Lithuanian Breast Diagnostics Implementation Guide
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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

: WHO Breast Tumor Classification

Draft as of 2026-03-29

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{
  "resourceType" : "ValueSet",
  "id" : "breast-tumor-who-classification",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ValueSet breast-tumor-who-classification</b></p><a name=\"breast-tumor-who-classification\"> </a><a name=\"hcbreast-tumor-who-classification\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/290084006\">290084006</a></td><td>Breast normal (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/472906008\">472906008</a></td><td>Usual ductal hyperplasia (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/55465005\">55465005</a></td><td>Columnar cell atypia (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/6660000\">6660000</a></td><td>Atypical intraductal hyperplasia (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/50916005\">50916005</a></td><td>Fibrosing adenosis (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/36318001\">36318001</a></td><td>Apocrine adenoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/133855003\">133855003</a></td><td>Radial scar (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1156654007\">1156654007</a></td><td>Benign tubular adenoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128651002\">128651002</a></td><td>Lactating adenoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/5244003\">5244003</a></td><td>Intraductal papilloma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/8360001\">8360001</a></td><td>Pleomorphic adenoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128765009\">128765009</a></td><td>Adenomyoepithelioma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703644009\">703644009</a></td><td>Adenomyoepithelioma with carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/30566004\">30566004</a></td><td>Noninfiltrating intraductal papillary adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703545003\">703545003</a></td><td>Encapsulated papillary carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703547006\">703547006</a></td><td>Encapsulated papillary carcinoma with invasion (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/734075007\">734075007</a></td><td>Intraductal papillary neoplasm with invasive carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703546002\">703546002</a></td><td>Solid papillary carcinoma in situ (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703594003\">703594003</a></td><td>Solid papillary carcinoma with invasion (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/33889003\">33889003</a></td><td>Atypical lobular hyperplasia (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/77284006\">77284006</a></td><td>Lobular carcinoma in situ (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/444591006\">444591006</a></td><td>Pleomorphic lobular carcinoma in situ (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1162814007\">1162814007</a></td><td>Non-infiltrating intraductal carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/82711006\">82711006</a></td><td>Infiltrating duct carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/57596004\">57596004</a></td><td>Oxyphilic adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/74280008\">74280008</a></td><td>Glycogen-rich carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/443933007\">443933007</a></td><td>Ductal carcinoma in situ with microinvasion (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/89740008\">89740008</a></td><td>Lobular carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/4631006\">4631006</a></td><td>Tubular adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/30156004\">30156004</a></td><td>Cribriform carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/72495009\">72495009</a></td><td>Mucinous adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/79143006\">79143006</a></td><td>Mucinous cystadenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703578005\">703578005</a></td><td>Invasive micropapillary carcinoma of breast (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/57141000\">57141000</a></td><td>Apocrine adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128705006\">128705006</a></td><td>Metaplastic carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/45410002\">45410002</a></td><td>Acinar cell carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/11671000\">11671000</a></td><td>Adenoid cystic carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/41919003\">41919003</a></td><td>Juvenile carcinoma of the breast (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/4079000\">4079000</a></td><td>Mucoepidermoid carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128702009\">128702009</a></td><td>Polymorphous low grade adenocarcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1286768001\">1286768001</a></td><td>Well-differentiated neuroendocrine tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1286769009\">1286769009</a></td><td>Well-differentiated neuroendocrine tumor grade 1 (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1286770005\">1286770005</a></td><td>Well-differentiated