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 and changes regularly. See the Directory of published versions


Official URL: Version: 0.3.0
Active as of 2022-12-07 Computable Name: BreastImagingReporting2ndSTUballot


Breast radiology is the branch of medicine which is predominantly focused on screening, diagnosing and guiding treatment of breast cancer.

The FHIR artifacts defined in this IG are designed to capture, store, and communicate the data from a Breast Radiology Exam to support the screening, diagnosing, and treament of breast cancer.


This ballot focuses on defining the FHIR artifacts needed to support Mammography examinations in the US realm.

In later ballot(s) we intend to add the following:

  • FHIR artifacts to support ultrasound based findings.
  • FHIR artifacts to support magnetic resonance imaging based findings.
  • FHIR artifacts to support nuclear medicine based findings.
  • Harmonization of terminology with standardized terminology sources such as SNOMED, LOINC, RxNorm, and SOLOR.
  • Modifications to support non-us realm examinations.
  • Enhancements to support CAD/AI based findings and determinations.
  • Enhancements for provenance, security and signing.

Technical Overview

The main sections of this IG are:


The following people have had primary responsible for the creation of this Implementation Guide and its associated profiles.
  • Kurt W. Allen, Eir Solutions, Minneapolis MN.
  • Richard Esmond, CTO, Penrad Technologies, Buffalo MN.
  • Doina Popescu, Sr. Engineering Manager, Volpara Solutions, Seattle WA.
  • Brian J Bialecki, Director of IT Standards and Interoperability, American College of Radiology.

Committed Implementers

The following companies have committed to supporting and implementing this specification in their Mammography Products.
  • Penrad Technologies
  • Volpara Solutions
  • MagView

Major sources of information

Information sources consulted for the development of this IG include:

Trade Marks

  • "Snomed" and "Snomed CT" are registered trademarks of International Health Terminology Standards Development Organisation(IHTSDO).
  • "LOINC" and "RELMA" are registered trademarks of Regenstrief Institute, Inc.
  • "RxNORM" is a registered trademarks of the National Library of Medicine.
  • "BiRads" is a registered trademarks of the American College of Radiology (ACR).

Terminology Sources

This ballot version of the Breast Radiology Specification contains minimal LOINC and SNOMED codings. The vast majority of the terminology defined herein are locally defined code systems and codes. Future versions of this specification will define and utilize codes from LOINC, SNOMED, RxNORM, and/or SOLOR rather than the locally defined codes used in this version.

Web References

The following are external web sites that are referenced by this Implementation guide.