Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions
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{
"resourceType" : "ValueSet",
"id" : "AssociatedFeatureVS",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Associated Feature ValueSet</h2><div><p>Associated feature observed during a Breast Radiology exam value set</p>\n</div><ul><li>Include these codes as defined in <a href=\"CodeSystem-AssociatedFeatureCS.html\"><code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-ArchitecturalDistortion\">ArchitecturalDistortion</a></td><td>Architectural distortion</td><td>Many breast masses are found within the zone of fibroglandular <br/>tissue or at a fat-fibroglandular <br/>junction. <br/>If the mass blurs a tissue plane between fat and <br/>fibroglandular tissue or if the <br/>mass produces <br/>distortion of the ducts, these findings may be termed <br/>architectural distortion. <br/>[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 139] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-AxillaryAdenopathy\">AxillaryAdenopathy</a></td><td>Axillary adenopathy</td><td>Enlarged axillary (under the armpit) lymph nodes. <br/>Additional evaluation is needed to determine the <br/>cause. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 110] <br/><br/>Valid for the following modalities: MG MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-BiopsyClip\">BiopsyClip</a></td><td>Biopsy clip</td><td>Tissue marker placement after image-guided breast <br/>biopsy has become a routine component <br/>of clinical practice. <br/>Marker placement distinguishes multiple biopsied <br/>lesions within the same breast, <br/>prevents re-biopsy of benign lesions, enables multi-modality <br/>correlation, guides <br/>pre-operative localization and helps confirm surgical <br/>target removal. <br/>Numerous breast tissue markers are currently available, <br/>with varied shapes, composition, <br/>and associated bio-absorbable components. <br/>[https://www.ncbi.nlm.nih.gov/pubmed/30059952] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-BrachytherapyTube\">BrachytherapyTube</a></td><td>Brachytherapy tube</td><td>Brachytherapy may be temporary or permanent. <br/>Temporary brachytherapy places radioactive material <br/>inside a catheter for a specific <br/>amount of time and then it is removed. <br/>It is given at a low-dose rate (LDR) or high-dose <br/>rate (HDR). <br/>Permanent brachytherapy is also called seed implantation. <br/>It puts radioactive seeds (about the size of a grain <br/>of rice) in or near the tumor <br/>permanently. <br/>After several months, the seeds lose their radioactivity. <br/>[https://www.radiologyinfo.org/en/info.cfm?pg=brachy] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-ChestWallInvasion\">ChestWallInvasion</a></td><td>Chest wall invasion</td><td>A tumor of the lung that has invaded the chest wall. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-CooperDistorted\">CooperDistorted</a></td><td>Cooper distorted</td><td>The cooper's ligaments are fibrous bands extending <br/>vertically from surface attached to <br/>chest wall muscles. <br/>These ligaments maintain the shape and structure <br/>of the breasts and help to prevent <br/>sagging. <br/>Cooper's ligaments support the breasts on the chest <br/>wall, maintain their contour, <br/>and keep them in position. <br/>Breasts become distorted if cancerous tumors grow <br/>on the ligaments. <br/>The normal breast contours can be noticeably different <br/>once distorted. <br/>This can be because of swelling, bulges, retraction, <br/>etc. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-CooperThickened\">CooperThickened</a></td><td>Cooper thickened</td><td>The cooper's ligaments are fibrous bands extending <br/>vertically from surface attached <br/>to chest wall muscles. <br/>These ligaments maintain the shape and structure <br/>of the breasts and help to prevent <br/>sagging. <br/>Cooper's ligaments support the breasts on the chest <br/>wall, maintain their contour, <br/>and keep them in position. <br/>These support breast tissue; and can become contracted <br/>in cancer of breast, producing <br/>dimples in overlying skin. <br/>Thickening occurs when there are skin changes usually <br/>associated with the presence <br/>of a mass, benign or malignant, that causes shortening <br/>in the Coopers ligaments due <br/>to fibrosis. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-Edema\">Edema</a></td><td>Edema</td><td>Edema (swelling of the breasts) may be due to blockage <br/>of subdermal lymphatics by tumor cells or an inflammatory <br/>process within the breast or axilla. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-EdemaAdj\">EdemaAdj</a></td><td>Edema adj</td><td>This is swelling of one or both breasts. <br/>A mammographic pattern of skin thickening, increased <br/>parenchymal density, and interstitial marking. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-GoldSeed\">GoldSeed</a></td><td>Gold Seed</td><td>Tiny, gold seeds, about the size of a grain of rice, <br/>that are put in and/or around <br/>a tumor to show exactly where it is in the body. <br/>The tumor can then be directly targeted and be given <br/>higher doses of radiation <br/>with less harm to nearby healthy tissue. <br/>Also called gold fiducial marker seeds, gold fiducial <br/>markers, and gold-seed fiducial <br/>markers. <br/>[https://www.cancer.gov/publications/dictionaries/cancer-terms/def/gold-seeds] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-Hematoma\">Hematoma</a></td><td>Hematoma</td><td>A hematoma is a localized bleeding outside of blood <br/>vessels, due to either disease <br/>or trauma including injury or surgery and may involve <br/>blood continuing to seep from <br/>broken capillaries. <br/>en.wikipedia.org > wiki > Hematoma <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-NippleRetraction\">NippleRetraction</a></td><td>Nipple retraction</td><td>Retracted nipples lie flat against the areola. <br/>The condition can be the result of inflammation or <br/>scarring of the tissue behind <br/>the nipple, and caused by numerous conditions, not <br/>just cancer. <br/>In the case of breast cancer, nipple retraction occurs <br/>when the tumor attacks the <br/>duct behind the nipple, pulling it in. <br/><br/><br/>Valid for the following modalities: MG MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-NOChestWallInvasion\">NOChestWallInvasion</a></td><td>NO Chest wall invasion</td><td>The mass has not attached itself to the chest wall. <br/><br/><br/>Valid for the following modalities: MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-PectoralisMuscleInvasion\">PectoralisMuscleInvasion</a></td><td>Pectoralis muscle invasion</td><td>Pectoralis muscle invasion is when a tumor has become <br/>large enough to invade into <br/>the pectoralis muscle. <br/><br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-PectoralisMuscleInvolvement\">PectoralisMuscleInvolvement</a></td><td>Pectoralis muscle involvement</td><td>Pectoralis muscle involvement of the tumor has been <br/>detected on the MRI by muscle <br/>enhancement with obliteration of the fat plane between <br/>the tumor and the muscle. <br/>pubs.rsna.org > doi > pdf <br/><br/><br/>Valid for the following modalities: MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-PectoralisMuscleTenting\">PectoralisMuscleTenting</a></td><td>Pectoralis muscle tenting</td><td>The tent sign is a term referring to a characteristic <br/>appearance of the posterior <br/>edge of the breast parenchyma when a mass (usually <br/>an infiltrating lesion) causes <br/>its retraction and forms an inverted "V" that resembles <br/>the tip of a circus tent. <br/>[https://radiopaedia.org/articles/tent-sign-breast?lang=us] <br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-PostSurgicalScar\">PostSurgicalScar</a></td><td>Post surgical scar</td><td>Post surgical scarring happens because of the incisions <br/>needed to surgically remove <br/>tumor, cells, etc. <br/>The amount of scarring is connected to the different <br/>stages of wound healing. <br/>Surgical scar care should be continued for a year. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-Seroma\">Seroma</a></td><td>Seroma</td><td>A breast seroma is a collection (pocket) of serous <br/>fluid that can develop after trauma <br/>to the breast or following procedures such as breast <br/>surgery or radiation therapy. <br/>Serous fluid is a pale yellow, transparent fluid <br/>that contains protein, but no blood <br/>cells or pus. <br/>[https://www.verywellhealth.com/seroma-medical-definition-430372] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-SkinInvolvement\">SkinInvolvement</a></td><td>Skin involvement</td><td>The mass or lesion has attached itself to the skin <br/>of the breast. <br/>There are several layers of skin that the mass or <br/>lesion can penetrate and that is <br/>what determines the level of skin invasion. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-SkinLesion\">SkinLesion</a></td><td>Skin lesion</td><td>A skin lesion is a part of the skin that has an abnormal <br/>growth or appearance compared <br/>to the skin around it.In order to diagnose a skin <br/>lesion, a full physical exam is necessary. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-SkinRetraction\">SkinRetraction</a></td><td>Skin retraction</td><td>Skin retraction (or inversion) or Skin retraction. <br/>Breast cancers that are located near the skin or <br/>nipple may cause scarring within <br/>the breast that pulls at the nipple or nearby skin. <br/>Skin and nipple retraction are more obvious when <br/>a woman raises her arms above her <br/>head or leans forward. <br/>[https://www.drholmesmd.com/blog/early-signs-of-breast-cancer] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-SkinThickening\">SkinThickening</a></td><td>Skin thickening</td><td>The presence of skin thickening on mammography is <br/>variably defined, usually being <br/>more than 2 mm in thickness. <br/>It can result from a number of both benign and malignant <br/>causes. <br/>[https://radiopaedia.org/articles/skin-thickening-on-mammography-differential?lang=us] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-SurgicalClip\">SurgicalClip</a></td><td>Surgical clip</td><td>Most surgical clips are currently made of titanium, <br/>and as many as 30 to 40 clips <br/>may be used during a single surgical procedure. <br/>Surgical clips may remain inside the patient's body <br/>after the wounds are healed. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-TrabecularThickening\">TrabecularThickening</a></td><td>Trabecular thickening</td><td>Trabecular thickening-thickening of the Cooper's ligaments <br/>and fibrous stroma-is <br/>an imaging finding of breast edema, usually secondary <br/>to dilated lymphatics. <br/>Skin thickening and trabecular thickening often occur <br/>together, and they have similar <br/>differential diagnoses. <br/>[https://oxfordmedicine.com/view/10.1093/med/9780190270261.001.0001/med-9780190270261-chapter-48] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-CalcificationInMass\">CalcificationInMass</a></td><td>Calcification in mass</td><td>Calcifications usually can't be felt, but appear <br/>on a mammogram. <br/>Depending on how calcifications are clustered; shape, <br/>size, and number, further tests may be necessary. <br/>Larger "macrocalcifications" are usually not associated <br/>with cancer. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-CalcificationNotOnMammogarm\">CalcificationNotOnMammogarm</a></td><td>Calcification Not on mammogarm</td><td>Calcifications usually can't be felt, but appear <br/>on a mammogram. <br/>Calcifications can be clustered and their shape, <br/>size, and number. <br/>Large "macrocalcifications" are usually not associated <br/>with cancer. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-CalcificationOnMammogram\">CalcificationOnMammogram</a></td><td>Calcification on mammogram</td><td>Calcifications are small deposits of calcium that <br/>show up on mammograms as bright <br/>white specks or dots on the soft tissue background <br/>of the breasts. <br/>The calcium readily absorbs the X-rays from mammograms <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-Calcifications\">Calcifications</a></td><td>Calcifications</td><td>Calcifications are small deposits of calcium that <br/>show up on mammograms as bright <br/>white specks or dots on the soft tissue background <br/>of the breasts. