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

Margin 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 "MarginVS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/ValueSet/MarginVS"];
  fhir:ValueSet.version [ fhir:value "0.2.0"];
  fhir:ValueSet.name [ fhir:value "MarginVS"];
  fhir:ValueSet.title [ fhir:value "Margin 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 "Margin ValueSet."];
  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/MarginCS" ];
       fhir:ValueSet.compose.include.concept [
         fhir:index 0;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "AngularMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Angular margin" ]       ], [
         fhir:index 1;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "CircumscribedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Circumscribed margin" ]       ], [
         fhir:index 2;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "IndistinctMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Indistinct margin" ]       ], [
         fhir:index 3;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "IntraductalExtension" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Intraductal extension" ]       ], [
         fhir:index 4;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "IrregularMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Irregular margin" ]       ], [
         fhir:index 5;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LobulatedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lobulated margin" ]       ], [
         fhir:index 6;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MacrolobulatedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Macrolobulated margin" ]       ], [
         fhir:index 7;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MicrolobulatedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Microlobulated margin" ]       ], [
         fhir:index 8;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "NonCircumscribedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Non circumscribed margin" ]       ], [
         fhir:index 9;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ObscuredMagin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Obscured magin" ]       ], [
         fhir:index 10;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SmoothMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Smooth margin" ]       ], [
         fhir:index 11;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SpiculatedMargin" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Spiculated margin" ]       ]     ]
  ].

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

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