Breast Imaging Reporting - 2nd STU ballot
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Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions

CodeSystem: ServiceRecommendations CodeSystem

Official URL: http://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS Version: 0.3.0
Active as of 2022-12-07 Computable Name: ServiceRecommendationsCS

ServiceRecommendations CodeSystem

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS defines the following codes:

CodeDisplayDefinition
3DImaging 3D ImagingAdvanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Also called breast tomosynthesis.
3DSpotCC 3D spot CCAdvanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Cranial-Caudal (CC) is a 3D view from above the breast.
3DSpotLM 3D spot LMAdvanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Lateral-medial (LM) is
3DSpotML 3D spot MLAdvanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Mediolateral (ML) is
3DSpotMLO 3D spot MLOAdvanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Mediolateral-oblique (MLO) is
AdditionalViews Additional viewsAdditional views in Mammography, MRI and US, help increase the chances of finding any possible tumors in the breast.
AddlitionalViewsWithPossibleUltrasound Addlitional views with possible ultrasoundAdditional views in a Mammogram, MRI or Ultrasound are recommended.
AxillaView Axilla viewAn axillary view (also known as a 'Cleopatra view') is a type of view in mammography. It is an exaggerated craniocaudal view for better imaging of the lateral portion of the breast to the axillary tail. This projection is performed whenever we want to show a lesion seen only in the axillary tail on the MLO view. An optimal axillary view require to be clearly displayed the most lateral portion of the breast including the axillary tail, as well the pectoral muscle and the nipple in profile. [radiopaedia.org]
AxillaryTailView Axillary tail viewThe tail of Spence (Spence's tail, axillary process, axillary tail) is an extension of the tissue of the breast that extends into the axilla. It is actually an extension of the upper lateral quadrant of the breast. It passes into the axilla through an opening in the deep fascia called foramen of Langer. [en.wikipedia.org]
Biopsy BiopsyA biopsy is recommended. An examination under a microscope of the specific tissue removed from the body. The examination is used to check for abnormalities or cancer cells.
BiopsyBaseOnClinical Biopsy base on clinicalBased on the clinical exam, a biopsy is recommended.
CaudocranialView Caudocranial viewIt is recommended that a Caudocranial view is captured by Ultrasound and/or Mammogram. It is useful for the study of breasts in the lower quadrants. The patient will bend forward at the waist to view the underside of the breast. Also called a reverse CC view. The reversed CC view is an additional view. It is useful for the study of breasts with surgical scars in the lower quadrants. The ability to see the scar through the compressor paddle offers to the mammographer the possibility to flatten it properly, reducing the formation of scar folds as well artifacts from false parenchymal distortion.
CCWithCompressionView CC with compression viewThe recommendation is for a CC with compression view to be completed on an Ultrasound and/or Mammogram.
CCWithMagnificationView CC with magnification viewThe recommendation is for a CC with magnification view to be completed on an Ultrasound and/or Mammogram.
CleavageView Cleavage viewIt is recommended that a cleavage view is captured via Mammogram and/or Ultrasound. Also called 'valley view' is a mammogram view that images the most central portions of the breasts. To get as much central tissue as possible, the mammogram technologist will place both breasts on the plate at the same time to image the medial half of both breasts.
ClinicalConsultation Clinical consultationA clinical consultation is recommended.
ClinicalCorrelation Clinical correlationThe recommendation is for a clinicial correlation and/or comparison to be completed.
ClinicalFollow-up Clinical follow-upThe recommendation is for a clinical follow-up to be completed.
CompareToPriorExams Compare to prior examsThe recommendation is for a compare to prior exams to be completed.
CompressionViews Compression viewsIt is recommended that a compression view is admininstered via Mammogram or Ultrasound. All mammograms use compression of the breast. By applying compression to only a specific area of the breast, the effective pressure is increased on that spot. This results in better tissue separation and allows better visualization of the area of the breast needing additional examination.
ConeCompression Cone compressionA cone compression is recommended to catch a specific spot or view during the mammogram and/or ultrasound. Spot views apply the compression to a smaller area of tissue using a small compression plate or 'cone'.
CoreBiopsy Core BiopsyIt is recommended that a core biopsy procedure is administered. It is a procedure where a needle is passed through the skin to take a sample of tissue from a mass or lump. The tissue is then examined under a microscope for any abnormalities.
CraniocaudalView Craniocaudal viewCranial-Caudal (CC) is a view from above the breast during a mammogram or ultrasound.
