Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

Calcification Distribution ValueSet - XML Representation

(back to description)

Raw xml

Source view

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CalcificationDistributionVS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Calcification Distribution ValueSet</h2><div><p>Calcification Distribution of an abnormality value set.</p>
</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>
  </text>
  <url
       value="http://hl7.org/fhir/us/breast-radiology/ValueSet/CalcificationDistributionVS"/>
  <version value="0.2.0"/>
  <name value="CalcificationDistributionVS"/>
  <title value="Calcification Distribution ValueSet"/>
  <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="Calcification Distribution of an abnormality value set."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/CalcificationDistributionCS"/>
      <concept>
        <code value="ClusteredDistribution"/>
        <display value="Clustered distribution"/>
      </concept>
      <concept>
        <code value="DiffuseDistribution"/>
        <display value="Diffuse distribution"/>
      </concept>
      <concept>
        <code value="GroupedDistribution"/>
        <display value="Grouped distribution"/>
      </concept>
      <concept>
        <code value="LinearDistribution"/>
        <display value="Linear distribution"/>
      </concept>
      <concept>
        <code value="RegionalDistribution"/>
        <display value="Regional distribution"/>
      </concept>
      <concept>
        <code value="ScatteredDistribution"/>
        <display value="Scattered distribution"/>
      </concept>
      <concept>
        <code value="SegmentalDistribution"/>
        <display value="Segmental distribution"/>
      </concept>
    </include>
  </compose>
</ValueSet>