Breast Imaging Reporting - 2nd STU ballot
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Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions

ValueSet: RDE1579 Margin (Experimental)

Official URL: http://hl7.org/fhir/us/breast-radiology/ValueSet/rde1579-margin Version: 0.3.0
Draft as of 2022-10-25 Computable Name: RDE1579_Margin

Copyright/Legal: This value set includes content from ACR RadElement, which is Copyright© 2022, Radiological Society of North America. ALL RIGHTS RESERVED.

ACR Common Data Element (CDE) {element.Id} value set”

References

Logical Definition (CLD)

 

Expansion

This value set contains 13 concepts

Expansion based on RadLex CDE's v0.3.0 (CodeSystem)

LevelCodeSystemDisplayDefinition
1  RDE1579http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEMargin

RDE1579

2    RDE1579_angularhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEangular

Some or all of the margin has sharp corners, often forming acute angles. The margin of the mass is not circumscribed.

2    RDE1579_circumscribedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcircumscribed

A circumscribed margin is one that is well defined, with an abrupt transition between the lesion and the surrounding tissue. For US, to describe a mass as circumscribed, its entire margin must be sharply defined. Most circumscribed lesions have round or oval shapes.

2    RDE1579_indistincthttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEindistinct

There is no clear demarcation of the entire margin, or of any portion of the margin, from the surrounding tissue. For mammography, this descriptor should not be used when the interpreting physician believes it is likely due to immediately adjacent breast tissue. Use of this descriptor usually implies a suspicious finding.

2    RDE1579_intraductalExtensionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEintraductalextension

Intraductal tumor extension is a characteristic feature of primary breast carcinoma, and is an important consideration in patients undergoing breast conservative surgery.

2    RDE1579_irregularhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEirregular

Edges around the soft tissue that don't look smooth. Indicative of some sort of growth or mass rather than a cyst.

2    RDE1579_lobulatedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDElobulated

The edge of the mass has broad bulges. Much like a 6 or 8 leaf clover. The edge of all of the leaves would be considered lobulated.

2    RDE1579_macrolobulatedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEmacrolobulated

Smooth margin with distinct separation between the mass and the surrounding border. Macrolobulaed margins are oval-shaped and have a wide rather than tall formation.

2    RDE1579_microlobulatedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEmicrolobulated

The margin is characterized by short-cycle undulations or scalloped appearance, and the margin of the mass is not circumscribed.

2    RDE1579_nonCircumscribedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEnoncircumscribed

The mass has one or more of the following features: indistinct, angular, microlobulated, or spiculated in any portion of the margin There is not a clear demarcation between the mass and the surrounding tissue.

2    RDE1579_obscuredhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEobscured

It is hidden by superimposed or adjacent fibroglandular tissue. This is used primarily when some of the margin of the mass is circumscribed, but the rest (more than 25%) is hidden.

2    RDE1579_smoothhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEsmooth

The edges of the mass have a smooth appearance and distinct separation between the mass and surrounding tissue.

2    RDE1579_spiculatedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEspiculated

The margin is characterized by sharp lines radiating from the mass, often a sign of malignancy, but the significant feature is that the margin of the mass is not circumscribed.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code