Cryoablation CryoablationUses imaging guidance, a needle-like applicator called a cryoprobe, and liquid nitrogen or argon gas to create intense cold to freeze and destroy diseased tissue, including cancer cells. It may be used to treat a variety of skin conditions as well as tumors within the liver, kidneys, bones, lungs and breasts.
CystAspiration Cyst aspirationA cyst aspiration is a procedure used to drain fluid from a breast cyst. The vast majority of cysts are benign (non-cancerous), though some are quite tender. Aspirating the fluid from a cyst may alleviate symptoms or discomfort. In some cases, specimens are sent to pathology. [www.carolmilgardbreastcenter.org > Cyst_Aspiration]
CystAspirationForRelief Cyst aspiration for reliefOne way to get relief from the pain of a cyst is to remove fluid from the cyst, thereby decreasing the pressure. This is called aspiration for relief.
DiagnosticAspiration Diagnostic aspirationThis is a fine needle aspiration and is a type of biopsy procedure. In fine needle aspiration, a thin needle is inserted into an area of abnormal-appearing tissue or body fluid. [www.webmd.com]
DiagnosticMammogram Diagnostic MammogramWhile screening mammograms are used as a routine check-up for breast health, diagnostic mammograms are used after suspicious results on a screening mammogram or after some signs of breast cancer alert the physician to check the tissue.These signs may include a lump or breast pain. [www.nationalbreastcancer.org]
DrainageTube Drainage tubeThe recommendation is for a drainage tube to be attached to breast. A drainage tube is a tube used to remove pus, blood or other fluids from a wound. This is a common practice by surgeons or interventional radiologists. [en.wikipedia.org]
Ductography DuctographyA ductogram, also called a galactogram, is a special type of mammogram used for imaging the breast ducts. It can aid in diagnosing the cause of abnormal nipple discharges. Ductography (also called galactography or ductogalactography) is a special type of contrast enhanced mammography used for imaging the breast ducts. Ductography can aid in diagnosing the cause of an abnormal nipple discharge and is valuable in diagnosing intraductal papillomas and other conditions. [www.imaginis.com]
ExaggeratedCCViews Exaggerated CC viewsAn XCCL view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the lateral aspect of the breast. It is often done when a lesion is suspected on a MLO view but cannot be seen on the CC view. In this view, the lateral aspect of the breast is placed forward. One rationale of performing this view is that many cancers are located in the lateral aspect of the breast. An XCCM view is a supplementary mammographic view. It is a type of exaggerated cranio-caudal view. It is particularly good for imaging the medial portion of the breast. In this view, the medial portion of the breast is placed forward. A negative 15degrees tube tilt is suggested. An optimal XCCM view requires the most medial portion of the breast and the nipple in profile to be clearly displayed. [radiopaedia.org]
FNABiopsy FNA biopsyFNA stands for Fine needle aspiration and this is a type of biopsy procedure. In fine needle aspiration, a thin needle is inserted into an area of abnormal-appearing tissue or body fluid. As with other types of biopsies, the sample collected during fine needle aspiration can help make a diagnosis or rule out conditions such as cancer. [www.webmd.com]
Follow-up Follow-upIt is recommended to make a follow-up appointment.
Followup3Months Followup 3 monthsIt is recommended to make a follow-up appointment in 3 months.
Followup6Months Followup 6 monthsIt is recommended to make a follow-up appointment in 6 months.
IfPreviousShowNoChange If previous show no changeThe recommendation is for a if previous show no change to be completed.
LateralMagnificationView Lateral magnification viewThe recommendation is for a Lateral magnification view to be completed on Mammogram and/or Ultrasound.
LateralMedialView Lateral medial viewThere are different views of the breast in mammography. For the LM view, the tube is lateral and the detector is placed medially LM view is best for evaluating medial lesions.
LateralView Lateral viewThere are different views of the breast in mammography. The lateral view is a view obtained at virtually every diagnostic evaluation. A lateral view may be obtained as a mediolateral view (ML) or lateromedial view (LM) view depending on where the imaging tube and detector are located.
LateralWithCompressionView Lateral with compression viewThe recommendation is for a Lateral with compression view to be completed on Mammogram.
LateromedialOblique Lateromedial obliqueThe recommendation is for a lateromedial oblique view to be completed on Mammogram and/or Ultrasound.
LateromedialView Lateromedial viewThe recommendation is for a lateromedial view to be completed on Mammogram and/or Ultrasound.
