Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build
Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build
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
| Draft nuo 2026-03-29 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="breast-questionnaire-options"/>
<language value="lt"/>
<text>
<status value="generated"/>
<div xml:lang="lt" lang="lt"><hr/><p><b>Lithuanian</b></p><hr/><p class="res-header-id"><b>Generated Narrative: CodeSystem breast-questionnaire-options</b></p><a name="lt-breast-questionnaire-options"> </a><a name="lt-hcbreast-questionnaire-options"> </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><p>This case-sensitive code system <code>https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style="white-space:nowrap">yes<a name="lt-breast-questionnaire-options-yes"> </a></td><td>Yes</td></tr><tr><td style="white-space:nowrap">no<a name="lt-breast-questionnaire-options-no"> </a></td><td>No</td></tr><tr><td style="white-space:nowrap">unknown<a name="lt-breast-questionnaire-options-unknown"> </a></td><td>Unknown</td></tr><tr><td style="white-space:nowrap">acr-a<a name="lt-breast-questionnaire-options-acr-a"> </a></td><td>ACR A – Almost entirely fatty</td></tr><tr><td style="white-space:nowrap">acr-b<a name="lt-breast-questionnaire-options-acr-b"> </a></td><td>ACR B – Scattered areas of fibroglandular density</td></tr><tr><td style="white-space:nowrap">acr-c<a name="lt-breast-questionnaire-options-acr-c"> </a></td><td>ACR C – Heterogeneously dense</td></tr><tr><td style="white-space:nowrap">acr-d<a name="lt-breast-questionnaire-options-acr-d"> </a></td><td>ACR D – Extremely dense</td></tr><tr><td style="white-space:nowrap">birads-0<a name="lt-breast-questionnaire-options-birads-0"> </a></td><td>BI-RADS 0 – Incomplete examination</td></tr><tr><td style="white-space:nowrap">birads-1<a name="lt-breast-questionnaire-options-birads-1"> </a></td><td>BI-RADS 1 – No changes found</td></tr><tr><td style="white-space:nowrap">birads-2<a name="lt-breast-questionnaire-options-birads-2"> </a></td><td>BI-RADS 2 – Benign changes found</td></tr><tr><td style="white-space:nowrap">birads-3<a name="lt-breast-questionnaire-options-birads-3"> </a></td><td>BI-RADS 3 – Possibly benign changes</td></tr><tr><td style="white-space:nowrap">birads-4<a name="lt-breast-questionnaire-options-birads-4"> </a></td><td>BI-RADS 4 – Suspicious malignant finding</td></tr><tr><td style="white-space:nowrap">birads-5<a name="lt-breast-questionnaire-options-birads-5"> </a></td><td>BI-RADS 5 – Highly probable malignant finding</td></tr><tr><td style="white-space:nowrap">finding-formation<a name="lt-breast-questionnaire-options-finding-formation"> </a></td><td>Formation (mass)</td></tr><tr><td style="white-space:nowrap">finding-calcification<a name="lt-breast-questionnaire-options-finding-calcification"> </a></td><td>Calcification</td></tr><tr><td style="white-space:nowrap">finding-deformation<a name="lt-breast-questionnaire-options-finding-deformation"> </a></td><td>Architectural deformation</td></tr><tr><td style="white-space:nowrap">finding-asymmetry<a name="lt-breast-questionnaire-options-finding-asymmetry"> </a></td><td>Focal asymmetric tissue</td></tr><tr><td style="white-space:nowrap">dynamics-none<a name="lt-breast-questionnaire-options-dynamics-none"> </a></td><td>Image without negative dynamics</td></tr><tr><td style="white-space:nowrap">dynamics-negative<a name="lt-breast-questionnaire-options-dynamics-negative"> </a></td><td>Negative dynamics observed</td></tr><tr><td style="white-space:nowrap">biopsy-us-guided<a name="lt-breast-questionnaire-options-biopsy-us-guided"> </a></td><td>Biopsy under ultrasound guidance</td></tr><tr><td