Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
1.0.0 - ci-build
Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_321"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 321</b></p><a name="321"> </a><a name="hc321"> </a><a name="321-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-FollowupScreeningResult.html">Followup Screening Result</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-JosephineGreene-past-breast-pain-adh-biopsy.html#Patient_JosephineGreene">Josephine38 Greene57</a></p><p><b>created</b>: 2024-12-10 00:00:00+0000</p><h3>Activities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-FollowupScreeningResult_JosephineGreene-past-breast-pain-adh-biopsy.html#RequestGroup_322">Bundle: type = collection</a></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_322"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 322</b></p><a name="322"> </a><a name="hc322"> </a><a name="322-en-US"> </a><p><b>instantiatesCanonical</b>: <a href="PlanDefinition-flow-FollowupScreeningResult.html">Followup Screening Result</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href="Bundle-JosephineGreene-past-breast-pain-adh-biopsy.html#Patient_JosephineGreene">Josephine38 Greene57</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FollowupAtypicalBiopsyResult</blockquote><p><b>Recommendation Flag Extension</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system due}">Due</span></p><p><b>title</b>: Refer to breast surgeon</p><p><b>description</b>: Atypical fndings, including ADH and non-classic LCIS, should be referred for potential excision.
Atypical ductal hyperplasia (ADH) and non-classic lobular carcinoma in situ (LCIS), including pleomorphic or florid LCIS, should be referred to breast surgeon for potential excision.
Classic LCIS and atypical lobular hyperplasia (ALH) are typically candidates for observation with clinical and imaging follow-up but may benefit from excision in certain circumstances.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system surgicalreferral}">Breast surgeon referral</span></p><h3>Documentations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>ASBrS</td><td>The American Society of Breast Surgeons Resource Guide: Surgical Management of Benign or High-Risk Lesions (Feb 2025)</td><td><a href="https://www.breastsurgeons.org/docs/statements/asbrs-rg-high-risk-lesions.pdf">https://www.breastsurgeons.org/docs/statements/asbrs-rg-high-risk-lesions.pdf</a></td></tr></table><p><b>timing</b>: Events: 2024-11-20 </p><p><b>resource</b>: <a href="Bundle-FollowupScreeningResult_JosephineGreene-past-breast-pain-adh-biopsy.html#ServiceRequest_323">Bundle: type = collection</a></p></blockquote></div>
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Atypical ductal hyperplasia (ADH) and non-classic lobular carcinoma in situ (LCIS), including pleomorphic or florid LCIS, should be referred to breast surgeon for potential excision.
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