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
Generated Narrative: Bundle FollowupScreeningResult_eve-biopsyresult_discordant_act-discordantbiopsy
Bundle FollowupScreeningResult_eve-biopsyresult_discordant_act-discordantbiopsy of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/339
Resource CarePlan:
Generated Narrative: CarePlan 339
instantiatesCanonical: Followup Screening Result
status: Draft
intent: Proposal
subject: Jane Doe
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/340
Resource RequestGroup:
Generated Narrative: RequestGroup 340
instantiatesCanonical: Followup Screening Result
status: Draft
intent: Proposal
subject: Jane Doe
action
id
FollowupDiscordantBiopsyResultRecommendation Flag Extension: Due
title: Refer to breast surgeon
description: Benign histology findings on core needle biopsy that are discordant with imaging findings should be referred for potential excisional biopsy. A histologic result may be discordant if the pathology result does not account for imaging findings that are suspicious for malignancy. The designation of discordance may require input from radiologist, breast surgeon, and breast pathologist. A repeat needle biopsy may be considered if the initial biopsy procedure was felt to be inadequate. Refer to radiologist recommendations for guidance.
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
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/341
Resource ServiceRequest:
Generated Narrative: ServiceRequest 341
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: Breast surgeon referral
subject: Jane Doe
occurrence: 2024-10-01 10:00:00+0000
reasonCode: Discordant breast finding