style="white-space:nowrap">biopsy-xray-guided<a name="lt-breast-questionnaire-options-biopsy-xray-guided"> </a></td><td>Biopsy under X-ray guidance</td></tr><tr><td style="white-space:nowrap">parenchyma-fatty<a name="lt-breast-questionnaire-options-parenchyma-fatty"> </a></td><td>Homogeneous adipose tissue</td></tr><tr><td style="white-space:nowrap">parenchyma-fibroglandular<a name="lt-breast-questionnaire-options-parenchyma-fibroglandular"> </a></td><td>Homogeneous fibroglandular</td></tr><tr><td style="white-space:nowrap">parenchyma-heterogeneous<a name="lt-breast-questionnaire-options-parenchyma-heterogeneous"> </a></td><td>Heterogeneous</td></tr><tr><td style="white-space:nowrap">nature-cyst<a name="lt-breast-questionnaire-options-nature-cyst"> </a></td><td>Cyst</td></tr><tr><td style="white-space:nowrap">nature-lymph-node<a name="lt-breast-questionnaire-options-nature-lymph-node"> </a></td><td>Breast lymph node</td></tr><tr><td style="white-space:nowrap">nature-fibroadenoma<a name="lt-breast-questionnaire-options-nature-fibroadenoma"> </a></td><td>Fibroadenoma</td></tr><tr><td style="white-space:nowrap">nature-papilloma<a name="lt-breast-questionnaire-options-nature-papilloma"> </a></td><td>Papilloma</td></tr><tr><td style="white-space:nowrap">nature-lipoma<a name="lt-breast-questionnaire-options-nature-lipoma"> </a></td><td>Lipoma</td></tr><tr><td style="white-space:nowrap">nature-malignant<a name="lt-breast-questionnaire-options-nature-malignant"> </a></td><td>Tumor (malignant)</td></tr><tr><td style="white-space:nowrap">nature-abscess<a name="lt-breast-questionnaire-options-nature-abscess"> </a></td><td>Abscess</td></tr><tr><td style="white-space:nowrap">nature-other<a name="lt-breast-questionnaire-options-nature-other"> </a></td><td>Other (free text)</td></tr><tr><td style="white-space:nowrap">ducts-normal<a name="lt-breast-questionnaire-options-ducts-normal"> </a></td><td>Ducts not expanded</td></tr><tr><td style="white-space:nowrap">ducts-expanded<a name="lt-breast-questionnaire-options-ducts-expanded"> </a></td><td>Ducts expanded</td></tr><tr><td style="white-space:nowrap">right<a name="lt-breast-questionnaire-options-right"> </a></td><td>Right</td></tr><tr><td style="white-space:nowrap">left<a name="lt-breast-questionnaire-options-left"> </a></td><td>Left</td></tr><tr><td style="white-space:nowrap">ln-level-n1<a name="lt-breast-questionnaire-options-ln-level-n1"> </a></td><td>N1</td></tr><tr><td style="white-space:nowrap">ln-level-n2<a name="lt-breast-questionnaire-options-ln-level-n2"> </a></td><td>N2</td></tr><tr><td style="white-space:nowrap">ln-level-n3<a name="lt-breast-questionnaire-options-ln-level-n3"> </a></td><td>N3</td></tr><tr><td style="white-space:nowrap">fixation-formalin<a name="lt-breast-questionnaire-options-fixation-formalin"> </a></td><td>Fixed (10% formalin buffered solution)</td></tr><tr><td style="white-space:nowrap">fixation-unfixed<a name="lt-breast-questionnaire-options-fixation-unfixed"> </a></td><td>Unfixed</td></tr><tr><td style="white-space:nowrap">proc-none<a name="lt-breast-questionnaire-options-proc-none"> </a></td><td>No important information</td></tr><tr><td style="white-space:nowrap">proc-biopsy<a name="lt-breast-questionnaire-options-proc-biopsy"> </a></td><td>Biopsy</td></tr><tr><td style="white-space:nowrap">proc-excision<a name="lt-breast-questionnaire-options-proc-excision"> </a></td><td>Excision</td></tr><tr><td style="white-space:nowrap">proc-other-operation<a name="lt-breast-questionnaire-options-proc-other-operation"> </a></td><td>Other operation</td></tr><tr><td style="white-space:nowrap">proc-chemotherapy<a name="lt-breast-questionnaire-options-proc-chemotherapy"> </a></td><td>Chemotherapy</td></tr><tr><td