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-MicroCalcifications\">MicroCalcifications</a></td><td>Micro calcifications</td><td>Micro-calcifications show up as fine, white specks <br/>in a mammogram, similar to grains of salt; usually <br/>noncancerous, but certain patterns can be an early <br/>sign of cancer. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-MilkOfCalcium\">MilkOfCalcium</a></td><td>Milk of calcium</td><td>The term milk of calcium (MOC) is given to dependent, <br/>sedimented calcification within <br/>a cystic structure or hollow organ. <br/>This sort of colloidal calcium suspension layering <br/>can occur in various regions. <br/>[https://radiopaedia.org/articles/milk-of-calcium-disambiguation?lang=us] <br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-AssociatedFeatureCS.html#AssociatedFeatureCS-RimCalcifications\">RimCalcifications</a></td><td>Rim calcifications</td><td>These are very thin benign calcifications that appear <br/>as calcium is deposited on <br/>the surface of a sphere. <br/>Although fat necrosis can produce these thin deposits, <br/>calcifications in the wall <br/>of cysts are the most common 'rim' calcifications. <br/><br/><br/>Valid for the following modalities: US.</td></tr></table></li></ul></div>"
},
"url" : "http://hl7.org/fhir/us/breast-radiology/ValueSet/AssociatedFeatureVS",
"version" : "0.2.0",
"name" : "AssociatedFeatureVS",
"title" : "Associated Feature ValueSet",
"status" : "draft",
"date" : "2019-11-01T00:00:00+00:00",
"publisher" : "Hl7 - Clinical Interoperability Council",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/Special/committees/cic"
}
]
}
],
"description" : "Associated feature observed during a Breast Radiology exam value set",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/AssociatedFeatureCS",
"concept" : [
{
"code" : "ArchitecturalDistortion",
"display" : "Architectural distortion"
},
{
"code" : "AxillaryAdenopathy",
"display" : "Axillary adenopathy"
},
{
"code" : "BiopsyClip",
"display" : "Biopsy clip"
},
{
"code" : "BrachytherapyTube",
"display" : "Brachytherapy tube"
},
{
"code" : "ChestWallInvasion",
"display" : "Chest wall invasion"
},
{
"code" : "CooperDistorted",
"display" : "Cooper distorted"
},
{
"code" : "CooperThickened",
"display" : "Cooper thickened"
},
{
"code" : "Edema",
"display" : "Edema"
},
{
"code" : "EdemaAdj",
"display" : "Edema adj"
},
{
"code" : "GoldSeed",
"display" : "Gold Seed"
},
{
"code" : "Hematoma",
"display" : "Hematoma"
},
{
"code" : "NippleRetraction",
"display" : "Nipple retraction"
},
{
"code" : "NOChestWallInvasion",
"display" : "NO Chest wall invasion"
},
{
"code" : "PectoralisMuscleInvasion",
"display" : "Pectoralis muscle invasion"
},
{
"code" : "PectoralisMuscleInvolvement",
"display" : "Pectoralis muscle involvement"
},
{
"code" : "PectoralisMuscleTenting",
"display" : "Pectoralis muscle tenting"
},
{
"code" : "PostSurgicalScar",
"display" : "Post surgical scar"
},
{
"code" : "Seroma",
"display" : "Seroma"
},
{
"code" : "SkinInvolvement",
"display" : "Skin involvement"
},
{
"code" : "SkinLesion",
"display" : "Skin lesion"
},
{
"code" : "SkinRetraction",
"display" : "Skin retraction"
},
{
"code" : "SkinThickening",
"display" : "Skin thickening"
},
{
"code" : "SurgicalClip",
"display" : "Surgical clip"
},
{
"code" : "TrabecularThickening",
"display" : "Trabecular thickening"
},
{
"code" : "CalcificationInMass",
"display" : "Calcification in mass"
},
{
"code" : "CalcificationNotOnMammogarm",
"display" : "Calcification Not on mammogarm"
},
{
"code" : "CalcificationOnMammogram",
"display" : "Calcification on mammogram"
},
{
"code" : "Calcifications",
"display" : "Calcifications"
},
{
"code" : "MicroCalcifications",
"display" : "Micro calcifications"
},
{
"code" : "MilkOfCalcium",
"display" : "Milk of calcium"
},
{
"code" : "RimCalcifications",
"display" : "Rim calcifications"
}
]
}
]
}
}
IG © 2019+ Hl7 - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.2.0 based on FHIR 4.0.1. Generated 2020-04-07
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