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Margin ValueSet - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="MarginVS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Margin ValueSet</h2><div><p>Margin ValueSet.</p>
</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>
  </text>
  <url value="http://hl7.org/fhir/us/breast-radiology/ValueSet/MarginVS"/>
  <version value="0.2.0"/>
  <name value="MarginVS"/>
  <title value="Margin 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="Margin ValueSet."/>
  <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/MarginCS"/>
      <concept>
        <code value="AngularMargin"/>
        <display value="Angular margin"/>
      </concept>
      <concept>
        <code value="CircumscribedMargin"/>
        <display value="Circumscribed margin"/>
      </concept>
      <concept>
        <code value="IndistinctMargin"/>
        <display value="Indistinct margin"/>
      </concept>
      <concept>
        <code value="IntraductalExtension"/>
        <display value="Intraductal extension"/>
      </concept>
      <concept>
        <code value="IrregularMargin"/>
        <display value="Irregular margin"/>
      </concept>
      <concept>
        <code value="LobulatedMargin"/>
        <display value="Lobulated margin"/>
      </concept>
      <concept>
        <code value="MacrolobulatedMargin"/>
        <display value="Macrolobulated margin"/>
      </concept>
      <concept>
        <code value="MicrolobulatedMargin"/>
        <display value="Microlobulated margin"/>
      </concept>
      <concept>
        <code value="NonCircumscribedMargin"/>
        <display value="Non circumscribed margin"/>
      </concept>
      <concept>
        <code value="ObscuredMagin"/>
        <display value="Obscured magin"/>
      </concept>
      <concept>
        <code value="SmoothMargin"/>
        <display value="Smooth margin"/>
      </concept>
      <concept>
        <code value="SpiculatedMargin"/>
        <display value="Spiculated margin"/>
      </concept>
    </include>
  </compose>
</ValueSet>