style="white-space:nowrap">proc-radiation<a name="lt-breast-questionnaire-options-proc-radiation"> </a></td><td>Radiation (breast)</td></tr><tr><td style="white-space:nowrap">proc-immunotherapy<a name="lt-breast-questionnaire-options-proc-immunotherapy"> </a></td><td>Immunotherapy</td></tr><tr><td style="white-space:nowrap">op-thick-needle-biopsy<a name="lt-breast-questionnaire-options-op-thick-needle-biopsy"> </a></td><td>Thick needle biopsy</td></tr><tr><td style="white-space:nowrap">op-excision<a name="lt-breast-questionnaire-options-op-excision"> </a></td><td>Excision</td></tr><tr><td style="white-space:nowrap">op-other<a name="lt-breast-questionnaire-options-op-other"> </a></td><td>Other (free text)</td></tr><tr><td style="white-space:nowrap">ihc-negative<a name="lt-breast-questionnaire-options-ihc-negative"> </a></td><td>Negative</td></tr><tr><td style="white-space:nowrap">ihc-weak<a name="lt-breast-questionnaire-options-ihc-weak"> </a></td><td>Weak (+)</td></tr><tr><td style="white-space:nowrap">ihc-moderate<a name="lt-breast-questionnaire-options-ihc-moderate"> </a></td><td>Moderate (++)</td></tr><tr><td style="white-space:nowrap">ihc-strong<a name="lt-breast-questionnaire-options-ihc-strong"> </a></td><td>Strong (+++)</td></tr><tr><td style="white-space:nowrap">her2-negative<a name="lt-breast-questionnaire-options-her2-negative"> </a></td><td>HER2: expression absent (0)</td></tr><tr><td style="white-space:nowrap">her2-low<a name="lt-breast-questionnaire-options-her2-low"> </a></td><td>HER2: low immunohistochemical expression (1+)</td></tr><tr><td style="white-space:nowrap">her2-borderline<a name="lt-breast-questionnaire-options-her2-borderline"> </a></td><td>HER2: expression borderline (2+)</td></tr><tr><td style="white-space:nowrap">her2-positive<a name="lt-breast-questionnaire-options-her2-positive"> </a></td><td>HER2: expression positive (3+)</td></tr><tr><td style="white-space:nowrap">her2-eval-0<a name="lt-breast-questionnaire-options-her2-eval-0"> </a></td><td>HER2 evaluation: 0+</td></tr><tr><td style="white-space:nowrap">her2-eval-1<a name="lt-breast-questionnaire-options-her2-eval-1"> </a></td><td>HER2 evaluation: 1+</td></tr><tr><td style="white-space:nowrap">her2-eval-2<a name="lt-breast-questionnaire-options-her2-eval-2"> </a></td><td>HER2 evaluation: 2+</td></tr><tr><td style="white-space:nowrap">her2-eval-3<a name="lt-breast-questionnaire-options-her2-eval-3"> </a></td><td>HER2 evaluation: 3+</td></tr><tr><td style="white-space:nowrap">fish-amplified<a name="lt-breast-questionnaire-options-fish-amplified"> </a></td><td>FISH: HER2 amplified</td></tr><tr><td style="white-space:nowrap">fish-amplified-clusters<a name="lt-breast-questionnaire-options-fish-amplified-clusters"> </a></td><td>FISH: amplified (clusters)</td></tr><tr><td style="white-space:nowrap">fish-co-amplified<a name="lt-breast-questionnaire-options-fish-co-amplified"> </a></td><td>FISH: co-amplified (HER2>=6, HER2/CEP17<2)</td></tr><tr><td style="white-space:nowrap">fish-borderline<a name="lt-breast-questionnaire-options-fish-borderline"> </a></td><td>FISH: borderline (4<=HER2<6, HER2/CEP17<2)</td></tr><tr><td style="white-space:nowrap">fish-monosomic<a name="lt-breast-questionnaire-options-fish-monosomic"> </a></td><td>FISH: monosomic (HER2<4, HER2/CEP17>=2)</td></tr><tr><td style="white-space:nowrap">fish-negative<a name="lt-breast-questionnaire-options-fish-negative"> </a></td><td>FISH: negative (HER2<4, HER2/CEP17<2)</td></tr><tr><td style="white-space:nowrap">fish-not-evaluated<a name="lt-breast-questionnaire-options-fish-not-evaluated"> </a></td><td>FISH: not to be evaluated</td></tr><tr><td