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{ "resourceType" : "ValueSet", "id" : "CalcificationDistributionVS", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Calcification Distribution ValueSet</h2><div><p>Calcification Distribution of an abnormality value set.</p>\n</div><ul><li>Include these codes as defined in <a href=\"CodeSystem-CalcificationDistributionCS.html\"><code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/CalcificationDistributionCS</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-CalcificationDistributionCS.html#CalcificationDistributionCS-ClusteredDistribution\">ClusteredDistribution</a></td><td>Clustered distribution</td><td>Grouped (historically, "clustered") <br/>This term should be used when relatively few calcifications <br/>occupy a small portion <br/>of breast <br/>tissue. <br/>The lower limit for use of this descriptor is usually <br/>when 5 calcifications are grouped <br/>within 1 cm of each other or when a definable pattern <br/>is identified. <br/>The upper limit for use <br/>of this descriptor is when larger numbers of calcifications <br/>are grouped within 2 <br/>cm of each <br/>other. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 73] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-DiffuseDistribution\">DiffuseDistribution</a></td><td>Diffuse distribution</td><td>Diffuse or Scattered: diffuse calcifications may <br/>be scattered calcifications or multiple similar appearing <br/>clusters of calcifications throughout the whole breast. <br/>Diffuse or scattered distribution is typically seen <br/>in benign entities. <br/>Even when clusters of calcifications are scattered <br/>throughout the breast, this favors a benign entity. <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-GroupedDistribution\">GroupedDistribution</a></td><td>Grouped distribution</td><td>This term should be used when relatively few calcifications <br/>occupy a <br/>small portion of breast tissue. <br/>The lower limit for use of this descriptor is usually <br/>when 5 calcifications <br/>are grouped within 1 cm of each other or when a definable <br/>pattern is identified. <br/>The upper limit for use of this descriptor is when <br/>larger numbers of <br/><br/>calcifications are grouped within 2 cm of each other. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 74] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-LinearDistribution\">LinearDistribution</a></td><td>Linear distribution</td><td>These are calcifications arrayed in a line. <br/>This distribution may elevate suspicion for malignancy, <br/>as it suggests deposits in a duct. <br/>Note that both vascular and large rod-like calcifications <br/>also are usually linear in distribution, but that <br/>these typically <br/>benign calcifications have a characteristically benign <br/><br/>morphology. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-RegionalDistribution\">RegionalDistribution</a></td><td>Regional distribution</td><td>Scattered in a larger volume (> 2 cc) of breast tissue <br/>and not in the expected ductal distribution. <br/>Regional distribution according to the BI-RADS atlas <br/>would favor a non-ductal distribution (i.e. <br/><br/>benignity) <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-ScatteredDistribution\">ScatteredDistribution</a></td><td>Scattered distribution</td><td>Scattered distributions are also called diffuse distributions. <br/>These are calcifications that are distributed randomly <br/>throughout the breast. <br/>Punctate and amorphous calcifications in this distribution <br/>are almost always benign, especially <br/>if bilateral (in both breasts). <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 70] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-CalcificationDistributionCS.html#CalcificationDistributionCS-SegmentalDistribution\">SegmentalDistribution</a></td><td>Segmental distribution</td><td>Segmental: calcium deposits in ducts and branches <br/>of a segment or lobe. <br/>Segmental distribution would favor a ductal distribution <br/>(i.e. <br/>malignancy). <br/>Sometimes this differentiation can be made, but in <br/>many cases the differentiation between 'regional' <br/>and 'segmental' is problematic, because it is not <br/>clear on a mammogram or MRI where the bounderies <br/>of a segment (or a lobe) exactly are. <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr></table></li></ul></div>" }, "url" : "http://hl7.org/fhir/us/breast-radiology/ValueSet/CalcificationDistributionVS", "version" : "0.2.0", "name" : "CalcificationDistributionVS", "title" : "Calcification Distribution 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" : "Calcification Distribution of an abnormality 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/CalcificationDistributionCS", "concept" : [ { "code" : "ClusteredDistribution", "display" : "Clustered distribution" }, { "code" : "DiffuseDistribution", "display" : "Diffuse distribution" }, { "code" : "GroupedDistribution", "display" : "Grouped distribution" }, { "code" : "LinearDistribution", "display" : "Linear distribution" }, { "code" : "RegionalDistribution", "display" : "Regional distribution" }, { "code" : "ScatteredDistribution", "display" : "Scattered distribution" }, { "code" : "SegmentalDistribution", "display" : "Segmental distribution" } ] } ] } }