PackagesCanonicalsLogsProblems
    Packages
    uz.dhp.integrations@0.8.0
    https://dhp.uz/fhir/integrations/StructureDefinition/screening-breast-ultrasound-observation
description: Specialized screening Observation for breast ultrasound parameters and focal lesion characteristics.
package_name: uz.dhp.integrations
derivation: constraint
name: ScreeningBreastUltrasoundObservation
type: Observation
elements:
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '47079000', system: 'http://snomed.info/sct', display: Ultrasonography of breast}
    index: 0
  value:
    choices: [valueCodeableConcept]
    index: 2
  valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 3}
  bodySite:
    short: Examined breast side
    binding: {strength: required, valueSet: 'https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-ultrasound-breast-side-vs|0.8.0'}
    index: 4
  component:
    index: 5
    slicing:
      slices:
        skinNippleStatus:
          match: {}
          schema:
            short: Skin and nipple status
            mustSupport: true
            index: 23
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00006, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 24
              value:
                choices: [valueCodeableConcept]
                index: 26
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 27}
        lesionEchogenicity:
          match: {}
          schema:
            short: Lesion echogenicity
            mustSupport: true
            index: 103
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00030, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 104
              value:
                choices: [valueCodeableConcept]
                index: 106
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 107}
        focalLesionPresent:
          match: {}
          schema:
            short: Focal breast lesion present
            mustSupport: true
            index: 187
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00021, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 188
              value:
                choices: [valueBoolean]
                index: 190
              valueBoolean: {type: boolean, choiceOf: value, index: 191}
            required: [value, valueBoolean]
        breastFinding:
          match: {}
          schema:
            short: Breast ultrasound finding
            mustSupport: true
            array: true
            index: 8
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0073-00004, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs'}
                index: 9
              value:
                choices: [valueCodeableConcept]
                index: 11
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 12}
        menstrualCycleDuration:
          match: {}
          schema:
            short: Menstrual cycle duration
            mustSupport: true
            index: 118
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00001, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 119
              value:
                pattern:
                  type: Quantity
                  value: {code: d, unit: d, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 121
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: d, unit: d, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 122
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 123}
                  unit: {index: 124}
                  system: {index: 125}
                  code: {index: 126}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        intramammaryNodeStatus:
          match: {}
          schema:
            short: Intramammary lymph node status
            mustSupport: true
            index: 58
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00016, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 59
              value:
                choices: [valueCodeableConcept]
                index: 61
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 62}
        subcutaneousFat:
          match: {}
          schema:
            short: Subcutaneous fat
            mustSupport: true
            index: 33
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00008, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 34
              value:
                choices: [valueCodeableConcept]
                index: 36
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 37}
        lesionOrientation:
          match: {}
          schema:
            short: Lesion orientation
            mustSupport: true
            index: 93
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00028, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 94
              value:
                choices: [valueCodeableConcept]
                index: 96
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 97}
        imageQuality:
          match: {}
          schema: {index: 7}
          max: 0
        lesionLength:
          match: {}
          schema:
            short: Lesion length
            mustSupport: true
            index: 206
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00024, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 207
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 209
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 210
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 211}
                  unit: {index: 212}
                  system: {index: 213}
                  code: {index: 214}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        lesionVascularization:
          match: {}
          schema:
            short: Lesion vascularization
            mustSupport: true
            index: 113
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00037, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 114
              value:
                choices: [valueCodeableConcept]
                index: 116
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 117}
        tissueDifferentiation:
          match: {}
          schema:
            short: Tissue differentiation
            mustSupport: true
            index: 28
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00007, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 29
              value:
                choices: [valueCodeableConcept]
                index: 31
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 32}
        elastographyStiffness:
          match: {}
          schema:
            short: Elastography stiffness; unit is supplied by Screening
            mustSupport: true
            index: 150
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00014, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 151
              value:
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 153
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 154
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 155}
                  unit: {index: 156}
                  system: {index: 157}
                  code: {index: 158}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        lesionWidth:
          match: {}
          schema:
            short: Lesion width
            mustSupport: true
            index: 215
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00025, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 216
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 218
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 219
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 220}
                  unit: {index: 221}
                  system: {index: 222}
                  code: {index: 223}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        fibroglandularThickness:
          match: {}
          schema:
            short: Fibroglandular complex thickness
            mustSupport: true
            index: 132
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00009, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 133
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 135
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 136
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 137}
                  unit: {index: 138}
                  system: {index: 139}
                  code: {index: 140}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        clockFacePosition:
          match: {}
          schema:
            short: Lesion clock-face position, 1 to 12
            mustSupport: true
            index: 192
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00022, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 193
              value:
                maxValueInteger: 12
                minValueInteger: 1
                choices: [valueInteger]
                index: 195
              valueInteger: {type: integer, maxValueInteger: 12, minValueInteger: 1, choiceOf: value, index: 196}
            required: [value, valueInteger]
        breastQuadrant:
          match: {}
          schema:
            short: Breast quadrant
            mustSupport: true
            index: 83
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0073-00015, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs'}
                index: 84
              value:
                choices: [valueCodeableConcept]
                index: 86
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 87}
        axillaryCorticalThickness:
          match: {}
          schema:
            short: Axillary lymph node cortical thickness
            mustSupport: true
            index: 168
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00039, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 169