style="white-space:nowrap">cish-amplified<a name="lt-breast-questionnaire-options-cish-amplified"> </a></td><td>CISH/SISH: HER2 amplified</td></tr><tr><td style="white-space:nowrap">cish-not-amplified<a name="lt-breast-questionnaire-options-cish-not-amplified"> </a></td><td>CISH/SISH: HER2 not amplified</td></tr><tr><td style="white-space:nowrap">cish-not-evaluated<a name="lt-breast-questionnaire-options-cish-not-evaluated"> </a></td><td>CISH/SISH: not to be evaluated</td></tr><tr><td style="white-space:nowrap">grade-g1<a name="lt-breast-questionnaire-options-grade-g1"> </a></td><td>G1 (well-differentiated)</td></tr><tr><td style="white-space:nowrap">grade-g2<a name="lt-breast-questionnaire-options-grade-g2"> </a></td><td>G2 (moderately differentiated)</td></tr><tr><td style="white-space:nowrap">grade-g3<a name="lt-breast-questionnaire-options-grade-g3"> </a></td><td>G3 (poorly differentiated)</td></tr><tr><td style="white-space:nowrap">grade-gx<a name="lt-breast-questionnaire-options-grade-gx"> </a></td><td>Gx (degree of differentiation undetermined)</td></tr><tr><td style="white-space:nowrap">lvi-0<a name="lt-breast-questionnaire-options-lvi-0"> </a></td><td>pLVI-0: not detected</td></tr><tr><td style="white-space:nowrap">lvi-1<a name="lt-breast-questionnaire-options-lvi-1"> </a></td><td>pLVI-1: spreading, otherwise unclassified</td></tr><tr><td style="white-space:nowrap">lvi-2<a name="lt-breast-questionnaire-options-lvi-2"> </a></td><td>pLVI-2: only in lymphatic vessels and small blood vessels</td></tr><tr><td style="white-space:nowrap">lvi-3<a name="lt-breast-questionnaire-options-lvi-3"> </a></td><td>pLVI-3: only in veins (large, thick-walled blood vessels)</td></tr><tr><td style="white-space:nowrap">lvi-4<a name="lt-breast-questionnaire-options-lvi-4"> </a></td><td>pLVI-4: present in both lymphatic vessels and veins</td></tr><tr><td style="white-space:nowrap">lvi-9<a name="lt-breast-questionnaire-options-lvi-9"> </a></td><td>pLVI-9: undetectable/unknown</td></tr><tr><td style="white-space:nowrap">uoq<a name="lt-breast-questionnaire-options-uoq"> </a></td><td>Upper outer quadrant</td></tr><tr><td style="white-space:nowrap">uiq<a name="lt-breast-questionnaire-options-uiq"> </a></td><td>Upper inner quadrant</td></tr><tr><td style="white-space:nowrap">loq<a name="lt-breast-questionnaire-options-loq"> </a></td><td>Lower outer quadrant</td></tr><tr><td style="white-space:nowrap">liq<a name="lt-breast-questionnaire-options-liq"> </a></td><td>Lower inner quadrant</td></tr><tr><td style="white-space:nowrap">rec-mammographic-control<a name="lt-breast-questionnaire-options-rec-mammographic-control"> </a></td><td>Mammographic control</td></tr><tr><td style="white-space:nowrap">rec-additional-mammography<a name="lt-breast-questionnaire-options-rec-additional-mammography"> </a></td><td>Additional mammography</td></tr><tr><td style="white-space:nowrap">rec-spot-compression<a name="lt-breast-questionnaire-options-rec-spot-compression"> </a></td><td>Local compression with magnification</td></tr><tr><td style="white-space:nowrap">rec-ultrasound<a name="lt-breast-questionnaire-options-rec-ultrasound"> </a></td><td>Ultrasound examination</td></tr><tr><td style="white-space:nowrap">rec-breast-specialist<a name="lt-breast-questionnaire-options-rec-breast-specialist"> </a></td><td>Breast specialist consultation</td></tr><tr><td style="white-space:nowrap">rec-consultation<a name="lt-breast-questionnaire-options-rec-consultation"> </a></td><td>Consultation with breast specialist</td></tr><tr><td style="white-space:nowrap">rec-biopsy-ultrasound<a name="lt-breast-questionnaire-options-rec-biopsy-ultrasound"> </a></td><td>Biopsy under ultrasound</td></tr><tr><td