A lipoma isn't \r\ncancer and usually is harmless. \r\nwww.mayoclinic.org > lipoma > symptoms-causes > syc-20374470 \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "LumpectomyCavity" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lumpectomy cavity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "With a lumpectomy, the surgeon removes only the tumor \r\nand a small amount of normal \r\nsurrounding tissue. \r\nThe cavity is the hollow area or hole left behind \r\nafter the tumor and surrounding \r\ntissue is removed. \r\n\r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "LumpectomySite" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lumpectomy site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The area of the breast where the incision is made \r\nduring the lumpectomy. \r\n\r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "LymphNode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lymph node" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A small bean-shaped structure that is part of the \r\nbody's immune system. \r\nLymph nodes filter substances that travel through \r\nthe lymphatic fluid, and they contain \r\nlymphocytes (white blood cells) that help the body \r\nfight infection and disease. \r\nThere are hundreds of lymph nodes found throughout \r\nthe body. \r\nThey are connected to one another by lymph vessels. \r\nClusters of lymph nodes are found in the neck, axilla \r\n(underarm), chest, abdomen, \r\nand groin. \r\nFor example, there are about 20-40 lymph nodes in \r\nthe axilla. \r\nAlso called lymph gland. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph-node] \r\n\r\nValid for the following modalities: MG US MRI NM." ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "LymphNodeEnlarged" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lymph node enlarged" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Enlarged or swollen lymph nodes usually indicate \r\na common infection, but can \r\nalso signal a medical condition, such as an immune \r\ndisorder or, rarely, a type of \r\ncancer. \r\nLymph nodes are small, round structures that play \r\na vital role in the body's immune \r\nsystem. \r\nSwollen lymph nodes are also known as swollen glands. \r\n\r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "LymphNodeNormal" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lymph node normal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lymph nodes filter substances that travel through \r\nthe lymphatic fluid, and they contain \r\nlymphocytes (white blood cells) that help the body \r\nfight infection and disease. \r\nThere are hundreds of lymph nodes found throughout \r\nthe body. \r\nThe lymph nodes are connected to one another by \r\nlymph vessels. \r\nClusters of lymph nodes are found in the neck, axilla \r\n(underarm), chest, abdomen, \r\nand groin. \r\nA normal sized lymph node is about pea-sized or bean-sized \r\n(or smaller than 1/2 inch \r\nor 12mm). \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.concept.code [ fhir:value "LymphNodePathological" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lymph node pathological" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lymphadenopathy (or adenopathy) is, if anything, \r\na broader term, referring to any \r\npathology of lymph nodes, not necessarily resulting \r\nin increased size; this includes \r\nabnormal number of nodes, or derangement of internal \r\narchitecture (e.g. \r\ncystic or necrotic nodes). \r\n[https://radiopaedia.org/articles/lymph-node-enlargement?lang=us] \r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.concept.code [ fhir:value "MassSolid" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mass solid" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An abnormal mass of tissue that usually does not \r\ncontain cysts or liquid areas. \r\nSolid masses or tumors may be benign (not cancer), \r\nor malignant (cancer). \r\nDifferent types of solid mass/ tumors are named for \r\nthe type of cells that form them. \r\nExamples of solid tumors are sarcomas, carcinomas, \r\nand lymphomas. \r\nLeukemias (cancer of the blood) generally do not \r\nform solid mass/tumors. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.concept.code [ fhir:value "MassSolidW/tumorVasc" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mass solid w/tumor vasc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An abnormal mass of tissue that usually does not \r\ncontain cysts or liquid areas. \r\nSolid masses or tumors may be benign (not cancer), \r\nor malignant (cancer). \r\nDifferent types of solid mass/ tumors are named for \r\nthe type of cells that form them. \r\nExamples of solid tumors are sarcomas, carcinomas, \r\nand lymphomas. \r\nLeukemias (cancer of the blood) generally do not \r\nform solid mass/tumors. \r\nA vascular tumor is a type of tumor that forms from \r\ncells that make blood vessels \r\nor lymph vessels. \r\nVascular tumors may be benign (not cancer) or malignant \r\n(cancer) and can occur anywhere \r\nin the body. \r\nThey may form on the skin, in the tissues below the \r\nskin, and/or in an organ. \r\nThere are many types of vascular tumors. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/solid-tumor ] \r\n\r\nhttps://www.cancer.gov/publications/dictionaries/cancer-terms/def/vascular-tumor \r\n\r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.concept.code [ fhir:value "Mastitis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mastitis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Infection of the breast tissue resulting in pain, \r\nswelling, warmth and redness. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 50;
     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: MG." ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.concept.code [ fhir:value "Multi-focalCancer" ];
