<description value="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."/> <code> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="surgicalreferral"/> <display value="Breast surgeon referral"/> </coding> </code> <documentation> <type value="citation"/> <label value="ASBrS"/> <display value="The American Society of Breast Surgeons Resource Guide: Surgical Management of Benign or High-Risk Lesions (Feb 2025)"/> <url value="https://www.breastsurgeons.org/docs/statements/asbrs-rg-high-risk-lesions.pdf"/> </documentation> <timingTiming> <event value="2024-10-01T10:00:00.000+00:00"/> </timingTiming> <resource> <reference value="ServiceRequest/338"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/338"/> <resource> <ServiceRequest> <id value="338"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_338"> </a>Generated Narrative: ServiceRequest 338<a name="338"> </a><a name="hc338"> </a><a name="338-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: Breast surgeon referralsubject: <a href="Bundle-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a>occurrence: 2024-10-01 10:00:00+0000reasonCode: Atypical breast finding</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/> </basedOn> <status value="option"/> <intent value="proposal"/> <code> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="surgicalreferral"/> <display value="Breast surgeon referral"/> </coding> </code> <subject> <reference value="Patient/defaultPatient"/> <display value="Jane Doe"/> </subject> <occurrenceDateTime value="2024-10-01T10:00:00.000+00:00"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/biopsy-result-observation-code-system"/> <code value="Atypical"/> <display value="Atypical breast finding"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 337

instantiatesCanonical: Followup Screening Result

status: Draft

intent: Proposal

subject: Jane Doe

action
id
FollowupAtypicalBiopsyResult
Recommendation Flag Extension: Due
title: Refer to breast surgeon
description: 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.
code: Breast surgeon referral
Documentations
- Type Label Display Url
* Citation ASBrS The American Society of Breast Surgeons Resource Guide: Surgical Management of Benign or High-Risk Lesions (Feb 2025) https://www.breastsurgeons.org/docs/statements/asbrs-rg-high-risk-lesions.pdf
timing: Events: 2024-10-01 10:00:00+0000
resource: Bundle: type = collection

Activities

Documentations