Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May

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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 "RecommendationsVS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Recommendations ValueSet</h2><div><p>Recommendations value set.</p>\n</div><ul><li>Include these codes as defined in <a href=\"CodeSystem-RecommendationsCodeSystemCS.html\"><code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/RecommendationsCodeSystemCS</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-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-3DImaging\">3DImaging</a></td><td>3D Imaging</td><td>Advanced Technology that takes multiple images, or <br/>X-rays, of breast tissue to recreate <br/>a 3-dimensional picture of the breast. <br/>Also called breast tomosynthesis. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-3DSpotCC\">3DSpotCC</a></td><td>3D spot CC</td><td>Advanced Technology that takes multiple images, or <br/>X-rays, of breast tissue to recreate <br/>a 3-dimensional picture of the breast. <br/>Cranial-Caudal (CC) is a 3D view from above the breast. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-3DSpotLM\">3DSpotLM</a></td><td>3D spot LM</td><td>Advanced Technology that takes multiple images, or <br/>X-rays, of breast tissue to recreate <br/>a 3-dimensional picture of the breast. <br/>Lateral-medial (LM) is <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-3DSpotML\">3DSpotML</a></td><td>3D spot ML</td><td>Advanced Technology that takes multiple images, or <br/>X-rays, of breast tissue to recreate <br/>a 3-dimensional picture of the breast. <br/>Mediolateral (ML) is <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-3DSpotMLO\">3DSpotMLO</a></td><td>3D spot MLO</td><td>Advanced Technology that takes multiple images, or <br/>X-rays, of breast tissue to recreate <br/>a 3-dimensional picture of the breast. <br/>Mediolateral-oblique (MLO) is <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-AdditionalViews\">AdditionalViews</a></td><td>Additional views</td><td>Additional views in Mammography, MRI and US, help <br/>increase the chances of finding <br/>any possible tumors in the breast. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-AddlitionalViewsWithPossibleUltrasound\">AddlitionalViewsWithPossibleUltrasound</a></td><td>Addlitional views with possible ultrasound</td><td>Additional views in a Mammogram, MRI or Ultrasound <br/>are recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-AxillaView\">AxillaView</a></td><td>Axilla view</td><td>An axillary view (also known as a &quot;Cleopatra view&quot;) <br/>is a type of view in mammography. It is <br/>an exaggerated craniocaudal view for better imaging <br/>of the lateral portion of the <br/>breast to the axillary tail. <br/>This projection is performed whenever we want to <br/>show a lesion seen only in the axillary <br/>tail on the MLO view. <br/>An optimal axillary view require to be clearly displayed <br/>the most lateral portion <br/>of the breast including the axillary tail, as well <br/>the pectoral muscle and the nipple <br/>in profile. <br/>[https://radiopaedia.org/articles/axillary-view?lang=us] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-AxillaryTailView\">AxillaryTailView</a></td><td>Axillary tail view</td><td>The tail of Spence (Spence's tail, axillary process, <br/>axillary tail) is an extension <br/>of the tissue of the breast that extends into the <br/>axilla. <br/>It is actually an extension of the upper lateral <br/>quadrant of the breast. <br/>It passes into the axilla through an opening in the <br/>deep fascia called foramen of <br/>Langer. <br/>[https://en.wikipedia.org/wiki/Tail_of_Spence] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Biopsy\">Biopsy</a></td><td>Biopsy</td><td>A biopsy is recommended. <br/>An examination under a microscope  of the specific <br/>tissue removed from the body. <br/>The examination is used to check for abnormalities <br/>or cancer cells. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-BiopsyBaseOnClinical\">BiopsyBaseOnClinical</a></td><td>Biopsy base on clinical</td><td>Based on the clinical exam, a biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CaudocranialView\">CaudocranialView</a></td><td>Caudocranial view</td><td>It is recommended that a Caudocranial view is captured <br/>by Ultrasound and/or Mammogram. <br/>It is useful for the study of breasts in the lower <br/>quadrants. <br/>The patient will bend forward at the waist to view <br/>the underside of the breast. <br/>Also called a reverse CC view. <br/>The reversed CC view is an additional view. <br/>It is useful for the study of breasts with surgical <br/>scars in the lower quadrants. <br/>The ability to see the scar through the compressor <br/>paddle offers to the mammographer <br/>the possibility to flatten it properly, reducing <br/>the formation of scar folds as well <br/>artifacts from false parenchymal distortion. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CCWithCompressionView\">CCWithCompressionView</a></td><td>CC with compression view</td><td>The recommendation is for a CC with compression view <br/>to be completed on an Ultrasound and/or Mammogram. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CCWithMagnificationView\">CCWithMagnificationView</a></td><td>CC with magnification view</td><td>The recommendation is for a CC with magnification <br/>view to be completed on an Ultrasound and/or Mammogram. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CleavageView\">CleavageView</a></td><td>Cleavage view</td><td>It is recommended that a cleavage view is captured <br/>via Mammogram and/or Ultrasound. <br/>Also called &quot;valley view&quot; is a mammogram view that <br/>images the most central portions <br/>of the breasts. <br/>To get as much central tissue as possible, the mammogram <br/>technologist will place <br/>both breasts on the plate at the same time to image <br/>the medial half of both breasts. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ClinicalConsultation\">ClinicalConsultation</a></td><td>Clinical consultation</td><td>A clinical consultation is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ClinicalCorrelation\">ClinicalCorrelation</a></td><td>Clinical correlation</td><td>The recommendation is for a clinicial correlation <br/>and/or comparison to be completed. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ClinicalFollow-up\">ClinicalFollow-up</a></td><td>Clinical follow-up</td><td>The recommendation is for a clinical follow-up to <br/>be completed. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CompareToPriorExams\">CompareToPriorExams</a></td><td>Compare to prior exams</td><td>The recommendation is for a compare to prior exams <br/>to be completed. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CompressionViews\">CompressionViews</a></td><td>Compression views</td><td>It is recommended that a compression view is admininstered <br/>via Mammogram or Ultrasound. <br/>All mammograms use compression of the breast. <br/>By applying compression to only a specific area of <br/>the breast, the effective pressure <br/>is increased on that spot. <br/>This results in better tissue separation and allows <br/>better visualization of the area <br/>of the breast needing additional examination. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ConeCompression\">ConeCompression</a></td><td>Cone compression</td><td>A cone compression is recommended to catch a specific <br/>spot or view during the mammogram <br/>and/or ultrasound. <br/>Spot views apply the compression to a smaller area <br/>of tissue using a small compression <br/>plate or &quot;cone&quot;. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CoreBiopsy\">CoreBiopsy</a></td><td>Core Biopsy</td><td>It is recommended that a core biopsy procedure is <br/>administered. <br/>It is a procedure where a needle is passed through <br/>the skin to take a sample of tissue <br/>from a mass or lump. <br/>The tissue is then examined under a microscope for <br/>any abnormalities. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CraniocaudalView\">CraniocaudalView</a></td><td>Craniocaudal view</td><td>Cranial-Caudal (CC) is a view from above the breast <br/>during a mammogram or ultrasound. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Cryoablation\">Cryoablation</a></td><td>Cryoablation</td><td>Uses imaging guidance, a needle-like applicator called <br/>a cryoprobe, and liquid nitrogen <br/>or argon gas to create intense cold to freeze and <br/>destroy diseased tissue, including <br/>cancer cells. <br/>It may be used to treat a variety of skin conditions <br/>as well as tumors within the <br/>liver, kidneys, bones, lungs and breasts. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CystAspiration\">CystAspiration</a></td><td>Cyst aspiration</td><td>A cyst aspiration is a procedure used to drain fluid <br/>from a breast cyst. <br/>The vast majority of cysts are benign (non-cancerous), <br/>though some are quite tender. <br/>Aspirating the fluid from a cyst may alleviate symptoms <br/>or discomfort. <br/>In some cases, specimens are sent to pathology. <br/>[www.carolmilgardbreastcenter.org &gt; Cyst_Aspiration] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-CystAspirationForRelief\">CystAspirationForRelief</a></td><td>Cyst aspiration for relief</td><td>One way to get relief from the pain of a cyst is <br/>to remove fluid from <br/>the cyst, thereby decreasing the pressure. <br/>This is called aspiration for relief. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-DiagnosticAspiration\">DiagnosticAspiration</a></td><td>Diagnostic aspiration</td><td>This is a fine needle aspiration and is a type of <br/>biopsy procedure. <br/>In fine needle aspiration, a thin needle is inserted <br/>into an area of abnormal-appearing <br/>tissue or body fluid. <br/>[https://www.webmd.com &gt; a-to-z-guides &gt; fine-needle-aspiration] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-DiagnosticMammogram\">DiagnosticMammogram</a></td><td>Diagnostic Mammogram</td><td>While screening mammograms are used as a routine <br/>check-up for breast health,  diagnostic <br/>mammograms are used after suspicious results on a <br/>screening mammogram or after some <br/>signs of breast cancer alert the physician to check <br/>the tissue.These signs may include <br/>a lump or breast pain. <br/>[https://www.nationalbreastcancer.org/diagnostic-mammogram] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-DrainageTube\">DrainageTube</a></td><td>Drainage tube</td><td>The recommendation is for a drainage tube to be attached <br/>to breast. <br/>A drainage tube is a tube used to remove pus, blood <br/>or other fluids from a wound. <br/>This is a common practice by surgeons or interventional <br/>radiologists. <br/>[https://en.wikipedia.org/wiki/Drain_(surgery)] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Ductography\">Ductography</a></td><td>Ductography</td><td>A