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_339"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan 339</b></p><a name="339"> </a><a name="hc339"> </a><a name="339-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-biopsyresult_discordant_act-discordantbiopsy.html#RequestGroup_340">Bundle: type = collection</a></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="RequestGroup_340"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup 340</b></p><a name="340"> </a><a name="hc340"> </a><a name="340-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>FollowupDiscordantBiopsyResult</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>: 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.</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: 2024-10-01 10:00:00+0000 </p><p><b>resource</b>: <a href="Bundle-FollowupScreeningResult_eve-biopsyresult_discordant_act-discordantbiopsy.html#ServiceRequest_341">Bundle: type = collection</a></p></blockquote></div>
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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."/>
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