style="white-space:nowrap">rec-biopsy<a name="lt-breast-questionnaire-options-rec-biopsy"> </a></td><td>Biopsy indicated</td></tr><tr><td style="white-space:nowrap">rec-stereotactic-biopsy<a name="lt-breast-questionnaire-options-rec-stereotactic-biopsy"> </a></td><td>Stereotactic biopsy</td></tr><tr><td style="white-space:nowrap">rec-mri<a name="lt-breast-questionnaire-options-rec-mri"> </a></td><td>MRI examination</td></tr><tr><td style="white-space:nowrap">rec-next-mammography<a name="lt-breast-questionnaire-options-rec-next-mammography"> </a></td><td>Next mammography after N months</td></tr><tr><td style="white-space:nowrap">rec-follow-up-6m<a name="lt-breast-questionnaire-options-rec-follow-up-6m"> </a></td><td>Follow-up in 6 months</td></tr><tr><td style="white-space:nowrap">rec-biopsy-indicated<a name="lt-breast-questionnaire-options-rec-biopsy-indicated"> </a></td><td>Biopsy indicated</td></tr></table></div>
</text>
<url
value="https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options"/>
<version value="0.0.1"/>
<name value="BreastQuestionnaireOptions"/>
<title value="Breast questionnaire answer options (illustrative)"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-03-29T12:06:43+00:00"/>
<publisher value="Lithuanian Medical Library"/>
<contact>
<name value="Lithuanian Medical Library"/>
<telecom>
<system value="url"/>
<value value="https://medicinosnk.lt"/>
</telecom>
<telecom>
<system value="email"/>
<value value="info@medicinosnk.lt"/>
</telecom>
</contact>
<description
value="Illustrative codes for Questionnaire answer options used in breast ESPBI-style forms. Register or replace with national coded values in production."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="LT"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="100"/>
<concept>
<code value="yes"/>
<display value="Yes"/>
</concept>
<concept>
<code value="no"/>
<display value="No"/>
</concept>
<concept>
<code value="unknown"/>
<display value="Unknown"/>
</concept>
<concept>
<code value="acr-a"/>
<display value="ACR A – Almost entirely fatty"/>
</concept>
<concept>
<code value="acr-b"/>
<display value="ACR B – Scattered areas of fibroglandular density"/>
</concept>
<concept>
<code value="acr-c"/>
<display value="ACR C – Heterogeneously dense"/>
</concept>
<concept>
<code value="acr-d"/>
<display value="ACR D – Extremely dense"/>
</concept>
<concept>
<code value="birads-0"/>
<display value="BI-RADS 0 – Incomplete examination"/>
</concept>
<concept>
<code value="birads-1"/>
<display value="BI-RADS 1 – No changes found"/>
</concept>
<concept>
<code value="birads-2"/>
<display value="BI-RADS 2 – Benign changes found"/>
</concept>
<concept>
<code value="birads-3"/>
<display value="BI-RADS 3 – Possibly benign changes"/>
</concept>
<concept>
<code value="birads-4"/>
<display value="BI-RADS 4 – Suspicious malignant finding"/>
</concept>
<concept>
<code value="birads-5"/>
<display value="BI-RADS 5 – Highly probable malignant finding"/>
</concept>
<concept>
<code value="finding-formation"/>
<display value="Formation (mass)"/>
</concept>
<concept>
<code value="finding-calcification"/>
<display value="Calcification"/>
</concept>
<concept>
<code value="finding-deformation"/>
<display value="Architectural deformation"/>
</concept>
<concept>
<code value="finding-asymmetry"/>
<display value="Focal asymmetric tissue"/>
</concept>
<concept>
<code value="dynamics-none"/>
<display value="Image without negative dynamics"/>
</concept>
<concept>
<code value="dynamics-negative"/>
<display value="Negative dynamics observed"/>
</concept>
<concept>
<code value="biopsy-us-guided"/>
<display value="Biopsy under ultrasound guidance"/>
</concept>
<concept>
<code value="biopsy-xray-guided"/>
