Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May

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Foreign Object CodeSystem - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="ForeignObjectCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Foreign Object CodeSystem</h2><div><p>Foreign objects observed during a Breast Radiology exam code system.</p>
</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/ForeignObjectCS 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">BBPellet<a name="ForeignObjectCS-BBPellet"> </a></td><td>BB pellet</td><td>A BB pellet is present in the body and is visible 
by the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">BBPellets<a name="ForeignObjectCS-BBPellets"> </a></td><td>BB pellets</td><td>BB pellets are present in the body and is visible 
by the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">BiopsyClip<a name="ForeignObjectCS-BiopsyClip"> </a></td><td>Biopsy clip</td><td>Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">BiopsyClips<a name="ForeignObjectCS-BiopsyClips"> </a></td><td>Biopsy clips</td><td>Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">BreastMarker<a name="ForeignObjectCS-BreastMarker"> </a></td><td>Breast Marker</td><td>Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
www.ncbi.nlm.nih.gov &gt; pubmed 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">CatheterSleeves<a name="ForeignObjectCS-CatheterSleeves"> </a></td><td>Catheter sleeves</td><td>A catheter sleeve was viewed in the Mammogram, MRI, 
and/or ultrasound. 
A catheter is a flexible tube used to deliver fluids 
into or withdraw fluids from the body. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">ChemotherapyPort<a name="ForeignObjectCS-ChemotherapyPort"> </a></td><td>Chemotherapy port</td><td>A soft thin tube called a catheter connects the port 
to a large vein for administering 
chemotherapy is present in the MRI/Ultrasound. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Coil<a name="ForeignObjectCS-Coil"> </a></td><td>Coil</td><td>The coil acts as an antenna to receive the radio 
frequency signal. 
This is present on the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Glass<a name="ForeignObjectCS-Glass"> </a></td><td>Glass</td><td>Glass is present in the body and shows up on the 
MRI, Mammogram, and/or Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">GoldSeed<a name="ForeignObjectCS-GoldSeed"> </a></td><td>Gold seed</td><td>Tiny, gold seeds that are put in and/or around a 
tumor to show exactly where the 
tumor is are present in the ultrasound/MRI. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">GunshotWound<a name="ForeignObjectCS-GunshotWound"> </a></td><td>Gunshot wound</td><td>There is a gunshot would present in the body and 
is viewable on the Ultrasound, Mammogram and/or MRI 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">MarkerClip<a name="ForeignObjectCS-MarkerClip"> </a></td><td>Marker clip</td><td>A marker clip (from possible previous biopsy) is 
visable in the Mammogram 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Metal<a name="ForeignObjectCS-Metal"> </a></td><td>Metal</td><td>A piece of metal is present in the body and is viewable 
on the MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">MetallicMarker<a name="ForeignObjectCS-MetallicMarker"> </a></td><td>Metallic marker</td><td>A metallic tissue marker is present in the ultrasound/MRI. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">MetallicMarkers<a name="ForeignObjectCS-MetallicMarkers"> </a></td><td>Metallic markers</td><td>Metallic tissue markers are present in the MRI/Ultrasound. 


Valid for the following modalities: MRI.</td></tr><tr><td style="white-space:nowrap">MetallicObjects<a name="ForeignObjectCS-MetallicObjects"> </a></td><td>Metallic objects</td><td>The Mammogram suggests a foreign body in the breast 
that appears to be a metallic 
object. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Needle<a name="ForeignObjectCS-Needle"> </a></td><td>Needle</td><td>The Mammogram suggests a foreign body in the breast 
that appears to be a needle. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">NippleJewelry<a name="ForeignObjectCS-NippleJewelry"> </a></td><td>Nipple jewelry</td><td>The Mammogram suggests a foreign body in the breast 
that appears to be a piece of 
nipple jewelry. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Non-metallicBody<a name="ForeignObjectCS-Non-metallicBody"> </a></td><td>Non-metallic body</td><td>A non-metallic foreign body was located in the breast 
tissue. 


