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: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00031, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 234 value: choices: [valueBoolean] index: 236 valueBoolean: {type: boolean, choiceOf: value, index: 237} required: [value, valueBoolean] axillaryNodeStatus: match: {} schema: short: Axillary lymph node status mustSupport: true index: 63 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00017, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 64 value: choices: [valueCodeableConcept] index: 66 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 67} internalStructureCysticInclusions: match: {} schema: mustSupport: true index: 243 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00033, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 244 value: choices: [valueBoolean] index: 246 valueBoolean: {type: boolean, choiceOf: value, index: 247} required: [value, valueBoolean] breastSymmetry: match: {} schema: short: Breast symmetry mustSupport: true index: 13 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00004, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 14 value: choices: [valueCodeableConcept] index: 16 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 17} anamnesis: match: {} schema: short: Ultrasound anamnesis mustSupport: true index: 127 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00003, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 128 value: choices: [valueString] index: 130 valueString: {type: string, choiceOf: value, index: 131} required: [valueString, value] elastographyColorType: match: {} schema: short: Elastography color type mustSupport: true index: 53 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00015, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 54 value: choices: [valueCodeableConcept] index: 56 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 57} retromammarySpace: match: {} schema: short: Retromammary space mustSupport: true index: 48 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00013, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 49 value: choices: [valueCodeableConcept] index: 51 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 52} internalStructureMicrocalcifications: match: {} schema: mustSupport: true index: 248 elements: code: pattern: type: CodeableConcept value: coding: - {code: scrn-0052-00034, system: 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-ultrasound-parameter-cs'} index: 249 value: choices: [valueBoolean] index: 251 valueBoolean: {type: boolean, choiceOf: value, index: 252} required: [value, valueBoolean] 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]