Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build United States of America flag

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: RDE1571 Associated features (Experimental)

Official URL: http://hl7.org/fhir/us/breast-radiology/ValueSet/rde1571-associated-features Version: 0.3.0
Draft as of 2022-11-16 Computable Name: RDE1571_AssociatedFeatures

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 32 concepts

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

LevelCodeSystemDisplayDefinition
1  RDE1571http://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEAssociated features

RDE1571

2    RDE1571_architecturalDistortionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEarchitecturaldistortion

f the mass blurs a tissue plane between fat and fibroglandular tissue or if the mass produces distortion of the ducts, these findings may be termed architectural distortion.

2    RDE1571_axillaryAdenopathyhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEaxillaryadenopathy

Enlarged axillary (under the armpit) lymph nodes. Additional evaluation is needed to determine the cause.

2    RDE1571_biopsyCliphttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEbiopsyclip

Tissue marker placement after image-guided breast biopsy has become a routine component of clinical practice. Marker placement distinguishes multiple biopsied lesions within the same breast, prevents re-biopsy of benign lesions, enables multi-modality correlation, guides pre-operative localization and helps confirm surgical target removal.

2    RDE1571_brachytherapyTubehttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEbrachytherapytube

Brachytherapy may be temporary or permanent. Temporary brachytherapy places radioactive material inside a catheter for a specific amount of time and then it is removed. It is given at a low-dose rate (LDR) or high-dose rate (HDR). Permanent brachytherapy is also called seed implantation. It puts radioactive seeds (about the size of a grain of rice) in or near the tumor permanently. After several months, the seeds lose their radioactivity.

2    RDE1571_chestWallInvasionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEchestwallinvasion

A tumor of the lung that has invaded the chest wall.

2    RDE1571_cooperDistortedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcooperdistorted

Cooper's ligaments support the breasts on the chest wall, maintain their contour, and keep them in position. Breasts become distorted if cancerous tumors grow on the ligaments.

2    RDE1571_cooperThickenedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcooperthickened

Cooper's ligaments support the breasts on the chest wall, maintain their contour, and keep them in position. These support breast tissue; and can become contracted in cancer of breast, producing dimples in overlying skin. Thickening occurs when there are skin changes usually associated with the presence of a mass, benign or malignant, that causes shortening in the Coopers ligaments due to fibrosis.

2    RDE1571_edemahttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEedema

Edema (swelling of the breasts) may be due to blockage of subdermal lymphatics by tumor cells or an inflammatory process within the breast or axilla.

2    RDE1571_edemaAdjhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEedemaadj

This is swelling of one or both breasts. A mammographic pattern of skin thickening, increased parenchymal density, and interstitial marking.

2    RDE1571_goldSeedhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEgoldseed

Tiny, gold seeds, about the size of a grain of rice, that are put in and/or around a tumor to show exactly where it is in the body. The tumor can then be directly targeted and be given higher doses of radiation with less harm to nearby healthy tissue. Also called gold fiducial marker seeds, gold fiducial markers, and gold-seed fiducial markers.

2    RDE1571_hematomahttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEhematoma

A hematoma is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries.

2    RDE1571_nippleRetractionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEnippleretraction

Retracted nipples lie flat against the areola. The condition can be the result of inflammation or scarring of the tissue behind the nipple, and caused by numerous conditions, not just cancer. In the case of breast cancer, nipple retraction occurs when the tumor attacks the duct behind the nipple, pulling it in.

2    RDE1571_noChestWallInvasionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEnochestwallinvasion

The mass has not attached itself to the chest wall.

2    RDE1571_pectoralisMuscleInvasionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEpectoralismuscleinvasion

Pectoralis muscle invasion is when a tumor has become large enough to invade into the pectoralis muscle.

2    RDE1571_pectoralisMuscleInvolvementhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEpectoralismuscleinvolvement

Pectoralis muscle involvement of the tumor has been detected on the MRI by muscle enhancement with obliteration of the fat plane between the tumor and the muscle.