LymphNodeAssessment Lymph node assessmentLymph Node Exam. Palpation of the lymph nodes provides information about the possible presence of a malignant or inflammatory process and the localization or generalization of that process. [stanford.edu]
MagnificationViews Magnification viewsA magnification view in mammography is performed to evaluate and count microcalcifications and its extension (as well the assessment of the borders and the tissue structures of a suspicious area or a mass) by using a magnification device which brings the breast away from the film plate and closer to the x-ray source. This allows the acquisition of magnified images (1.5x to 2x magnification) of the region of interest. radiopaedia.org > articles > magnification-view-mammography
Mammogram MammogramA mammogram is an X-Ray picture of the breast. It is used to look for early signs of breast cancer.
Mammogram3MonthFollow-up Mammogram 3 month follow-upA three month follow-up is recommended.
Mammogram6MonthFollow-up Mammogram 6 month follow-upA six month follow-up is recommended.
MammogramAndUltrasound3MonthFollow-up Mammogram and ultrasound 3 month follow-upA three month follow-up with ultrasound is recommended.
MammogramAndUltrasound6MonthFollow-up Mammogram and ultrasound 6 month follow-upA six month follow-up with ultrasound is recommended.
MediolateralObliqueView Mediolateral oblique viewA mediolateral oblique view is recommended.
MediolateralView Mediolateral viewA mediolateral view is recommended.
MLOWithCompressionView MLO with compression viewAn additional MLO with compression view of the breast is recommended.
MLOWithMagnificationView MLO with magnification viewAn additional MLO with magnification view of the breast is recommended.
MRI MRIAn MRI is recommended.
MRIBiopsy MRI biopsyAn MRI with biopsy is recommended.
MRIFollow-up MRI follow-upAn MRI follow-up is recommended.
NeedleLocationAndSurgicalBiopsy Needle location and surgical biopsyA Needle localization and surgical biopsy is recommended.
NippleInProfileView Nipple in profile viewA technically adequate exam has the nipple in profile, allows visualization of the inframammary fold and includes the pectoralis muscle extending down to the posterior nipple line (an oblique line drawn straight back from the nipple.) [www.mammoguide.com]
OffAngleCCView Off angle CC viewAn additional off angle CC view of the breast is recommended.
OffAngleMLOView Off angle MLO viewAn additional off angle MLO view of the breast is recommended.
Poss.StereotacticBx Poss. Stereotactic BxStereotactic breast biopsy uses mammography - a specific type of breast imaging that uses low-dose x-rays - to help locate a breast abnormality and remove a tissue sample for examination under a microscope. It's less invasive than surgical biopsy, leaves little to no scarring and can be an excellent way to evaluate calcium deposits or tiny masses that are not visible on ultrasound. [www.radiologyinfo.org]
PossibleCoreBiopsy Possible core biopsyA core needle biopsy (CNB) uses a hollow needle to take out pieces of breast tissue from a suspicious area in an imaging test. The needle may be attached to a spring-loaded tool that moves the needle in and out of the tissue quickly, or it may be attached to a suction device that helps pull breast tissue into the needle. A small cylinder (core) of tissue is taken out in the needle. Several cores are often removed. [www.cancer.org]
PossibleDiagnosticMammogram Possible Diagnostic MammogramA possible diagnostic mammogram is recommended.
PossibleStereotacticVacuumBiopsy Possible stereotactic vacuum biopsyBased on the results of the mammogram, a possible stereotactic vacuum biopsy is recommended. During this type of biopsy, small samples of tissue are removed from the breast using a hollow needle, which is precisely guided to the correct location using x-rays and computer generated coordinates of the concerning area of breast tissue. [www.genesishealth.com]
PossibleSurgicalConsult Possible surgical consultA possible surgical consultation may be recommended.
PossibleSurgicalEvaluation Possible surgical evaluationA possible surgical evaluation is recommended.
PossibleUltrasound Possible ultrasoundA possible ultrasound is recommended.
PossibleUltrasoundGuidedBiopsy Possible ultrasound guided biopsyA possible ultrasound guided biopsy is recommended.
PossibleVacuumBiopsy Possible vacuum biopsyA possible vacuum biopsy is recommended.
RepeatCCView Repeat CC viewAnother CC view of Mammogram is recommended.
RepeatMLOView Repeat MLO viewAnother MLO view of Mammogram is recommended.
