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Margin ValueSet - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "MarginVS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Margin ValueSet</h2><div><p>Margin ValueSet.</p>\n</div><ul><li>Include these codes as defined in <a href=\"CodeSystem-MarginCS.html\"><code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/MarginCS</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-MarginCS.html#MarginCS-AngularMargin\">AngularMargin</a></td><td>Angular margin</td><td>Some or all of the margin has sharp corners, often <br/>forming acute angles. <br/>The margin of the mass is not circumscribed. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-CircumscribedMargin\">CircumscribedMargin</a></td><td>Circumscribed margin</td><td>A circumscribed margin is one that is well defined, <br/>with an abrupt transition between <br/>the lesion and the surrounding tissue. <br/>For US, to describe a mass as circumscribed, its <br/>entire margin must be sharply defined. <br/>Most circumscribed lesions have round or oval shapes. <br/>[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 49] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-IndistinctMargin\">IndistinctMargin</a></td><td>Indistinct margin</td><td>There is no clear demarcation of the entire margin, <br/>or of any portion of the margin, <br/>from the surrounding <br/>tissue. <br/>For mammography, this descriptor should not be used <br/>when the interpreting <br/>physician believes it is likely due to immediately <br/>adjacent breast tissue. <br/>Use of this descriptor <br/>usually implies a suspicious finding. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 23] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-IntraductalExtension\">IntraductalExtension</a></td><td>Intraductal extension</td><td>Intraductal tumor extension is a characteristic feature <br/>of primary breast carcinoma, <br/>and is an important consideration in patients undergoing <br/>breast conservative surgery. <br/>[https://www.ncbi.nlm.nih.gov/pubmed/8630874] <br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-IrregularMargin\">IrregularMargin</a></td><td>Irregular margin</td><td>Edges around the soft tissue that don't look smooth. <br/>Indicative of some sort of growth or mass rather <br/>than a cyst. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-LobulatedMargin\">LobulatedMargin</a></td><td>Lobulated margin</td><td>The edge of the mass has broad bulges. <br/>Much like a 6 or 8 leaf clover. <br/>The edge of all of the leaves would be considered <br/>lobulated. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-MacrolobulatedMargin\">MacrolobulatedMargin</a></td><td>Macrolobulated margin</td><td>Smooth margin with distinct separation between the <br/>mass and the surrounding border. <br/>Macrolobulaed margins are  oval-shaped and  have <br/>a wide rather than tall formation. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-MicrolobulatedMargin\">MicrolobulatedMargin</a></td><td>Microlobulated margin</td><td>The margin is characterized by short-cycle undulations <br/>or scalloped appearance,and <br/>the margin of the mass is not circumscribed. <br/>[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 54] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-NonCircumscribedMargin\">NonCircumscribedMargin</a></td><td>Non circumscribed margin</td><td>The mass has one or more of the following features: <br/>indistinct, <br/>angular, microlobulated, or spiculated in any portion <br/>of the margin There is not a clear demarcation between <br/>the mass and the surrounding <br/>tissue. <br/>[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 153] <br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-ObscuredMagin\">ObscuredMagin</a></td><td>Obscured magin</td><td>It is hidden by superimposed or adjacent fibroglandular <br/>tissue. <br/>This is used primarily when some of the margin of <br/>the mass is circumscribed, but <br/>the rest (more than 25%) is hidden. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-SmoothMargin\">SmoothMargin</a></td><td>Smooth margin</td><td>The edges of the mass have a smooth appearance and <br/>distinct separation between the <br/>mass and surrounding tissue. <br/><br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-MarginCS.html#MarginCS-SpiculatedMargin\">SpiculatedMargin</a></td><td>Spiculated margin</td><td>The margin is characterized by sharp lines radiating <br/>from the mass, often a sign <br/>of malignancy, <br/>but the significant feature is that the margin of <br/>the mass is not circumscribed. <br/>[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 55] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/breast-radiology/ValueSet/MarginVS",
  "version" : "0.2.0",
  "name" : "MarginVS",
  "title" : "Margin 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" : "Margin ValueSet.",
  "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/MarginCS",
        "concept" : [
          {
            "code" : "AngularMargin",
            "display" : "Angular margin"
          },
          {
            "code" : "CircumscribedMargin",
            "display" : "Circumscribed margin"
          },
          {
            "code" : "IndistinctMargin",
            "display" : "Indistinct margin"
          },
          {
            "code" : "IntraductalExtension",
            "display" : "Intraductal extension"
          },
          {
            "code" : "IrregularMargin",
            "display" : "Irregular margin"
          },
          {
            "code" : "LobulatedMargin",
            "display" : "Lobulated margin"
          },
          {
            "code" : "MacrolobulatedMargin",
            "display" : "Macrolobulated margin"
          },
          {
            "code" : "MicrolobulatedMargin",
            "display" : "Microlobulated margin"
          },
          {
            "code" : "NonCircumscribedMargin",
            "display" : "Non circumscribed margin"
          },
          {
            "code" : "ObscuredMagin",
            "display" : "Obscured magin"
          },
          {
            "code" : "SmoothMargin",
            "display" : "Smooth margin"
          },
          {
            "code" : "SpiculatedMargin",
            "display" : "Spiculated margin"
          }
        ]
      }
    ]
  }
}