ductogram, also called a galactogram, is a special <br/>type of mammogram used for imaging <br/>the breast ducts. <br/>It can aid in diagnosing the cause of abnormal nipple <br/>discharges. <br/>Ductography (also called galactography or ductogalactography) <br/>is a special type of <br/>contrast enhanced mammography used for imaging the <br/>breast ducts. <br/>Ductography can aid in diagnosing the cause of an <br/>abnormal nipple discharge and is <br/>valuable in diagnosing intraductal papillomas and <br/>other conditions. <br/>[https://www.imaginis.com/mammography/ductogram-galactogram-imaging-the-breast-ducts] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ExaggeratedCCViews\">ExaggeratedCCViews</a></td><td>Exaggerated CC views</td><td>An XCCL view is a supplementary mammographic view. <br/>It is a type of exaggerated cranio-caudal view. <br/>It is particularly good for imaging the lateral aspect <br/>of the breast. It is often <br/>done when a lesion is suspected on a MLO view but <br/>cannot be seen on the CC view. In <br/>this view, the lateral aspect of the breast is placed <br/>forward. <br/>One rationale of performing this view is that many <br/>cancers are located in the lateral <br/>aspect of the breast. <br/>An XCCM view is a supplementary mammographic view. <br/>It is a type of exaggerated cranio-caudal view. <br/>It is particularly good for imaging the medial portion <br/>of the breast. <br/>In this view, the medial portion of the breast is <br/>placed forward. <br/>A negative 15degrees tube tilt is suggested. <br/>An optimal XCCM view requires the most medial portion <br/>of the breast and the nipple <br/>in profile to be clearly displayed. <br/>[https://radiopaedia.org/articles/xccl-view?lang=us] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-FNABiopsy\">FNABiopsy</a></td><td>FNA biopsy</td><td>FNA stands for Fine needle aspiration and this is <br/>a type of biopsy procedure. <br/>In fine needle aspiration, a thin needle is inserted <br/>into an area of abnormal-appearing <br/>tissue or body fluid. <br/>As with other types of biopsies, the sample collected <br/>during fine needle aspiration <br/>can help make a diagnosis or rule out conditions <br/>such as cancer. <br/>[https://www.webmd.com/a-to-z-guides/fine-needle-aspiration#1] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Follow-up\">Follow-up</a></td><td>Follow-up</td><td>It is recommended to make a follow-up appointment. <br/><br/><br/>Valid for the following modalities: US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Followup3Months\">Followup3Months</a></td><td>Followup 3 months</td><td>It is recommended to make a follow-up appointment <br/>in 3 months. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Followup6Months\">Followup6Months</a></td><td>Followup 6 months</td><td>It is recommended to make a follow-up appointment <br/>in 6 months. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-IfPreviousShowNoChange\">IfPreviousShowNoChange</a></td><td>If previous show no change</td><td>The recommendation is for a if previous show no change <br/>to be completed. <br/><br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateralMagnificationView\">LateralMagnificationView</a></td><td>Lateral magnification view</td><td>The recommendation is for a Lateral magnification <br/>view to be completed on Mammogram and/or Ultrasound. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateralMedialView\">LateralMedialView</a></td><td>Lateral medial view</td><td>There are different views of the breast in mammography. <br/>For the LM view, the tube is lateral and the detector <br/>is placed medially <br/>LM view is best for evaluating medial lesions. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateralView\">LateralView</a></td><td>Lateral view</td><td>There are different views of the breast in mammography. <br/>The lateral view is a view obtained at virtually <br/>every diagnostic evaluation. <br/>A lateral view may be obtained as a mediolateral <br/>view (ML) or lateromedial view (LM) <br/>view depending on where the imaging tube and detector <br/>are located. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateralWithCompressionView\">LateralWithCompressionView</a></td><td>Lateral with compression view</td><td>The recommendation is for a Lateral with compression <br/>view to be completed on Mammogram. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateromedialOblique\">LateromedialOblique</a></td><td>Lateromedial oblique</td><td>The recommendation is for a lateromedial oblique <br/>view to be completed on Mammogram and/or Ultrasound. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LateromedialView\">LateromedialView</a></td><td>Lateromedial view</td><td>The recommendation is for a lateromedial view to <br/>be completed on Mammogram and/or Ultrasound. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-LymphNodeAssessment\">LymphNodeAssessment</a></td><td>Lymph node assessment</td><td>Lymph Node Exam. <br/>Palpation of the lymph nodes provides information <br/>about the possible presence of <br/>a malignant or inflammatory process and the localization <br/>or generalization of that <br/>process. <br/>[https://stanfordmedicine25.stanford.edu/the25/lymph.html] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MagnificationViews\">MagnificationViews</a></td><td>Magnification views</td><td>A magnification view in mammography is performed <br/>to evaluate and count microcalcifications and <br/>its extension (as well the assessment of the borders <br/>and the tissue structures of <br/>a suspicious area or a mass) by using a magnification <br/>device which brings the breast <br/>away from the film plate and closer to the x-ray <br/>source. <br/>This allows the acquisition of magnified images (1.5x <br/>to 2x magnification) of the <br/>region of interest. radiopaedia.org &gt; articles &gt; magnification-view-mammography <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Mammogram\">Mammogram</a></td><td>Mammogram</td><td>A mammogram is an X-Ray picture of the breast. <br/>It is used to look for early signs of breast cancer. <br/><br/><br/>Valid for the following modalities: MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Mammogram3MonthFollow-up\">Mammogram3MonthFollow-up</a></td><td>Mammogram 3 month follow-up</td><td>A three month follow-up is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Mammogram6MonthFollow-up\">Mammogram6MonthFollow-up</a></td><td>Mammogram 6 month follow-up</td><td>A six month follow-up is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MammogramAndUltrasound3MonthFollow-up\">MammogramAndUltrasound3MonthFollow-up</a></td><td>Mammogram and ultrasound 3 month follow-up</td><td>A three month follow-up with ultrasound is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MammogramAndUltrasound6MonthFollow-up\">MammogramAndUltrasound6MonthFollow-up</a></td><td>Mammogram and ultrasound 6 month follow-up</td><td>A six month follow-up with ultrasound is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MediolateralObliqueView\">MediolateralObliqueView</a></td><td>Mediolateral oblique view</td><td>A mediolateral oblique view is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MediolateralView\">MediolateralView</a></td><td>Mediolateral view</td><td>A mediolateral view is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MLOWithCompressionView\">MLOWithCompressionView</a></td><td>MLO with compression view</td><td>An additional MLO with compression view of the breast <br/>is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MLOWithMagnificationView\">MLOWithMagnificationView</a></td><td>MLO with magnification view</td><td>An additional MLO with magnification view of the <br/>breast is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MRI\">MRI</a></td><td>MRI</td><td>An MRI is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MRIBiopsy\">MRIBiopsy</a></td><td>MRI biopsy</td><td>An MRI with biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-MRIFollow-up\">MRIFollow-up</a></td><td>MRI follow-up</td><td>An MRI follow-up is recommended. <br/><br/><br/>Valid for the following modalities: MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-NeedleLocationAndSurgicalBiopsy\">NeedleLocationAndSurgicalBiopsy</a></td><td>Needle location and surgical biopsy</td><td>A Needle localization and surgical biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-NippleInProfileView\">NippleInProfileView</a></td><td>Nipple in profile view</td><td>A technically adequate exam has the nipple in profile, <br/>allows visualization of the <br/>inframammary fold and includes the pectoralis muscle <br/>extending down to the posterior <br/>nipple line (an oblique line drawn straight back <br/>from the nipple.) <br/>[https://www.mammoguide.com/mammo-techniques.html] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-OffAngleCCView\">OffAngleCCView</a></td><td>Off angle CC view</td><td>An additional off angle CC view of the breast is <br/>recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-OffAngleMLOView\">OffAngleMLOView</a></td><td>Off angle MLO view</td><td>An additional off angle MLO  view of the breast is <br/>recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Poss.46StereotacticBx\">Poss.StereotacticBx</a></td><td>Poss. Stereotactic Bx</td><td>Stereotactic breast biopsy uses mammography - a specific <br/>type of breast imaging that <br/>uses low-dose x-rays - to help locate a breast abnormality <br/>and remove a tissue sample <br/>for examination under a microscope. <br/>It's less invasive than surgical biopsy, leaves little <br/>to no scarring and can be <br/>an excellent way to evaluate calcium deposits or <br/>tiny masses that are not visible <br/>on ultrasound. <br/>[https://www.radiologyinfo.org/en/info.cfm?pg=breastbixr] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleCoreBiopsy\">PossibleCoreBiopsy</a></td><td>Possible core biopsy</td><td>A core needle biopsy (CNB)  uses a hollow needle <br/>to take out pieces of breast tissue from <br/>a suspicious area in an imaging test. <br/>The needle may be attached to a spring-loaded tool <br/>that moves the needle in and out <br/>of the tissue quickly, or it may be attached to a <br/>suction device that helps pull <br/>breast tissue into the needle. <br/>A small cylinder (core) of tissue is taken out in <br/>the needle. <br/>Several cores are often removed. <br/>[https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-biopsy/core-needle-biopsy-of-the-breast.html] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleDiagnosticMammogram\">PossibleDiagnosticMammogram</a></td><td>Possible Diagnostic Mammogram</td><td>A possible diagnostic mammogram is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleStereotacticVacuumBiopsy\">PossibleStereotacticVacuumBiopsy</a></td><td>Possible stereotactic vacuum biopsy</td><td>Based on the results