     fhir:CodeSystem.concept.display [ fhir:value "Multi-focal cancer" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Multifocal breast cancer occurs when there are two \r\nor more tumors in the same breast. \r\nAll of the tumors begin in one original tumor. \r\nThe tumors are also all in the same quadrant - or \r\nsection - of the breast. \r\n[https://www.healthline.com/health/breast-cancer/multifocal-breast-cancer] \r\n\r\nValid for the following modalities: NM." ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.concept.code [ fhir:value "PapillaryLesion" ];
     fhir:CodeSystem.concept.display [ fhir:value "Papillary lesion" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Breast papillary lesions are characterised by growth \r\ninside the milk ducts, and they \r\nrepresent a heterogeneous pathology. \r\nThey are rare and constitute less than 10% of benign \r\nbreast lesions and less than \r\n1% of malignant breast neoplasms. \r\nBreast papillary lesions are usually detected by \r\nimaging or clinically by the presence \r\nof a palpable breast mass or unilateral spontaneous \r\nnipple discharge. \r\n[https://ecancer.org/es/journal/article/461-breast-papillary-lesions-an-analysis-of-70-cases] \r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.concept.code [ fhir:value "Papilloma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Papilloma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Intraductal papillomas are benign (non-cancerous), \r\nwart-like tumors that grow within \r\nthe milk ducts of the breast. \r\nThey are made up of gland tissue along with fibrous \r\ntissue and blood vessels (called \r\nfibrovascular tissue). \r\n[https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/intraductal-papillomas.html] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.concept.code [ fhir:value "PhyllodesTumor" ];
     fhir:CodeSystem.concept.display [ fhir:value "Phyllodes tumor" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Phyllodes tumors of the breast are rare, accounting \r\nfor less than 1% of all breast \r\ntumors. \r\nThe name \"phyllodes,\" which is taken from the Greek \r\nlanguage and means \"leaflike,\" refers \r\nto that fact that the tumor cells grow in a leaflike \r\npattern. \r\nOther names for these tumors are phylloides tumor \r\nand cystosarcoma phyllodes. \r\nPhyllodes tumors tend to grow quickly, but they rarely \r\nspread outside the breast. \r\nAlthough most phyllodes tumors are benign (not cancerous), \r\nsome are malignant (cancerous) \r\nand some are borderline (in between noncancerous \r\nand cancerous). \r\nAll three kinds of phyllodes tumors tend to grow \r\nquickly, and they require surgery \r\nto reduce the risk of a phyllodes tumor coming back \r\nin the breast (local recurrence). \r\n[https://www.breastcancer.org/symptoms/types/phyllodes] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.concept.code [ fhir:value "PostLumpectomyScar" ];
     fhir:CodeSystem.concept.display [ fhir:value "Post lumpectomy scar" ];
     fhir:CodeSystem.concept.definition [ fhir:value "This is scarring that occurs from the lumpectomy \r\nsite. \r\nIt can include nerve pain or numbness if scar tissue \r\nforms around nerves. \r\nA lump of scar tissue forms in the hole left after \r\nbreast tissue is removed. \r\nIf scar tissue forms around a stitch from surgery \r\nit's called a suture granuloma \r\nand also feels like a lump. \r\nChanges in breast appearance. \r\nScar tissue and fluid retention can make breast tissue \r\nappear a little firmer or \r\nrounder than before surgery and/or radiation. \r\n[https://www.breastcancer.org/treatment/side_effects/scar_tissue] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 56;
     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 NM." ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.concept.code [ fhir:value "PreviousBiopsy" ];
     fhir:CodeSystem.concept.display [ fhir:value "Previous biopsy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Findings on mammogram are  consistent with previous \r\nbiopsy. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.concept.code [ fhir:value "PreviousSurgery" ];
     fhir:CodeSystem.concept.display [ fhir:value "Previous surgery" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Findings on mammogram are consistent with previous \r\nsurgery. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.concept.code [ fhir:value "PreviousTrauma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Previous trauma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Findings on mammogram are consistent with previous \r\ntrauma to breast. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.concept.code [ fhir:value "RadialScar" ];
     fhir:CodeSystem.concept.display [ fhir:value "Radial scar" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Radial scar is a growth that looks like a scar when \r\nthe tissue is viewed under a \r\nmicroscope. \r\nIt has a central core containing benign ducts. \r\nGrowing out of this core are ducts and lobules that \r\nshow evidence of unusual changes \r\nsuch as cysts and epithelial hyperplasia (overgrowth \r\nof their inner lining). \r\nOften, more than one radial scar is present. \r\nAnother term for this condition is complex sclerosing \r\nlesions. \r\n[https://www.breastcancer.org/symptoms/benign/radial-scars] \r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.concept.code [ fhir:value "RadiationChanges" ];
     fhir:CodeSystem.concept.display [ fhir:value "Radiation changes" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Radiation levels during radiation therapy may change \r\nas a result of side effects \r\nor to complete a more aggressive cancer treatment. \r\n\r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.concept.code [ fhir:value "RadiationTherapy" ];