2    RDE1571_pectoralisMuscleTentinghttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEpectoralismuscletenting

The tent sign is a term referring to a characteristic appearance of the posterior edge of the breast parenchyma when a mass (usually an infiltrating lesion) causes its retraction and forms an inverted 'V' that resembles the tip of a circus tent.

2    RDE1571_postSurgicalScarhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEpostsurgicalscar

Post surgical scarring happens because of the incisions needed to surgically remove tumor, cells, etc. The amount of scarring is connected to the different stages of wound healing. Surgical scar care should be continued for a year.

2    RDE1571_seromahttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEseroma

A breast seroma is a collection (pocket) of serous fluid that can develop after trauma to the breast or following procedures such as breast surgery or radiation therapy. Serous fluid is a pale yellow, transparent fluid that contains protein, but no blood cells or pus.

2    RDE1571_skinInvolvementhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEskininvolvement

The mass or lesion has attached itself to the skin of the breast. There are several layers of skin that the mass or lesion can penetrate and that is what determines the level of skin invasion.

2    RDE1571_skinLesionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEskinlesion

A skin lesion is a part of the skin that has an abnormal growth or appearance compared to the skin around it.In order to diagnose a skin lesion, a full physical exam is necessary.

2    RDE1571_skinRetractionhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEskinretraction

Skin retraction (or inversion) or Skin retraction. Breast cancers that are located near the skin or nipple may cause scarring within the breast that pulls at the nipple or nearby skin. Skin and nipple retraction are more obvious when a woman raises her arms above her head or leans forward.

2    RDE1571_skinThickeninghttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEskinthickening

The presence of skin thickening on mammography is variably defined, usually being more than 2 mm in thickness. It can result from a number of both benign and malignant causes.

2    RDE1571_surgicalCliphttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEsurgicalclip

Most surgical clips are currently made of titanium, and as many as 30 to 40 clips may be used during a single surgical procedure. Surgical clips may remain inside the patient's body after the wounds are healed.

2    RDE1571_trabecularThickeninghttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEtrabecularthickening

Trabecular thickening-thickening of the Cooper's ligaments and fibrous stroma-is an imaging finding of breast edema, usually secondary to dilated lymphatics. Skin thickening and trabecular thickening often occur together, and they have similar differential diagnoses.

2    RDE1571_calcificationInMasshttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcalcificationinmass

Calcifications usually can't be felt, but appear on a mammogram. Depending on how calcifications are clustered; shape, size, and number, further tests may be necessary. Larger 'macrocalcifications' are usually not associated with cancer.

2    RDE1571_calcificationNotOnMammogramhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcalcificationnotonmammogram

Calcifications usually can't be felt, but appear on a mammogram. Calcifications can be clustered and their shape, size, and number. Large 'macrocalcifications' are usually not associated with cancer.

2    RDE1571_calcificationOnMammogramhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcalcificationonmammogram

Calcifications are small deposits of calcium that show up on mammograms as bright white specks or dots on the soft tissue background of the breasts. The calcium readily absorbs the X-rays from mammograms

2    RDE1571_calcificationshttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEcalcifications

Calcifications are small deposits of calcium that show up on mammograms as bright white specks or dots on the soft tissue background of the breasts.

2    RDE1571_microCalcificationshttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEmicrocalcifications

Micro-calcifications show up as fine, white specks in a mammogram, similar to grains of salt; usually noncancerous, but certain patterns can be an early sign of cancer.

2    RDE1571_milkOfCalciumhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDEmilkofcalcium

The term milk of calcium (MOC) is given to dependent, sedimented calcification within a cystic structure or hollow organ. This sort of colloidal calcium suspension layering can occur in various regions.

2    RDE1571_rimCalcificationshttp://hl7.org/fhir/us/breast-radiology/CodeSystem/RadLexCDErimcalcifications

These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere. Although fat necrosis can produce these thin deposits, calcifications in the wall of cysts are the most common 'rim' calcifications.


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