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 171
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 172
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 173}
                  unit: {index: 174}
                  system: {index: 175}
                  code: {index: 176}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        regionalNodeStatus:
          match: {}
          schema:
            short: Regional lymph node status
            mustSupport: true
            index: 73
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00018, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 74
              value:
                choices: [valueCodeableConcept]
                index: 76
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 77}
        dynamics:
          match: {}
          schema:
            short: Comparison with previous study
            mustSupport: true
            index: 78
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00020, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 79
              value:
                choices: [valueCodeableConcept]
                index: 81
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 82}
        axillaryMaximumNodeSize:
          match: {}
          schema:
            short: Maximum axillary lymph node size
            mustSupport: true
            index: 159
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00038, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 160
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 162
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 163
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 164}
                  unit: {index: 165}
                  system: {index: 166}
                  code: {index: 167}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        regionalNodeNote:
          match: {}
          schema:
            short: Comment about other regional lymph nodes
            mustSupport: true
            index: 177
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00040, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 178
              value:
                choices: [valueString]
                index: 180
              valueString: {type: string, choiceOf: value, index: 181}
            required: [valueString, value]
        ductStatus:
          match: {}
          schema:
            short: Duct status
            mustSupport: true
            index: 43
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00012, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 44
              value:
                choices: [valueCodeableConcept]
                index: 46
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 47}
        internalStructureMacrocalcifications:
          match: {}
          schema:
            mustSupport: true
            index: 253
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00035, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 254
              value:
                choices: [valueBoolean]
                index: 256
              valueBoolean: {type: boolean, choiceOf: value, index: 257}
            required: [value, valueBoolean]
        transformationZone:
          match: {}
          schema: {index: 5}
          max: 0
        breastDensity:
          match: {}
          schema: {index: 6}
          max: 0
        acrComposition:
          match: {}
          schema:
            short: ACR breast composition
            mustSupport: true
            index: 18
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00005, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 19
              value:
                choices: [valueCodeableConcept]
                index: 21
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 22}
        lesionContour:
          match: {}
          schema:
            short: Lesion contour
            mustSupport: true
            index: 98
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00029, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 99
              value:
                choices: [valueCodeableConcept]
                index: 101
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 102}
        fibroglandularEchogenicity:
          match: {}
          schema:
            short: Fibroglandular echogenicity
            mustSupport: true
            index: 38
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00010, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 39
              value:
                choices: [valueCodeableConcept]
                index: 41
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 42}
        maximumDuctDiameter:
          match: {}
          schema:
            short: Maximum duct diameter
            mustSupport: true
            index: 141
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00011, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 142
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 144
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 145
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 146}
                  unit: {index: 147}
                  system: {index: 148}
                  code: {index: 149}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        lesionThickness:
          match: {}
          schema:
            short: Lesion thickness
            mustSupport: true
            index: 224
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00026, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 225
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 227
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 228
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 229}
                  unit: {index: 230}
                  system: {index: 231}
                  code: {index: 232}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        lesionAcousticEffect:
          match: {}
          schema:
            short: Lesion acoustic effect
            mustSupport: true
            index: 108
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00036, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 109
              value:
                choices: [valueCodeableConcept]
                index: 111
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 112}
        internalStructureHeterogeneous:
          match: {}
          schema:
            mustSupport: true
            index: 238
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00032, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 239
              value:
                choices: [valueBoolean]
                index: 241
              valueBoolean: {type: boolean, choiceOf: value, index: 242}
            required: [value, valueBoolean]
        additionalChanges:
          match: {}
          schema:
            short: Additional ultrasound changes
            mustSupport: true
            index: 182
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00019, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 183
              value:
                choices: [valueString]
                index: 185
              valueString: {type: string, choiceOf: value, index: 186}
            required: [valueString, value]
        distanceFromNipple:
          match: {}
          schema:
            short: Distance from nipple
            mustSupport: true
            index: 197
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00023, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 198
              value:
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choices: [valueQuantity]
                index: 200
              valueQuantity:
                type: Quantity
                pattern:
                  type: Quantity
                  value: {code: mm, unit: mm, system: 'http://unitsofmeasure.org'}
                choiceOf: value
                index: 201
              value[x]:
                elements:
                  value: {minValueDecimal: 0, index: 202}
                  unit: {index: 203}
                  system: {index: 204}
                  code: {index: 205}
                required: [value, unit, system, code]
            required: [value, valueQuantity]
        lesionShape:
          match: {}
          schema:
            short: Lesion shape
            mustSupport: true
            index: 88
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0052-00027, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'}
                index: 89
              value:
                choices: [valueCodeableConcept]
                index: 91
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 92}
        axillaryNodeDifferentiation:
          match: {}
          schema:
            short: Axillary lymph node differentiation
            mustSupport: true
            index: 68
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: scrn-0073-00016, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-specialized-observation-parameter-cs'}
                index: 69
              value:
                choices: [valueCodeableConcept]
                index: 71
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 72}
        internalStructureHomogeneous:
          match: {}
          schema:
            mustSupport: true
            index: 233
            elements:
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package_version: 0.8.0
class: profile
kind: resource
url: https://dhp.uz/fhir/integrations/StructureDefinition/screening-breast-ultrasound-observation
base: https://dhp.uz/fhir/integrations/StructureDefinition/screening-observation|0.8.0
version: 0.8.0
required: [bodySite]