of the mammogram, a possible <br/>stereotactic vacuum biopsy is recommended. <br/>During this type of biopsy, small samples of tissue <br/>are removed from the breast using <br/>a hollow needle, which is precisely guided to the <br/>correct location using x-rays and <br/>computer generated coordinates of the concerning <br/>area of breast tissue. <br/>[https://www.genesishealth.com/care-treatment/cancer/treat/breast/diagnosis/sterotactic_vacuum/] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleSurgicalConsult\">PossibleSurgicalConsult</a></td><td>Possible surgical consult</td><td>A possible surgical consultation may be recommended. <br/><br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleSurgicalEvaluation\">PossibleSurgicalEvaluation</a></td><td>Possible surgical evaluation</td><td>A possible surgical evaluation is recommended. <br/><br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleUltrasound\">PossibleUltrasound</a></td><td>Possible ultrasound</td><td>A possible ultrasound is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleUltrasoundGuidedBiopsy\">PossibleUltrasoundGuidedBiopsy</a></td><td>Possible ultrasound guided biopsy</td><td>A possible ultrasound guided biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-PossibleVacuumBiopsy\">PossibleVacuumBiopsy</a></td><td>Possible vacuum biopsy</td><td>A possible vacuum biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-RepeatCCView\">RepeatCCView</a></td><td>Repeat CC view</td><td>Another CC view of Mammogram is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-RepeatMLOView\">RepeatMLOView</a></td><td>Repeat MLO view</td><td>Another MLO view of Mammogram is recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-RolledLateralView\">RolledLateralView</a></td><td>Rolled lateral view</td><td>A rolled CC lateral view is recommended. <br/>A rolled CC view Is performed to locate a lesion <br/>only visible in the cranio-caudal <br/>view, or when overlapped tissues in the standard <br/>view can simulate or partially conceal <br/>a lesion: changing of  tissues distribution  allows <br/>to determine whether or not its <br/>presence. <br/>When the lesion identified moves medially or laterally <br/>respect to the standard projection, <br/>it is possible to determine in which quadrant it <br/>is localized. <br/>The breast is positioned on the image receptor as <br/>for the cranio-caudal view, then <br/>is rotated medially or laterally around the axis <br/>of the nipple prior to applying <br/>compression. <br/>[https://radiopaedia.org/articles/rolled-cc-view-1?lang=us] <br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-RolledMedialView\">RolledMedialView</a></td><td>Rolled medial view</td><td>A rolled medial view is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-ScintimammogramGuidedBiopsy\">ScintimammogramGuidedBiopsy</a></td><td>Scintimammogram Guided Biopsy</td><td>A Scintimammogram guided biopsy is recommended. <br/>This is performed by taking samples of an abnormality <br/>under guidance from the Scintimammogram. <br/>Scintimammography uses small amounts of radioactive <br/>material, a special camera and a computer to help <br/>investigate a breast abnormality. <br/>This helps to guide the radiologist's biopsy equipment <br/><br/>to the site of the imaging abnormality. <br/>[https://www.radiologyinfo.org/en/info.cfm?pg=breastbixr] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Scintimammography\">Scintimammography</a></td><td>Scintimammography</td><td>A scintimammogram is recommended. <br/>Scintimammography is also known as nuclear medicine <br/>breast imaging, Breast Specific <br/>Gamma Imaging (BSGI) and Molecular Breast Imaging <br/>(MBI). <br/>This type of exam is used to investigate a breast <br/>abnormality found with mammography. <br/>Scintimammography uses small amounts of radioactive <br/>material, a special camera and <br/>a computer to help investigate a breast abnormality. <br/>Scintimammography can detect cancer even when dense <br/>breast tissue and breast implants <br/>are present. <br/>It can reduce unnecessary procedures by helping determine <br/>whether a biopsy is needed. <br/>[https://www.radiologyinfo.org/en/info.cfm?pg=scintimammo] <br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SpotCompression\">SpotCompression</a></td><td>Spot compression</td><td>A spot compression is recommended. <br/>A spot view (also known as a spot compression view <br/>or focal compression view) is <br/>an additional mammographic view performed by applying <br/>the compression to a smaller <br/>area of tissue using a small compression paddle, <br/>increasing the effective pressure <br/>on that spot. <br/>This results in better tissue separation and allows <br/>better visualization of the breast <br/>tissue in that area. <br/>It is used to distinguish between the presence of <br/>a true lesion and an overlap of <br/>tissues, as well to better show the borders of an <br/>abnormality or questionable area <br/>or a little cluster of faint microcalcifications <br/>in a dense area. <br/>[https://radiopaedia.org/articles/spot-view-mammography?lang=us] <br/><br/>Valid for the following modalities: MG US NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SpotMagnificationViews\">SpotMagnificationViews</a></td><td>Spot magnification views</td><td>Spot magnification views are recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-StereotacticBx\">StereotacticBx</a></td><td>Stereotactic bx</td><td>A stereotactic biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SuperolateralIOView\">SuperolateralIOView</a></td><td>Superolateral IO view</td><td>A superolateral IO view is recommended. <br/>The view of the upper outer quadrant of the breast. <br/>This is the quadrant of the breast that is closest <br/>to the armpit. <br/>There are 4 quadrants in the anatomy of a breast. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalBiopsy\">SurgicalBiopsy</a></td><td>Surgical biopsy</td><td>A surgical biopsy is recommended. <br/>A surgical biopsy is a procedure that involves the <br/>surgical removal of tissue from <br/>a lump or mass for examination under a microscope. <br/>This test may also be called an open biopsy. <br/>Surgical biopsies can be excisional (removal of an <br/>entire lump or abnormal area) <br/>or incisional (removal of a piece of a lump or abnormal <br/>area). <br/>[https://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/surgical-biopsy/?region=on] <br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalConsult\">SurgicalConsult</a></td><td>Surgical consult</td><td>A surgical consult is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalConsultAndBiopsy\">SurgicalConsultAndBiopsy</a></td><td>Surgical consult and biopsy</td><td>A surgical consult and biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalEvaluation\">SurgicalEvaluation</a></td><td>Surgical evaluation</td><td>The recommendation is for a surgical evaluation. <br/><br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalExcision\">SurgicalExcision</a></td><td>Surgical excision</td><td>The recommendation is for a surgical excision. <br/><br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalOncologicEvaluation\">SurgicalOncologicEvaluation</a></td><td>Surgical oncologic evaluation</td><td>The recommendation is for a surgical oncologic evaluation. <br/><br/><br/>Valid for the following modalities: NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-SurgicalOncologicalConsult\">SurgicalOncologicalConsult</a></td><td>Surgical oncological consult</td><td>The recommendation is for a surgical oncologic consult. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-TangentialView\">TangentialView</a></td><td>Tangential view</td><td>A tangential view is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-TangentialViews\">TangentialViews</a></td><td>Tangential views</td><td>Tangential views are recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Ultrasound\">Ultrasound</a></td><td>Ultrasound</td><td>An ultrasound is recommended. <br/><br/><br/>Valid for the following modalities: MG MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Ultrasound2ndLook\">Ultrasound2ndLook</a></td><td>Ultrasound 2nd Look</td><td>An additional ultrasound is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Ultrasound3MonthFollow-up\">Ultrasound3MonthFollow-up</a></td><td>Ultrasound 3 month follow-up</td><td>An additional ultrasound is recommended in a 3 month <br/>follow-up. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Ultrasound6MonthFollow-up\">Ultrasound6MonthFollow-up</a></td><td>Ultrasound 6 month follow-up</td><td>An additional ultrasound is recommended in a 3 month <br/>follow-up. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-UltrasoundGuidedBx\">UltrasoundGuidedBx</a></td><td>Ultrasound guided bx</td><td>An ultrasound guided biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US MRI NM.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-UltrasoundLocationAndSurgicalBiopsy\">UltrasoundLocationAndSurgicalBiopsy</a></td><td>Ultrasound location and surgical biopsy</td><td>An ultrasound localized and surgical biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-UltrasoundWithPossibleAddlitonalViews\">UltrasoundWithPossibleAddlitonalViews</a></td><td>Ultrasound with possible addlitonal views</td><td>An ultrasound with possible additional views are <br/>recommended. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-Unspecified.47Other\">Unspecified/Other</a></td><td>Unspecified / other</td><td>Unspecified / other <br/><br/><br/>Valid for the following modalities: US MRI.</td></tr><tr><td><a href=\"CodeSystem-RecommendationsCodeSystemCS.html#RecommendationsCodeSystemCS-VacuumBx\">VacuumBx</a></td><td>Vacuum Bx</td><td>A vacuum biopsy is recommended. <br/><br/><br/>Valid for the following modalities: MG US.</td></tr></table></li></ul></div>"
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cleavage view" ]       ], [
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         fhir:ValueSet.compose.include.concept.code [ fhir:value "ClinicalCorrelation" ];
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Compare to prior exams" ]       ], [
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Compression views" ]       ], [
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         fhir:ValueSet.compose.include.concept.code [ fhir:value "CraniocaudalView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Craniocaudal view" ]       ], [
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cryoablation" ]       ], [
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         fhir:ValueSet.compose.include.concept.code [ fhir:value "CystAspiration" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cyst aspiration" ]       ], [
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cyst aspiration for relief" ]       ], [
