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-biradsscore_bi-rads_4_or_5_act-biopsy
Bundle FollowupScreeningResult_eve-biradsscore_bi-rads_4_or_5_act-biopsy of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/360
Resource CarePlan:
Generated Narrative: CarePlan 360
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/361
Resource RequestGroup:
Generated Narrative: RequestGroup 361
instantiatesCanonical: Followup Screening Result
status: Draft
intent: Proposal
subject: Jane Doe
action
id
FollowupBirads4Or5ResultRecommendation Flag Extension: Due
title: Refer for breast biopsy
description: 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.
code: Breast biopsy
Documentations
Type Label Display Citation Url Documentation ACR ACR BI-RADS Atlas Excerpt: Mammography Reporting System American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.
https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf Documentation ACR ACR BI-RADS Atlas Excerpt: MRI Reporting System American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.
https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-MRI-Reporting.pdf Documentation ACR ACR BI-RADS Atlas Excerpt: Ultrasound Reporting System American College of Radiology. ACR BI-RADS Atlas: Breast Imaging Reporting and Data System. 5th ed., American College of Radiology, 2013.
https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/BI-RADS/Breast-Ultrasound-Reporting.pdf Citation ASBrS The American Society of Breast Surgeons Resource Guide: Excisional Breast Biopsy (Nov 2014) https://www.breastsurgeons.org/docs/statements/asbrs-rg-excisional-breast-biopsy.pdf timing: Events: 2024-10-01 10:00:00+0000
resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/362
Resource ServiceRequest:
Generated Narrative: ServiceRequest 362
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: Breast biopsy
subject: Jane Doe
occurrence: 2024-10-01 10:00:00+0000
reasonCode: Mammography assessment (Category 4) - Suspicious abnormality, biopsy should be considered (finding)