RolledLateralView Rolled lateral viewA rolled CC lateral view is recommended. A rolled CC view Is performed to locate a lesion only visible in the cranio-caudal view, or when overlapped tissues in the standard view can simulate or partially conceal a lesion: changing of tissues distribution allows to determine whether or not its presence. When the lesion identified moves medially or laterally respect to the standard projection, it is possible to determine in which quadrant it is localized. The breast is positioned on the image receptor as for the cranio-caudal view, then is rotated medially or laterally around the axis of the nipple prior to applying compression. [radiopaedia.org]
RolledMedialView Rolled medial viewA rolled medial view is recommended.
ScintimammogramGuidedBiopsy Scintimammogram Guided BiopsyA Scintimammogram guided biopsy is recommended. This is performed by taking samples of an abnormality under guidance from the Scintimammogram. Scintimammography uses small amounts of radioactive material, a special camera and a computer to help investigate a breast abnormality. This helps to guide the radiologist's biopsy equipment to the site of the imaging abnormality. [www.radiologyinfo.org]
Scintimammography ScintimammographyA scintimammogram is recommended. Scintimammography is also known as nuclear medicine breast imaging, Breast Specific Gamma Imaging (BSGI) and Molecular Breast Imaging (MBI). This type of exam is used to investigate a breast abnormality found with mammography. Scintimammography uses small amounts of radioactive material, a special camera and a computer to help investigate a breast abnormality. Scintimammography can detect cancer even when dense breast tissue and breast implants are present. It can reduce unnecessary procedures by helping determine whether a biopsy is needed. [www.radiologyinfo.org]
SpotCompression Spot compressionA spot compression is recommended. A spot view (also known as a spot compression view or focal compression view) is an additional mammographic view performed by applying the compression to a smaller area of tissue using a small compression paddle, increasing the effective pressure on that spot. This results in better tissue separation and allows better visualization of the breast tissue in that area. It is used to distinguish between the presence of a true lesion and an overlap of tissues, as well to better show the borders of an abnormality or questionable area or a little cluster of faint microcalcifications in a dense area. [radiopaedia.org]
SpotMagnificationViews Spot magnification viewsSpot magnification views are recommended.
StereotacticBx Stereotactic bxA stereotactic biopsy is recommended.
SuperolateralIOView Superolateral IO viewA superolateral IO view is recommended. The view of the upper outer quadrant of the breast. This is the quadrant of the breast that is closest to the armpit. There are 4 quadrants in the anatomy of a breast.
SurgicalBiopsy Surgical biopsyA surgical biopsy is recommended. A surgical biopsy is a procedure that involves the surgical removal of tissue from a lump or mass for examination under a microscope. This test may also be called an open biopsy. Surgical biopsies can be excisional (removal of an entire lump or abnormal area) or incisional (removal of a piece of a lump or abnormal area). [www.cancer.ca]
SurgicalConsult Surgical consultA surgical consult is recommended.
SurgicalConsultAndBiopsy Surgical consult and biopsyA surgical consult and biopsy is recommended.
SurgicalEvaluation Surgical evaluationThe recommendation is for a surgical evaluation.
SurgicalExcision Surgical excisionThe recommendation is for a surgical excision.
SurgicalOncologicEvaluation Surgical oncologic evaluationThe recommendation is for a surgical oncologic evaluation.
SurgicalOncologicalConsult Surgical oncological consultThe recommendation is for a surgical oncologic consult.
TangentialView Tangential viewA tangential view is recommended.
TangentialViews Tangential viewsTangential views are recommended.
Ultrasound UltrasoundAn ultrasound is recommended.
Ultrasound2ndLook Ultrasound 2nd LookAn additional ultrasound is recommended.
Ultrasound3MonthFollow-up Ultrasound 3 month follow-upAn additional ultrasound is recommended in a 3 month follow-up.
Ultrasound6MonthFollow-up Ultrasound 6 month follow-upAn additional ultrasound is recommended in a 3 month follow-up.
UltrasoundGuidedBx Ultrasound guided bxAn ultrasound guided biopsy is recommended.
UltrasoundLocationAndSurgicalBiopsy Ultrasound location and surgical biopsyAn ultrasound localized and surgical biopsy is recommended.
UltrasoundWithPossibleAddlitonalViews Ultrasound with possible addlitonal viewsAn ultrasound with possible additional views are recommended.
Unspecified/Other Unspecified / otherUnspecified / other
VacuumBx Vacuum BxA vacuum biopsy is recommended.