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_369"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 369</b></p><a name="369"> </a><a name="hc369"> </a><a name="369-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</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_eve-biradsscore_mri__bi-rads_4_or_5_act-biopsy.html#RequestGroup_370">Bundle: type = collection</a></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_370"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 370</b></p><a name="370"> </a><a name="hc370"> </a><a name="370-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-eve-Age45to54_act-acsavgrecs45_act-uspstfavgrecs.html#Patient_defaultPatient">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>FollowupBirads4Or5Result</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 for breast biopsy</p><p><b>description</b>: Refer for breast biopsy.
Initial modality will typically be image-guided core needle biopsy (guided by mammography, ultrasound, or MRI). In certain conditions, an initial excisional biopsy may be preferable. These may include lesions anatomically unsuitable for needle biopsy or patient anatomic considerations. Refer to resulting Radiologist for recommendations.
In imaging findings that have previously been biopsied and found to be benign, consider referral for excisional biopsy if there have been suspicious interval changes in the lesion.</p><p><b>code</b>: <span title="Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system breastbiopsy}">Breast biopsy</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>Citation</b></td><td><b>Url</b></td></tr><tr><td style="display: none">*</td><td>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: Mammography Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf</a></td></tr><tr><td style="display: none">*</td><td>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: MRI Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf</a></td></tr><tr><td style="display: none">*</td><td>Documentation</td><td>ACR</td><td>ACR BI-RADS Atlas Excerpt: Ultrasound Reporting System</td><td><div><p>American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.</p>
</div></td><td><a href="https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf">https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf</a></td></tr><tr><td style="display: none">*</td><td>Citation</td><td>ASBrS</td><td>The American Society of Breast Surgeons Resource Guide: Excisional Breast Biopsy (Nov 2014)</td><td> </td><td><a href="https://www.breastsurgeons.org/docs/statements/asbrs-rg-excisional-breast-biopsy.pdf">https://www.breastsurgeons.org/docs/statements/asbrs-rg-excisional-breast-biopsy.pdf</a></td></tr></table><p><b>timing</b>: Events: 2024-10-01 10:00:00+0000 </p><p><b>resource</b>: <a href="Bundle-FollowupScreeningResult_eve-biradsscore_mri__bi-rads_4_or_5_act-biopsy.html#ServiceRequest_371">Bundle: type = collection</a></p></blockquote></div>
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Initial modality will typically be image-guided core needle biopsy (guided by mammography, ultrasound, or MRI). In certain conditions, an initial excisional biopsy may be preferable. These may include lesions anatomically unsuitable for needle biopsy or patient anatomic considerations. Refer to resulting Radiologist for recommendations.
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