     fhir:CodeSystem.concept.display [ fhir:value "Radiation therapy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The use of high-energy radiation from x-rays, gamma \r\nrays, neutrons, protons, and \r\nother sources to kill cancer cells and shrink tumors. \r\nRadiation may come from a machine outside the body \r\n(external-beam radiation therapy), \r\nor it may come from radioactive material placed in \r\nthe body near cancer cells (internal \r\nradiation therapy or brachytherapy). \r\nSystemic radiation therapy uses a radioactive substance, \r\nsuch as a radiolabeled monoclonal \r\nantibody, that travels in the blood to tissues throughout \r\nthe body. \r\nAlso called irradiation and radiotherapy. \r\n[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/44971] \r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.concept.code [ fhir:value "Scar" ];
     fhir:CodeSystem.concept.display [ fhir:value "Scar" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Scar tissue forms as part of the healing process \r\nafter a skin injury. \r\nA scar is fibrous tissue made of collagen that replaces \r\nthe injured skin. \r\n[https://www.breastcancer.org/treatment/side_effects/scar_tissue] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.concept.code [ fhir:value "ScarWithShadowing" ];
     fhir:CodeSystem.concept.display [ fhir:value "Scar with shadowing" ];
     fhir:CodeSystem.concept.definition [ fhir:value "In cases when the appropriate history is not available, \r\na postsurgical scar may mimic \r\na malignancy. \r\nAt sonographic evaluation, an area of posterior acoustic \r\nshadowing may be seen. \r\nThis lack of a central mass helps differentiate \r\na scar from a carcinoma, which has \r\nshadowing arising from a central mass. \r\nonlinelibrary.wiley.com > doi > full > jum.2004.23.1.73 \r\n\r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.concept.code [ fhir:value "SclerosingAdenosis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Sclerosing adenosis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Sclerosing adenosis is a type of adenosis in which \r\nenlarged acini become slightly \r\ndistorted by surrounded stromal fibrosis (\"sclerosis\"). \r\nThe normal lobular architecture of the breast is \r\nmaintained, but becomes exaggerated \r\nand distorted. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.concept.code [ fhir:value "SecretoryCalcification" ];
     fhir:CodeSystem.concept.display [ fhir:value "Secretory calcification" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Secretory calcifications are benign calcifications \r\nusually in women older than 60. \r\nThey classically appear as solid or discontinuous, \r\nsmooth, linear and rod-like calcifications. \r\nUsually bilateral and symmetric and may appear lucent-centered. \r\nAlso known as plasma cell mastitis. \r\n[https://radiopaedia.org/cases/secretory-calcifications?lang=us] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.concept.code [ fhir:value "SentinelNode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Sentinel node" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The sentinel nodes are the first few lymph nodes \r\ninto which a tumor drains. \r\nSentinel node biopsy involves injecting a tracer \r\nmaterial that helps the surgeon \r\nlocate the sentinel nodes during surgery. \r\nThe sentinel nodes are removed and analyzed in a \r\nlaboratory. \r\n[https://www.mayoclinic.org/tests-procedures/sentinel-node-biopsy/about/pac-20385264] \r\n\r\nValid for the following modalities: NM." ]
  ], [
     fhir:index 68;
     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 US MRI." ]
  ], [
     fhir:index 69;
     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. \r\nPrimary skin lesions are abnormal skin conditions \r\npresent at birth or acquired over \r\na person's lifetime. \r\nSecondary skin lesions are the result of irritated \r\nor manipulated primary skin lesions. \r\n[https://www.healthline.com/health/skin-lesions] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.concept.code [ fhir:value "Surgery" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgery" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The branch of medicine that employs operations in \r\nthe treatment of disease or injury. \r\nSurgery can involve cutting, abrading, suturing, \r\nor otherwise physically changing \r\nbody tissues and organs. \r\n[https://www.medicinenet.com/script/main/art.asp?articlekey=5603] \r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.concept.code [ fhir:value "Trauma" ];
     fhir:CodeSystem.concept.display [ fhir:value "Trauma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Previous injury to breast consistent with surgery, \r\ninfection, etc. \r\n\r\n\r\nValid for the following modalities: MRI." ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.concept.code [ fhir:value "VascularCalcifications" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vascular calcifications" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Parallel tracks, or linear tubular calcifications \r\nthat are clearly associated with \r\nblood vessels. \r\nWhile most vascular calcification is not difficult \r\nto identify, if only a few discontinuous \r\ncalcific \r\nparticles are visible in a single location and if \r\nassociation with a tubular structure \r\nis questionable, \r\nthen additional spot-compression magnification views \r\nmay be needed to further characterize \r\ntheir nature. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 38] \r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.concept.code [ fhir:value "VenousStasis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Venous stasis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Venous stasis dermatitis happens when there's a problem \r\nwith the veins, that keeps \r\nblood from moving through very well. \r\nAs more fluid and pressure build, some of the blood \r\nleaks out of the veins and into \r\nthe skin. \r\n[https://www.webmd.com/skin-problems-and-treatments/eczema/venous-stasis-dermatitis#1] \r\n\r\nValid for the following modalities: NM." ]
  ].

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

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