neuroendocrine tumor grade 2 (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1286767006\">1286767006</a></td><td>Neuroendocrine carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/74364000\">74364000</a></td><td>Small cell carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128628002\">128628002</a></td><td>Large cell neuroendocrine carcinoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1156873009\">1156873009</a></td><td>Benign fibroadenoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/115230008\">115230008</a></td><td>Fibroepithelial neoplasm (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/16566002\">16566002</a></td><td>Benign phyllodes tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/71232009\">71232009</a></td><td>Borderline phyllodes tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/87913009\">87913009</a></td><td>Malignant phyllodes tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/51398009\">51398009</a></td><td>Hamartoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/2985005\">2985005</a></td><td>Paget's disease, mammary (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/65787003\">65787003</a></td><td>Adenoma of the nipple (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703552001\">703552001</a></td><td>Syringomatous tumor of nipple (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/253053003\">253053003</a></td><td>Benign hemangioma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/47669001\">47669001</a></td><td>Hemangiomatosis (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/817949008\">817949008</a></td><td>Atypical vascular lesion (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/863926008\">863926008</a></td><td>Angiosarcoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/703616008\">703616008</a></td><td>Nodular fasciitis (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/128738002\">128738002</a></td><td>Myofibroblastoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/47284001\">47284001</a></td><td>Aggressive fibromatosis (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1290860006\">1290860006</a></td><td>Inflammatory myofibroblastic tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/985004\">985004</a></td><td>Schwannoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1156930004\">1156930004</a></td><td>Benign neurofibroma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1336225003\">1336225003</a></td><td>Benign granular cell tumor (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/13238004\">13238004</a></td><td>Granular cell tumor, malignant (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1162890002\">1162890002</a></td><td>Leiomyoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1163022006\">1163022006</a></td><td>Leiomyosarcoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/134328007\">134328007</a></td><td>Lipoma morphology (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/73219006\">73219006</a></td><td>Angiolipoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1162815008\">1162815008</a></td><td>Liposarcoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/705153001\">705153001</a></td><td>Pseudoangiomatous stromal hyperplasia (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/397350003\">397350003</a></td><td>Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/55150002\">55150002</a></td><td>Follicular lymphoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1172695008\">1172695008</a></td><td>Diffuse large B cell malignant lymphoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/77381001\">77381001</a></td><td>Burkitt lymphoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/1172730009\">1172730009</a></td><td>Breast implant-associated anaplastic large cell lymphoma (morphologic abnormality)</td></tr><tr><td><a href=\"http://snomed.info/id/125154007\">125154007</a></td><td>Specimen unsatisfactory for evaluation (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/56246009\">56246009</a></td><td>Hypertrophy (morphologic abnormality)</td></tr></table></li></ul></div>"
  },
  "url" : "https://tx.hl7.lt/fhir/ValueSet/breast-tumor-who-classification",
  "version" : "0.0.1",
  "name" : "BreastTumorWhoClassificationVS",
  "title" : "WHO Breast Tumor Classification",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-03-29T12:06:43+00:00",
  "publisher" : "Lithuanian Medical Library",
  "contact" : [
    {
      "name" : "Lithuanian Medical Library",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://medicinosnk.lt"
        },
        {
          "system" : "email",
          "value" : "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description" : "Breast tumor pathological diagnosis codes according to the WHO Classification of Tumours, 5th edition. Used for pathological histological examination conclusion/diagnosis in the breast cancer prevention program.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "LT"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://snomed.info/sct",
        "concept" : [
          {
            "code" : "290084006",
            "display" : "Breast normal (finding)"
          },
          {
            "code" : "472906008",
            "display" : "Usual ductal hyperplasia (morphologic abnormality)"