Valid for the following modalities: MG.</td></tr><tr><td style="white-space:nowrap">Pacemaker<a name="ForeignObjectCS-Pacemaker"> </a></td><td>Pacemaker</td><td>A pacemaker is present showing up on the MRI and/or 
Ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SiliconeGranuloma<a name="ForeignObjectCS-SiliconeGranuloma"> </a></td><td>Silicone granuloma</td><td>Silicone granuloma shows up on the MRI and/or Ultrasound. 
Snowball like hyperechogenic axillary lymph nodes 
in an individual with silicone implants 
removed due to complications. 
Specialty. 
Dermatology. 
Silicone granulomas are a skin condition that occur 
as a reaction to liquid silicones, 
and are characterized by the formation of nodules. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Sponge<a name="ForeignObjectCS-Sponge"> </a></td><td>Sponge</td><td>A surgical sponge can be viewed from the images in 
the Mammogram, MRI and/or ultrasound. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SurgicalClip<a name="ForeignObjectCS-SurgicalClip"> </a></td><td>Surgical clip</td><td>A surgical clip can be viewed within the Mammogram, 
MRI and/or Ultrasound. 
A tissue marker (or clip) is placed in the breast 
after a breast biopsy to help locate the site for 
future reference. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">SurgicalClips<a name="ForeignObjectCS-SurgicalClips"> </a></td><td>Surgical clips</td><td>Surgical clips can be viewed within the Mammogram, 
MRI and/or Ultrasound. 
A tissue marker (or clip) is placed in the breast 
after a breast biopsy to help locate the site for 
future reference. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Swab<a name="ForeignObjectCS-Swab"> </a></td><td>Swab</td><td>A Retained surgical swab appears to have been identified 
in the breast during the 
mammogram, ultrasound and/or MRI. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">TitaniumClip<a name="ForeignObjectCS-TitaniumClip"> </a></td><td>Titanium clip</td><td>In review of the MRI, Ultrasound, and/or Mammogram, 
a titanium-based marker (also known as a &quot;clip&quot;) can 
be viewed inside the breast. 
This is placed for most core biopsies to mark the 
area in case surgery will be needed in the future. 
These marker clips are placed at most facilities 
around the country, and are considered a standard 

part of the breast biopsy procedure. 
[https://med.nyu.edu/radiology/about-nyu-langone-radiology/subspecialty-sections/breast-imaging/image-guided-procedures] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">TitaniumClips<a name="ForeignObjectCS-TitaniumClips"> </a></td><td>Titanium clips</td><td>In review of the MRI, Ultrasound, and/or Mammogram, 
a titanium-based marker (also known as a &quot;clip&quot;) can 
be viewed inside the breast. 
This is placed for most core biopsies to mark the 
area in case surgery will be needed in the future. 
These marker clips are placed at most facilities 
around the country, and are considered a standard 

part of the breast biopsy procedure. 
[https://med.nyu.edu/radiology/about-nyu-langone-radiology/subspecialty-sections/breast-imaging/image-guided-procedures] 

Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">Wire<a name="ForeignObjectCS-Wire"> </a></td><td>Wire</td><td>Guidewire is present in the body. 
It is viewable in the MRI and/or Ultrasound. 
Guidewire is used during medical procedures such 
as biopsy or placement of medical 
devices such as a catheter or pacemaker. 


Valid for the following modalities: MG US MRI.</td></tr><tr><td style="white-space:nowrap">WireFragment<a name="ForeignObjectCS-WireFragment"> </a></td><td>Wire fragment</td><td>A fragment of a guidewire is present in the body. 
It is viewable in the MRI and/or Ultrasound. 
Guidewire is used during medical procedures such 
as a biopsy or  placement of medical 
devices such as a catheter or pacemaker. 


