Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania flag

Lithuanian Breast Diagnostics Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-breast/ and changes regularly. See the Directory of published versions

CodeSystem: Breast questionnaire answer options (illustrative) (Experimental)

Official URL: https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options Version: 0.0.1
Computable Name: BreastQuestionnaireOptions

Illustrative codes for Questionnaire answer options used in breast ESPBI-style forms. Register or replace with national coded values in production.

This Code system is referenced in the definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Language: en

This case-sensitive code system https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options defines the following codes:

CodeDisplay
yes Yes
no No
unknown Unknown
acr-a ACR A – Almost entirely fatty
acr-b ACR B – Scattered areas of fibroglandular density
acr-c ACR C – Heterogeneously dense
acr-d ACR D – Extremely dense
birads-0 BI-RADS 0 – Incomplete examination
birads-1 BI-RADS 1 – No changes found
birads-2 BI-RADS 2 – Benign changes found
birads-3 BI-RADS 3 – Possibly benign changes
birads-4 BI-RADS 4 – Suspicious malignant finding
birads-5 BI-RADS 5 – Highly probable malignant finding
finding-formation Formation (mass)
finding-calcification Calcification
finding-deformation Architectural deformation
finding-asymmetry Focal asymmetric tissue
dynamics-none Image without negative dynamics
dynamics-negative Negative dynamics observed
biopsy-us-guided Biopsy under ultrasound guidance
biopsy-xray-guided Biopsy under X-ray guidance
parenchyma-fatty Homogeneous adipose tissue
parenchyma-fibroglandular Homogeneous fibroglandular
parenchyma-heterogeneous Heterogeneous
nature-cyst Cyst
nature-lymph-node Breast lymph node
nature-fibroadenoma Fibroadenoma
nature-papilloma Papilloma
nature-lipoma Lipoma
nature-malignant Tumor (malignant)
nature-abscess Abscess
nature-other Other (free text)
ducts-normal Ducts not expanded
ducts-expanded Ducts expanded
right Right
left Left
ln-level-n1 N1
ln-level-n2 N2
ln-level-n3 N3
fixation-formalin Fixed (10% formalin buffered solution)
fixation-unfixed Unfixed
proc-none No important information
proc-biopsy Biopsy
proc-excision Excision
proc-other-operation Other operation
proc-chemotherapy Chemotherapy
proc-radiation Radiation (breast)
proc-immunotherapy Immunotherapy
op-thick-needle-biopsy Thick needle biopsy
op-excision Excision
op-other Other (free text)
ihc-negative Negative
ihc-weak Weak (+)
ihc-moderate Moderate (++)
ihc-strong Strong (+++)
her2-negative HER2: expression absent (0)
her2-low HER2: low immunohistochemical expression (1+)
her2-borderline HER2: expression borderline (2+)
her2-positive HER2: expression positive (3+)
her2-eval-0 HER2 evaluation: 0+
her2-eval-1 HER2 evaluation: 1+
her2-eval-2 HER2 evaluation: 2+
her2-eval-3 HER2 evaluation: 3+
fish-amplified FISH: HER2 amplified
fish-amplified-clusters FISH: amplified (clusters)
fish-co-amplified FISH: co-amplified (HER2>=6, HER2/CEP17<2)
fish-borderline FISH: borderline (4<=HER2<6, HER2/CEP17<2)
fish-monosomic FISH: monosomic (HER2<4, HER2/CEP17>=2)
fish-negative FISH: negative (HER2<4, HER2/CEP17<2)
fish-not-evaluated FISH: not to be evaluated
cish-amplified CISH/SISH: HER2 amplified
cish-not-amplified CISH/SISH: HER2 not amplified
cish-not-evaluated CISH/SISH: not to be evaluated
grade-g1 G1 (well-differentiated)
grade-g2 G2 (moderately differentiated)
grade-g3 G3 (poorly differentiated)
grade-gx Gx (degree of differentiation undetermined)
lvi-0 pLVI-0: not detected
lvi-1 pLVI-1: spreading, otherwise unclassified
lvi-2 pLVI-2: only in lymphatic vessels and small blood vessels
lvi-3 pLVI-3: only in veins (large, thick-walled blood vessels)
lvi-4 pLVI-4: present in both lymphatic vessels and veins
lvi-9 pLVI-9: undetectable/unknown
uoq Upper outer quadrant
uiq Upper inner quadrant
loq Lower outer quadrant
liq Lower inner quadrant
rec-mammographic-control Mammographic control
rec-additional-mammography Additional mammography
rec-spot-compression Local compression with magnification
rec-ultrasound Ultrasound examination
rec-breast-specialist Breast specialist consultation
rec-consultation Consultation with breast specialist
rec-biopsy-ultrasound Biopsy under ultrasound
rec-biopsy Biopsy indicated
rec-stereotactic-biopsy Stereotactic biopsy
rec-mri MRI examination
rec-next-mammography Next mammography after N months
rec-follow-up-6m Follow-up in 6 months
rec-biopsy-indicated Biopsy indicated

Description of the above table(s).