<display value="Biopsy under X-ray guidance"/>
</concept>
<concept>
<code value="parenchyma-fatty"/>
<display value="Homogeneous adipose tissue"/>
</concept>
<concept>
<code value="parenchyma-fibroglandular"/>
<display value="Homogeneous fibroglandular"/>
</concept>
<concept>
<code value="parenchyma-heterogeneous"/>
<display value="Heterogeneous"/>
</concept>
<concept>
<code value="nature-cyst"/>
<display value="Cyst"/>
</concept>
<concept>
<code value="nature-lymph-node"/>
<display value="Breast lymph node"/>
</concept>
<concept>
<code value="nature-fibroadenoma"/>
<display value="Fibroadenoma"/>
</concept>
<concept>
<code value="nature-papilloma"/>
<display value="Papilloma"/>
</concept>
<concept>
<code value="nature-lipoma"/>
<display value="Lipoma"/>
</concept>
<concept>
<code value="nature-malignant"/>
<display value="Tumor (malignant)"/>
</concept>
<concept>
<code value="nature-abscess"/>
<display value="Abscess"/>
</concept>
<concept>
<code value="nature-other"/>
<display value="Other (free text)"/>
</concept>
<concept>
<code value="ducts-normal"/>
<display value="Ducts not expanded"/>
</concept>
<concept>
<code value="ducts-expanded"/>
<display value="Ducts expanded"/>
</concept>
<concept>
<code value="right"/>
<display value="Right"/>
</concept>
<concept>
<code value="left"/>
<display value="Left"/>
</concept>
<concept>
<code value="ln-level-n1"/>
<display value="N1"/>
</concept>
<concept>
<code value="ln-level-n2"/>
<display value="N2"/>
</concept>
<concept>
<code value="ln-level-n3"/>
<display value="N3"/>
</concept>
<concept>
<code value="fixation-formalin"/>
<display value="Fixed (10% formalin buffered solution)"/>
</concept>
<concept>
<code value="fixation-unfixed"/>
<display value="Unfixed"/>
</concept>
<concept>
<code value="proc-none"/>
<display value="No important information"/>
</concept>
<concept>
<code value="proc-biopsy"/>
<display value="Biopsy"/>
</concept>
<concept>
<code value="proc-excision"/>
<display value="Excision"/>
</concept>
<concept>
<code value="proc-other-operation"/>
<display value="Other operation"/>
</concept>
<concept>
<code value="proc-chemotherapy"/>
<display value="Chemotherapy"/>
</concept>
<concept>
<code value="proc-radiation"/>
<display value="Radiation (breast)"/>
</concept>
<concept>
<code value="proc-immunotherapy"/>
<display value="Immunotherapy"/>
</concept>
<concept>
<code value="op-thick-needle-biopsy"/>
<display value="Thick needle biopsy"/>
</concept>
<concept>
<code value="op-excision"/>
<display value="Excision"/>
</concept>
<concept>
<code value="op-other"/>
<display value="Other (free text)"/>
</concept>
<concept>
<code value="ihc-negative"/>
<display value="Negative"/>
</concept>
<concept>
<code value="ihc-weak"/>
<display value="Weak (+)"/>
</concept>
<concept>
<code value="ihc-moderate"/>
<display value="Moderate (++)"/>
</concept>
<concept>
<code value="ihc-strong"/>
<display value="Strong (+++)"/>
</concept>
<concept>
<code value="her2-negative"/>
<display value="HER2: expression absent (0)"/>
</concept>
<concept>
<code value="her2-low"/>
<display value="HER2: low immunohistochemical expression (1+)"/>
</concept>
<concept>
<code value="her2-borderline"/>
<display value="HER2: expression borderline (2+)"/>
</concept>
<concept>
<code value="her2-positive"/>
<display value="HER2: expression positive (3+)"/>
</concept>
<concept>
<code value="her2-eval-0"/>
<display value="HER2 evaluation: 0+"/>
</concept>
<concept>
<code value="her2-eval-1"/>
<display value="HER2 evaluation: 1+"/>
</concept>
<concept>
<code value="her2-eval-2"/>
<display value="HER2 evaluation: 2+"/>
</concept>
<concept>
<code value="her2-eval-3"/>
<display value="HER2 evaluation: 3+"/>
</concept>
<concept>
