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

BiRads(r) Assessment Category ValueSet

Summary

Defining URL:http://hl7.org/fhir/us/breast-radiology/ValueSet/BiRadsAssessmentCategoriesVS
Version:0.2.0
Name:BiRadsAssessmentCategoriesVS
Status:draft
Title:BiRads(r) Assessment Category ValueSet
Definition:

BiRads(r) Assessment Category value set.

Publisher:Hl7 - Clinical Interoperability Council
Source Resource:XML / JSON / Turtle

References

Content Logical Definition

Definition

  • Include these codes as defined in http://hl7.org/fhir/us/breast-radiology/CodeSystem/BiRadsAssessmentCategoriesCS
    CodeDisplay
    Category0Category 0 (Incomplete)Need additional Imaging Evaluation and/or prior Mammograms
    for comparison.
    Recall for additional imaging and/or comparison with
    prior examination(s)
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category2Category 2 (Benign)This is a normal assessment.
    Benign refers to a condition, tumor, or growth that
    is not cancerous.
    This means that it does not spread to other parts
    of the body.
    It does not invade nearby tissue.
    Essentially 0% likelihood of malignancy.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category3Category 3 (Probably Benign)A finding assessed using this category should have
    a <= 2% likelihood of malignancy,
    but greater than the essentially 0% likelihood of
    malignancy of a characteristically
    benign finding.
    A probably benign finding is not expected to change
    over the suggested period of
    imaging surveillance, but the interpreting physician
    prefers to establish stability
    of the finding before recommending management limited
    to routine mammography screening.
    Six month follow-up and/or
    surveillance mammography is recommended.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category4Category 4 (Suspicious)This category is reserved for findings that do not
    have the classic appearance of
    malignancy but are sufficiently suspicious to justify
    a recommendation for biopsy.
    There is a 2% likelihood of malignancy (cancer).
    Almost all recommendations for breast interventional
    procedures will come from assessments
    made using
    this category.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category4ACategory 4A (Low suspicion)Low suspicion for malignancy.
    A malignant finding is not suspected.
    A biopsy or other test will likely still be performed
    in order to determine.
    Tissue diagnosis may be recommended.
    Six month follow-up and/or surveillance mammography
    is recommended.
    Likelihood of malignancy is > 2% to <= 10% likelihood
    of malignancy.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category4BCategory 4B (Moderate suspicion)Category 4B: Moderate suspicion for malignancy.
    It warrants radiologic and pathologic correlation
    after tissue diagnosis.
    Likelihood of malignancy is > 10% to <= 50% likelihood
    of
    malignancy.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category4CCategory 4C (High suspicion)Category 4C: High suspicion for
    malignancy.
    Includes findings that have a high suspicion of malignancy
    but that are not highly
    suggestive of malignancy (category 5).
    Tissue Diagnosis is highly recommended.
    Range for likelihood of malignancy is > 50% to <
    95% likelihood of malignancy.
    It is more likely malignant versus benign.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category5Category 5 (Highly Suggestive of Malignancy)Highly Suggestive of Malignancy.
    Almost certainly predictive of breast cancer with
    a
    value of at least 95%.
    Tissue Diagnosis is highly recommended or required.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.
    Category6Category 6 (Known Biopsy-Proven Malignancy)Known Biopsy-Proven Malignancy.
    Surgical excision when clinically
    appropriate.
    This category is only used for findings on a mammogram
    that have already been shown to be cancer by a previous
    biopsy.
    Mammograms may be used in this way to see how well
    the cancer is responding to treatment.
    [Breast Imaging Reporting and Data System—Mammography, Fifth Edition]

    Valid for the following modalities: MG US MRI NM.

 

Expansion

This value set contains 9 concepts

Expansion based on http://hl7.org/fhir/us/breast-radiology/CodeSystem/BiRadsAssessmentCategoriesCS version 0.2.0

All codes from system http://hl7.org/fhir/us/breast-radiology/CodeSystem/BiRadsAssessmentCategoriesCS

CodeDisplayDefinition
Category0Category 0 (Incomplete)Need additional Imaging Evaluation and/or prior Mammograms for comparison. Recall for additional imaging and/or comparison with prior examination(s) [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category2Category 2 (Benign)This is a normal assessment. Benign refers to a condition, tumor, or growth that is not cancerous. This means that it does not spread to other parts of the body. It does not invade nearby tissue. Essentially 0% likelihood of malignancy. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category3Category 3 (Probably Benign)A finding assessed using this category should have a <= 2% likelihood of malignancy, but greater than the essentially 0% likelihood of malignancy of a characteristically benign finding. A probably benign finding is not expected to change over the suggested period of imaging surveillance, but the interpreting physician prefers to establish stability of the finding before recommending management limited to routine mammography screening. Six month follow-up and/or surveillance mammography is recommended. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category4Category 4 (Suspicious)This category is reserved for findings that do not have the classic appearance of malignancy but are sufficiently suspicious to justify a recommendation for biopsy. There is a 2% likelihood of malignancy (cancer). Almost all recommendations for breast interventional procedures will come from assessments made using this category. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category4ACategory 4A (Low suspicion)Low suspicion for malignancy. A malignant finding is not suspected. A biopsy or other test will likely still be performed in order to determine. Tissue diagnosis may be recommended. Six month follow-up and/or surveillance mammography is recommended. Likelihood of malignancy is > 2% to <= 10% likelihood of malignancy. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category4BCategory 4B (Moderate suspicion)Category 4B: Moderate suspicion for malignancy. It warrants radiologic and pathologic correlation after tissue diagnosis. Likelihood of malignancy is > 10% to <= 50% likelihood of malignancy. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category4CCategory 4C (High suspicion)Category 4C: High suspicion for malignancy. Includes findings that have a high suspicion of malignancy but that are not highly suggestive of malignancy (category 5). Tissue Diagnosis is highly recommended. Range for likelihood of malignancy is > 50% to < 95% likelihood of malignancy. It is more likely malignant versus benign. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category5Category 5 (Highly Suggestive of Malignancy)Highly Suggestive of Malignancy. Almost certainly predictive of breast cancer with a value of at least 95%. Tissue Diagnosis is highly recommended or required. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.
Category6Category 6 (Known Biopsy-Proven Malignancy)Known Biopsy-Proven Malignancy. Surgical excision when clinically appropriate. This category is only used for findings on a mammogram that have already been shown to be cancer by a previous biopsy. Mammograms may be used in this way to see how well the cancer is responding to treatment. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition] Valid for the following modalities: MG US MRI NM.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code