Valid for the following modalities: MG US MRI.</td></tr></table></div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/ForeignObjectCS"/>
  <version value="0.2.0"/>
  <name value="ForeignObjectCS"/>
  <title value="Foreign Object CodeSystem"/>
  <status value="draft"/>
  <date value="2019-11-01T00:00:00+00:00"/>
  <publisher value="Hl7 - Clinical Interoperability Council"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/cic"/>
    </telecom>
  </contact>
  <description
               value="Foreign objects observed during a Breast Radiology exam code system."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="29"/>
  <concept>
    <code value="BBPellet"/>
    <display value="BB pellet"/>
    <definition
                value="A BB pellet is present in the body and is visible 
by the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="BBPellets"/>
    <display value="BB pellets"/>
    <definition
                value="BB pellets are present in the body and is visible 
by the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="BiopsyClip"/>
    <display value="Biopsy clip"/>
    <definition
                value="Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="BiopsyClips"/>
    <display value="Biopsy clips"/>
    <definition
                value="Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
[https://www.ncbi.nlm.nih.gov/pubmed/30059952] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="BreastMarker"/>
    <display value="Breast Marker"/>
    <definition
                value="Tissue marker placement after image-guided breast 
biopsy has become a routine component 
of clinical practice. 
Marker placement distinguishes multiple biopsied 
lesions within the same breast, 
prevents re-biopsy of benign lesions, enables multi-modality 
correlation, guides 
pre-operative localization and helps confirm surgical 
target removal. 
Numerous breast tissue markers are currently available, 
with varied shapes, composition, 
and associated bio-absorbable components. 
This review serves to familiarize the breast interventionalist 
with the tissue markers 
most widely available in the United States today 
and to provide guidance regarding 
selection of appropriate markers for various clinical 
settings. 
www.ncbi.nlm.nih.gov &gt; pubmed 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="CatheterSleeves"/>
    <display value="Catheter sleeves"/>
    <definition
                value="A catheter sleeve was viewed in the Mammogram, MRI, 
and/or ultrasound. 
A catheter is a flexible tube used to deliver fluids 
into or withdraw fluids from the body. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="ChemotherapyPort"/>
    <display value="Chemotherapy port"/>
    <definition
                value="A soft thin tube called a catheter connects the port 
to a large vein for administering 
chemotherapy is present in the MRI/Ultrasound. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Coil"/>
    <display value="Coil"/>
    <definition
                value="The coil acts as an antenna to receive the radio 
frequency signal. 
This is present on the Mammogram, MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Glass"/>
    <display value="Glass"/>
    <definition
                value="Glass is present in the body and shows up on the 
MRI, Mammogram, and/or Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="GoldSeed"/>
    <display value="Gold seed"/>
    <definition
                value="Tiny, gold seeds that are put in and/or around a 
tumor to show exactly where the 
tumor is are present in the ultrasound/MRI. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="GunshotWound"/>
    <display value="Gunshot wound"/>
    <definition
                value="There is a gunshot would present in the body and 
is viewable on the Ultrasound, Mammogram and/or MRI 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="MarkerClip"/>
    <display value="Marker clip"/>
    <definition
                value="A marker clip (from possible previous biopsy) is 
visable in the Mammogram 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Metal"/>
    <display value="Metal"/>
    <definition
                value="A piece of metal is present in the body and is viewable 
on the MRI and/or Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="MetallicMarker"/>
    <display value="Metallic marker"/>
    <definition
                value="A metallic tissue marker is present in the ultrasound/MRI. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="MetallicMarkers"/>
    <display value="Metallic markers"/>
    <definition
                value="Metallic tissue markers are present in the MRI/Ultrasound. 