          },
          {
            "code" : "55465005",
            "display" : "Columnar cell atypia (morphologic abnormality)"
          },
          {
            "code" : "6660000",
            "display" : "Atypical intraductal hyperplasia (morphologic abnormality)"
          },
          {
            "code" : "50916005",
            "display" : "Fibrosing adenosis (morphologic abnormality)"
          },
          {
            "code" : "36318001",
            "display" : "Apocrine adenoma (morphologic abnormality)"
          },
          {
            "code" : "133855003",
            "display" : "Radial scar (morphologic abnormality)"
          },
          {
            "code" : "1156654007",
            "display" : "Benign tubular adenoma (morphologic abnormality)"
          },
          {
            "code" : "128651002",
            "display" : "Lactating adenoma (morphologic abnormality)"
          },
          {
            "code" : "5244003",
            "display" : "Intraductal papilloma (morphologic abnormality)"
          },
          {
            "code" : "8360001",
            "display" : "Pleomorphic adenoma (morphologic abnormality)"
          },
          {
            "code" : "128765009",
            "display" : "Adenomyoepithelioma (morphologic abnormality)"
          },
          {
            "code" : "703644009",
            "display" : "Adenomyoepithelioma with carcinoma (morphologic abnormality)"
          },
          {
            "code" : "30566004",
            "display" : "Noninfiltrating intraductal papillary adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "703545003",
            "display" : "Encapsulated papillary carcinoma (morphologic abnormality)"
          },
          {
            "code" : "703547006",
            "display" : "Encapsulated papillary carcinoma with invasion (morphologic abnormality)"
          },
          {
            "code" : "734075007",
            "display" : "Intraductal papillary neoplasm with invasive carcinoma (morphologic abnormality)"
          },
          {
            "code" : "703546002",
            "display" : "Solid papillary carcinoma in situ (morphologic abnormality)"
          },
          {
            "code" : "703594003",
            "display" : "Solid papillary carcinoma with invasion (morphologic abnormality)"
          },
          {
            "code" : "33889003",
            "display" : "Atypical lobular hyperplasia (morphologic abnormality)"
          },
          {
            "code" : "77284006",
            "display" : "Lobular carcinoma in situ (morphologic abnormality)"
          },
          {
            "code" : "444591006",
            "display" : "Pleomorphic lobular carcinoma in situ (morphologic abnormality)"
          },
          {
            "code" : "1162814007",
            "display" : "Non-infiltrating intraductal carcinoma (morphologic abnormality)"
          },
          {
            "code" : "82711006",
            "display" : "Infiltrating duct carcinoma (morphologic abnormality)"
          },
          {
            "code" : "57596004",
            "display" : "Oxyphilic adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "74280008",
            "display" : "Glycogen-rich carcinoma (morphologic abnormality)"
          },
          {
            "code" : "443933007",
            "display" : "Ductal carcinoma in situ with microinvasion (morphologic abnormality)"
          },
          {
            "code" : "89740008",
            "display" : "Lobular carcinoma (morphologic abnormality)"
          },
          {
            "code" : "4631006",
            "display" : "Tubular adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "30156004",
            "display" : "Cribriform carcinoma (morphologic abnormality)"
          },
          {
            "code" : "72495009",
            "display" : "Mucinous adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "79143006",
            "display" : "Mucinous cystadenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "703578005",
            "display" : "Invasive micropapillary carcinoma of breast (morphologic abnormality)"
          },
          {
            "code" : "57141000",
            "display" : "Apocrine adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "128705006",
            "display" : "Metaplastic carcinoma (morphologic abnormality)"
          },
          {
            "code" : "45410002",
            "display" : "Acinar cell carcinoma (morphologic abnormality)"
          },
          {
            "code" : "11671000",
            "display" : "Adenoid cystic carcinoma (morphologic abnormality)"
          },
          {
            "code" : "41919003",
            "display" : "Juvenile carcinoma of the breast (morphologic abnormality)"
          },
          {
            "code" : "4079000",
            "display" : "Mucoepidermoid carcinoma (morphologic abnormality)"
          },
          {
            "code" : "128702009",
            "display" : "Polymorphous low grade adenocarcinoma (morphologic abnormality)"
          },
          {
            "code" : "1286768001",
            "display" : "Well-differentiated neuroendocrine tumor (morphologic abnormality)"
          },
          {