<code value="fish-amplified"/>
<display value="FISH: HER2 amplified"/>
</concept>
<concept>
<code value="fish-amplified-clusters"/>
<display value="FISH: amplified (clusters)"/>
</concept>
<concept>
<code value="fish-co-amplified"/>
<display value="FISH: co-amplified (HER2>=6, HER2/CEP17<2)"/>
</concept>
<concept>
<code value="fish-borderline"/>
<display value="FISH: borderline (4<=HER2<6, HER2/CEP17<2)"/>
</concept>
<concept>
<code value="fish-monosomic"/>
<display value="FISH: monosomic (HER2<4, HER2/CEP17>=2)"/>
</concept>
<concept>
<code value="fish-negative"/>
<display value="FISH: negative (HER2<4, HER2/CEP17<2)"/>
</concept>
<concept>
<code value="fish-not-evaluated"/>
<display value="FISH: not to be evaluated"/>
</concept>
<concept>
<code value="cish-amplified"/>
<display value="CISH/SISH: HER2 amplified"/>
</concept>
<concept>
<code value="cish-not-amplified"/>
<display value="CISH/SISH: HER2 not amplified"/>
</concept>
<concept>
<code value="cish-not-evaluated"/>
<display value="CISH/SISH: not to be evaluated"/>
</concept>
<concept>
<code value="grade-g1"/>
<display value="G1 (well-differentiated)"/>
</concept>
<concept>
<code value="grade-g2"/>
<display value="G2 (moderately differentiated)"/>
</concept>
<concept>
<code value="grade-g3"/>
<display value="G3 (poorly differentiated)"/>
</concept>
<concept>
<code value="grade-gx"/>
<display value="Gx (degree of differentiation undetermined)"/>
</concept>
<concept>
<code value="lvi-0"/>
<display value="pLVI-0: not detected"/>
</concept>
<concept>
<code value="lvi-1"/>
<display value="pLVI-1: spreading, otherwise unclassified"/>
</concept>
<concept>
<code value="lvi-2"/>
<display
value="pLVI-2: only in lymphatic vessels and small blood vessels"/>
</concept>
<concept>
<code value="lvi-3"/>
<display
value="pLVI-3: only in veins (large, thick-walled blood vessels)"/>
</concept>
<concept>
<code value="lvi-4"/>
<display value="pLVI-4: present in both lymphatic vessels and veins"/>
</concept>
<concept>
<code value="lvi-9"/>
<display value="pLVI-9: undetectable/unknown"/>
</concept>
<concept>
<code value="uoq"/>
<display value="Upper outer quadrant"/>
</concept>
<concept>
<code value="uiq"/>
<display value="Upper inner quadrant"/>
</concept>
<concept>
<code value="loq"/>
<display value="Lower outer quadrant"/>
</concept>
<concept>
<code value="liq"/>
<display value="Lower inner quadrant"/>
</concept>
<concept>
<code value="rec-mammographic-control"/>
<display value="Mammographic control"/>
</concept>
<concept>
<code value="rec-additional-mammography"/>
<display value="Additional mammography"/>
</concept>
<concept>
<code value="rec-spot-compression"/>
<display value="Local compression with magnification"/>
</concept>
<concept>
<code value="rec-ultrasound"/>
<display value="Ultrasound examination"/>
</concept>
<concept>
<code value="rec-breast-specialist"/>
<display value="Breast specialist consultation"/>
</concept>
<concept>
<code value="rec-consultation"/>
<display value="Consultation with breast specialist"/>
</concept>
<concept>
<code value="rec-biopsy-ultrasound"/>
<display value="Biopsy under ultrasound"/>
</concept>
<concept>
<code value="rec-biopsy"/>
<display value="Biopsy indicated"/>
</concept>
<concept>
<code value="rec-stereotactic-biopsy"/>
<display value="Stereotactic biopsy"/>
</concept>
<concept>
<code value="rec-mri"/>
<display value="MRI examination"/>
</concept>
<concept>
<code value="rec-next-mammography"/>
<display value="Next mammography after N months"/>
</concept>
<concept>
<code value="rec-follow-up-6m"/>
<display value="Follow-up in 6 months"/>
</concept>
<concept>
<code value="rec-biopsy-indicated"/>
<display value="Biopsy indicated"/>
</concept>
</CodeSystem>