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

Calcification Distribution ValueSet - TTL Representation

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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:ValueSet;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "CalcificationDistributionVS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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, &quot;clustered&quot;) <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 (&gt; 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>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/ValueSet/CalcificationDistributionVS"];
  fhir:ValueSet.version [ fhir:value "0.2.0"];
  fhir:ValueSet.name [ fhir:value "CalcificationDistributionVS"];
  fhir:ValueSet.title [ fhir:value "Calcification Distribution ValueSet"];
  fhir:ValueSet.status [ fhir:value "draft"];
  fhir:ValueSet.date [ fhir:value "2019-11-01T00:00:00+00:00"^^xsd:dateTime];
  fhir:ValueSet.publisher [ fhir:value "Hl7 - Clinical Interoperability Council"];
  fhir:ValueSet.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:ValueSet.description [ fhir:value "Calcification Distribution of an abnormality value set."];
  fhir:ValueSet.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:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/CalcificationDistributionCS" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ClusteredDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Clustered distribution" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "DiffuseDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diffuse distribution" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "GroupedDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Grouped distribution" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LinearDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Linear distribution" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "RegionalDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Regional distribution" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ScatteredDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Scattered distribution" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SegmentalDistribution" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Segmental distribution" ]       ]     ]
  ].

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

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