Valid for the following modalities: MRI."/>
  </concept>
  <concept>
    <code value="MetallicObjects"/>
    <display value="Metallic objects"/>
    <definition
                value="The Mammogram suggests a foreign body in the breast 
that appears to be a metallic 
object. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Needle"/>
    <display value="Needle"/>
    <definition
                value="The Mammogram suggests a foreign body in the breast 
that appears to be a needle. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="NippleJewelry"/>
    <display value="Nipple jewelry"/>
    <definition
                value="The Mammogram suggests a foreign body in the breast 
that appears to be a piece of 
nipple jewelry. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Non-metallicBody"/>
    <display value="Non-metallic body"/>
    <definition
                value="A non-metallic foreign body was located in the breast 
tissue. 


Valid for the following modalities: MG."/>
  </concept>
  <concept>
    <code value="Pacemaker"/>
    <display value="Pacemaker"/>
    <definition
                value="A pacemaker is present showing up on the MRI and/or 
Ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SiliconeGranuloma"/>
    <display value="Silicone granuloma"/>
    <definition
                value="Silicone granuloma shows up on the MRI and/or Ultrasound. 
Snowball like hyperechogenic axillary lymph nodes 
in an individual with silicone implants 
removed due to complications. 
Specialty. 
Dermatology. 
Silicone granulomas are a skin condition that occur 
as a reaction to liquid silicones, 
and are characterized by the formation of nodules. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Sponge"/>
    <display value="Sponge"/>
    <definition
                value="A surgical sponge can be viewed from the images in 
the Mammogram, MRI and/or ultrasound. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SurgicalClip"/>
    <display value="Surgical clip"/>
    <definition
                value="A surgical clip can be viewed within the Mammogram, 
MRI and/or Ultrasound. 
A tissue marker (or clip) is placed in the breast 
after a breast biopsy to help locate the site for 
future reference. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="SurgicalClips"/>
    <display value="Surgical clips"/>
    <definition
                value="Surgical clips can be viewed within the Mammogram, 
MRI and/or Ultrasound. 
A tissue marker (or clip) is placed in the breast 
after a breast biopsy to help locate the site for 
future reference. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Swab"/>
    <display value="Swab"/>
    <definition
                value="A Retained surgical swab appears to have been identified 
in the breast during the 
mammogram, ultrasound and/or MRI. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="TitaniumClip"/>
    <display value="Titanium clip"/>
    <definition
                value="In review of the MRI, Ultrasound, and/or Mammogram, 
a titanium-based marker (also known as a &quot;clip&quot;) can 
be viewed inside the breast. 
This is placed for most core biopsies to mark the 
area in case surgery will be needed in the future. 
These marker clips are placed at most facilities 
around the country, and are considered a standard 

part of the breast biopsy procedure. 
[https://med.nyu.edu/radiology/about-nyu-langone-radiology/subspecialty-sections/breast-imaging/image-guided-procedures] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="TitaniumClips"/>
    <display value="Titanium clips"/>
    <definition
                value="In review of the MRI, Ultrasound, and/or Mammogram, 
a titanium-based marker (also known as a &quot;clip&quot;) can 
be viewed inside the breast. 
This is placed for most core biopsies to mark the 
area in case surgery will be needed in the future. 
These marker clips are placed at most facilities 
around the country, and are considered a standard 

part of the breast biopsy procedure. 
[https://med.nyu.edu/radiology/about-nyu-langone-radiology/subspecialty-sections/breast-imaging/image-guided-procedures] 

Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="Wire"/>
    <display value="Wire"/>
    <definition
                value="Guidewire is present in the body. 
It is viewable in the MRI and/or Ultrasound. 
Guidewire is used during medical procedures such 
as biopsy or placement of medical 
devices such as a catheter or pacemaker. 


Valid for the following modalities: MG US MRI."/>
  </concept>
  <concept>
    <code value="WireFragment"/>
    <display value="Wire fragment"/>
    <definition
                value="A fragment of a guidewire is present in the body. 
It is viewable in the MRI and/or Ultrasound. 
Guidewire is used during medical procedures such 
as a biopsy or  placement of medical 
devices such as a catheter or pacemaker. 


Valid for the following modalities: MG US MRI."/>
  </concept>
</CodeSystem>