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         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diagnostic Mammogram" ]       ], [
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         fhir:ValueSet.compose.include.concept.code [ fhir:value "DrainageTube" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Drainage tube" ]       ], [
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         fhir:index 39;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LateralWithCompressionView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lateral with compression view" ]       ], [
         fhir:index 40;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LateromedialOblique" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lateromedial oblique" ]       ], [
         fhir:index 41;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LateromedialView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lateromedial view" ]       ], [
         fhir:index 42;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "LymphNodeAssessment" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Lymph node assessment" ]       ], [
         fhir:index 43;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MagnificationViews" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Magnification views" ]       ], [
         fhir:index 44;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Mammogram" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mammogram" ]       ], [
         fhir:index 45;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Mammogram3MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mammogram 3 month follow-up" ]       ], [
         fhir:index 46;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Mammogram6MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mammogram 6 month follow-up" ]       ], [
         fhir:index 47;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MammogramAndUltrasound3MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mammogram and ultrasound 3 month follow-up" ]       ], [
         fhir:index 48;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MammogramAndUltrasound6MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mammogram and ultrasound 6 month follow-up" ]       ], [
         fhir:index 49;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MediolateralObliqueView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mediolateral oblique view" ]       ], [
         fhir:index 50;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MediolateralView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mediolateral view" ]       ], [
         fhir:index 51;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MLOWithCompressionView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "MLO with compression view" ]       ], [
         fhir:index 52;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MLOWithMagnificationView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "MLO with magnification view" ]       ], [
         fhir:index 53;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MRI" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "MRI" ]       ], [
         fhir:index 54;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MRIBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "MRI biopsy" ]       ], [
         fhir:index 55;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "MRIFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "MRI follow-up" ]       ], [
         fhir:index 56;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "NeedleLocationAndSurgicalBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Needle location and surgical biopsy" ]       ], [
         fhir:index 57;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "NippleInProfileView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nipple in profile view" ]       ], [
         fhir:index 58;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "OffAngleCCView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Off angle CC view" ]       ], [
         fhir:index 59;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "OffAngleMLOView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Off angle MLO view" ]       ], [
         fhir:index 60;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Poss.StereotacticBx" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Poss. Stereotactic Bx" ]       ], [
         fhir:index 61;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleCoreBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible core biopsy" ]       ], [
         fhir:index 62;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleDiagnosticMammogram" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible Diagnostic Mammogram" ]       ], [
         fhir:index 63;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleStereotacticVacuumBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible stereotactic vacuum biopsy" ]       ], [
         fhir:index 64;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleSurgicalConsult" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible surgical consult" ]       ], [
         fhir:index 65;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleSurgicalEvaluation" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible surgical evaluation" ]       ], [
         fhir:index 66;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleUltrasound" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible ultrasound" ]       ], [
