Description
Determines next steps, if any, based on result of screening imaging or biopsy. This may be triggered by a diagnostic report being received by the system or a mammography BI-RADS result being documented in a structured manner.
Mid-Level Flow Diagram
Semi-Structured Logic Statements
Inclusions
None.
Exclusions
None.
Events
| Name | Description |
|---|---|
Latest screening test type? | |
Actionable BI-RADS? | |
BI-RADS score in most recent resulted test of either 'Last mammography result' OR 'Last MRI result' is NOT 1 or 2 | |
BI-RADS score? | |
BI-RADS score in most recent resulted test of either 'Last mammography result' OR 'Last MRI result' | |
Pathology result? | Result of pathology of last breast tissue biopsy. |
malignant if 'Last biopsy' result is 'Biopsy result malignant' OR atypical if 'Last biopsy' result is 'Biopsy result atypical' OR indeterminate if 'Last biopsy' result is 'Biopsy result indeterminate' OR discordant if 'Last biopsy' result is 'Biopsy result discordant' OR negative if 'Last biopsy' result is 'Biopsy result negative' | |
Actions
Update next due date Description Pseudocode Next due date = 'Date of last mammography' plus 2 years OR Now if 'Last mammography' does not exist |
Order interval imaging Description Refer to Radiology report for patient specific recommendations on follow-up imaging modality and interval Pseudocode |
Referral for biopsy Description Referral for biopsy, either core needle or, if recommended by Radiology, FNA or excisional Pseudocode |
Referral for high risk evaluation Description Pseudocode REFERRAL for high risk breast clinic evaluation |
Referral for excisional biopsy Description Referral for excisional biopsy or else repeat core needle or FNA if recommended by Radiology. Pseudocode |
Referral for excisional biopsy Description Referral for excisional biopsy, in consultation with Radiology. Pseudocode REFERRAL to service type `BREAST SURGERY` |
Specialist referral Description Referral to breast surgery or medical oncology as appropriate Pseudocode |