            "code" : "1286769009",
            "display" : "Well-differentiated neuroendocrine tumor grade 1 (morphologic abnormality)"
          },
          {
            "code" : "1286770005",
            "display" : "Well-differentiated neuroendocrine tumor grade 2 (morphologic abnormality)"
          },
          {
            "code" : "1286767006",
            "display" : "Neuroendocrine carcinoma (morphologic abnormality)"
          },
          {
            "code" : "74364000",
            "display" : "Small cell carcinoma (morphologic abnormality)"
          },
          {
            "code" : "128628002",
            "display" : "Large cell neuroendocrine carcinoma (morphologic abnormality)"
          },
          {
            "code" : "1156873009",
            "display" : "Benign fibroadenoma (morphologic abnormality)"
          },
          {
            "code" : "115230008",
            "display" : "Fibroepithelial neoplasm (morphologic abnormality)"
          },
          {
            "code" : "16566002",
            "display" : "Benign phyllodes tumor (morphologic abnormality)"
          },
          {
            "code" : "71232009",
            "display" : "Borderline phyllodes tumor (morphologic abnormality)"
          },
          {
            "code" : "87913009",
            "display" : "Malignant phyllodes tumor (morphologic abnormality)"
          },
          {
            "code" : "51398009",
            "display" : "Hamartoma (morphologic abnormality)"
          },
          {
            "code" : "2985005",
            "display" : "Paget's disease, mammary (morphologic abnormality)"
          },
          {
            "code" : "65787003",
            "display" : "Adenoma of the nipple (morphologic abnormality)"
          },
          {
            "code" : "703552001",
            "display" : "Syringomatous tumor of nipple (morphologic abnormality)"
          },
          {
            "code" : "253053003",
            "display" : "Benign hemangioma (morphologic abnormality)"
          },
          {
            "code" : "47669001",
            "display" : "Hemangiomatosis (morphologic abnormality)"
          },
          {
            "code" : "817949008",
            "display" : "Atypical vascular lesion (morphologic abnormality)"
          },
          {
            "code" : "863926008",
            "display" : "Angiosarcoma (morphologic abnormality)"
          },
          {
            "code" : "703616008",
            "display" : "Nodular fasciitis (morphologic abnormality)"
          },
          {
            "code" : "128738002",
            "display" : "Myofibroblastoma (morphologic abnormality)"
          },
          {
            "code" : "47284001",
            "display" : "Aggressive fibromatosis (morphologic abnormality)"
          },
          {
            "code" : "1290860006",
            "display" : "Inflammatory myofibroblastic tumor (morphologic abnormality)"
          },
          {
            "code" : "985004",
            "display" : "Schwannoma (morphologic abnormality)"
          },
          {
            "code" : "1156930004",
            "display" : "Benign neurofibroma (morphologic abnormality)"
          },
          {
            "code" : "1336225003",
            "display" : "Benign granular cell tumor (morphologic abnormality)"
          },
          {
            "code" : "13238004",
            "display" : "Granular cell tumor, malignant (morphologic abnormality)"
          },
          {
            "code" : "1162890002",
            "display" : "Leiomyoma (morphologic abnormality)"
          },
          {
            "code" : "1163022006",
            "display" : "Leiomyosarcoma (morphologic abnormality)"
          },
          {
            "code" : "134328007",
            "display" : "Lipoma morphology (morphologic abnormality)"
          },
          {
            "code" : "73219006",
            "display" : "Angiolipoma (morphologic abnormality)"
          },
          {
            "code" : "1162815008",
            "display" : "Liposarcoma (morphologic abnormality)"
          },
          {
            "code" : "705153001",
            "display" : "Pseudoangiomatous stromal hyperplasia (morphologic abnormality)"
          },
          {
            "code" : "397350003",
            "display" : "Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (morphologic abnormality)"
          },
          {
            "code" : "55150002",
            "display" : "Follicular lymphoma (morphologic abnormality)"
          },
          {
            "code" : "1172695008",
            "display" : "Diffuse large B cell malignant lymphoma (morphologic abnormality)"
          },
          {
            "code" : "77381001",
            "display" : "Burkitt lymphoma (morphologic abnormality)"
          },
          {
            "code" : "1172730009",
            "display" : "Breast implant-associated anaplastic large cell lymphoma (morphologic abnormality)"
          },
          {
            "code" : "125154007",
            "display" : "Specimen unsatisfactory for evaluation (finding)"
          },
          {
            "code" : "56246009",
            "display" : "Hypertrophy (morphologic abnormality)"
          }
        ]
      }
    ]
  }
}