         fhir:index 67;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleUltrasoundGuidedBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible ultrasound guided biopsy" ]       ], [
         fhir:index 68;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "PossibleVacuumBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Possible vacuum biopsy" ]       ], [
         fhir:index 69;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "RepeatCCView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repeat CC view" ]       ], [
         fhir:index 70;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "RepeatMLOView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Repeat MLO view" ]       ], [
         fhir:index 71;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "RolledLateralView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rolled lateral view" ]       ], [
         fhir:index 72;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "RolledMedialView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rolled medial view" ]       ], [
         fhir:index 73;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ScintimammogramGuidedBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Scintimammogram Guided Biopsy" ]       ], [
         fhir:index 74;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Scintimammography" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Scintimammography" ]       ], [
         fhir:index 75;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SpotCompression" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Spot compression" ]       ], [
         fhir:index 76;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SpotMagnificationViews" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Spot magnification views" ]       ], [
         fhir:index 77;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "StereotacticBx" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Stereotactic bx" ]       ], [
         fhir:index 78;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SuperolateralIOView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Superolateral IO view" ]       ], [
         fhir:index 79;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical biopsy" ]       ], [
         fhir:index 80;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalConsult" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical consult" ]       ], [
         fhir:index 81;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalConsultAndBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical consult and biopsy" ]       ], [
         fhir:index 82;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalEvaluation" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical evaluation" ]       ], [
         fhir:index 83;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalExcision" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical excision" ]       ], [
         fhir:index 84;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalOncologicEvaluation" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical oncologic evaluation" ]       ], [
         fhir:index 85;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "SurgicalOncologicalConsult" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical oncological consult" ]       ], [
         fhir:index 86;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "TangentialView" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Tangential view" ]       ], [
         fhir:index 87;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "TangentialViews" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Tangential views" ]       ], [
         fhir:index 88;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Ultrasound" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound" ]       ], [
         fhir:index 89;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Ultrasound2ndLook" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound 2nd Look" ]       ], [
         fhir:index 90;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Ultrasound3MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound 3 month follow-up" ]       ], [
         fhir:index 91;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Ultrasound6MonthFollow-up" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound 6 month follow-up" ]       ], [
         fhir:index 92;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "UltrasoundGuidedBx" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound guided bx" ]       ], [
         fhir:index 93;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "UltrasoundLocationAndSurgicalBiopsy" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound location and surgical biopsy" ]       ], [
         fhir:index 94;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "UltrasoundWithPossibleAddlitonalViews" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Ultrasound with possible addlitonal views" ]       ], [
         fhir:index 95;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "Unspecified/Other" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unspecified / other" ]       ], [
         fhir:index 96;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "VacuumBx" ];
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Vacuum Bx" ]       ]     ]
  ].

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

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