Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
Breast Imaging Reporting - 2nd STU ballot
0.3.0 - CI Build
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
| Active as of 2022-12-07 |
{
"resourceType" : "CodeSystem",
"id" : "ServiceRecommendationsCS",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">3DImaging<a name=\"ServiceRecommendationsCS-3DImaging\"> </a></td><td>3D Imaging</td><td>Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nAlso called breast tomosynthesis.</td></tr><tr><td style=\"white-space:nowrap\">3DSpotCC<a name=\"ServiceRecommendationsCS-3DSpotCC\"> </a></td><td>3D spot CC</td><td>Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nCranial-Caudal (CC) is a 3D view from above the breast.</td></tr><tr><td style=\"white-space:nowrap\">3DSpotLM<a name=\"ServiceRecommendationsCS-3DSpotLM\"> </a></td><td>3D spot LM</td><td>Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nLateral-medial (LM) is</td></tr><tr><td style=\"white-space:nowrap\">3DSpotML<a name=\"ServiceRecommendationsCS-3DSpotML\"> </a></td><td>3D spot ML</td><td>Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nMediolateral (ML) is</td></tr><tr><td style=\"white-space:nowrap\">3DSpotMLO<a name=\"ServiceRecommendationsCS-3DSpotMLO\"> </a></td><td>3D spot MLO</td><td>Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nMediolateral-oblique (MLO) is</td></tr><tr><td style=\"white-space:nowrap\">AdditionalViews<a name=\"ServiceRecommendationsCS-AdditionalViews\"> </a></td><td>Additional views</td><td>Additional views in Mammography, MRI and US, help\nincrease the chances of finding\nany possible tumors in the breast.</td></tr><tr><td style=\"white-space:nowrap\">AddlitionalViewsWithPossibleUltrasound<a name=\"ServiceRecommendationsCS-AddlitionalViewsWithPossibleUltrasound\"> </a></td><td>Addlitional views with possible ultrasound</td><td>Additional views in a Mammogram, MRI or Ultrasound\nare recommended.</td></tr><tr><td style=\"white-space:nowrap\">AxillaView<a name=\"ServiceRecommendationsCS-AxillaView\"> </a></td><td>Axilla view</td><td>An axillary view (also known as a 'Cleopatra view')\nis a type of view in mammography. It is\nan exaggerated craniocaudal view for better imaging\nof the lateral portion of the\nbreast to the axillary tail.\nThis projection is performed whenever we want to\nshow a lesion seen only in the axillary\ntail on the MLO view.\nAn optimal axillary view require to be clearly displayed\nthe most lateral portion\nof the breast including the axillary tail, as well\nthe pectoral muscle and the nipple\nin profile.\n[radiopaedia.org]</td></tr><tr><td style=\"white-space:nowrap\">AxillaryTailView<a name=\"ServiceRecommendationsCS-AxillaryTailView\"> </a></td><td>Axillary tail view</td><td>The tail of Spence (Spence's tail, axillary process,\naxillary tail) is an extension\nof the tissue of the breast that extends into the\naxilla.\nIt is actually an extension of the upper lateral\nquadrant of the breast.\nIt passes into the axilla through an opening in the\ndeep fascia called foramen of\nLanger.\n[en.wikipedia.org]</td></tr><tr><td style=\"white-space:nowrap\">Biopsy<a name=\"ServiceRecommendationsCS-Biopsy\"> </a></td><td>Biopsy</td><td>A biopsy is recommended.\nAn examination under a microscope of the specific\ntissue removed from the body.\nThe examination is used to check for abnormalities\nor cancer cells.</td></tr><tr><td style=\"white-space:nowrap\">BiopsyBaseOnClinical<a name=\"ServiceRecommendationsCS-BiopsyBaseOnClinical\"> </a></td><td>Biopsy base on clinical</td><td>Based on the clinical exam, a biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">CaudocranialView<a name=\"ServiceRecommendationsCS-CaudocranialView\"> </a></td><td>Caudocranial view</td><td>It is recommended that a Caudocranial view is captured\nby Ultrasound and/or Mammogram.\nIt is useful for the study of breasts in the lower\nquadrants.\nThe patient will bend forward at the waist to view\nthe underside of the breast.\nAlso called a reverse CC view.\nThe reversed CC view is an additional view.\nIt is useful for the study of breasts with surgical\nscars in the lower quadrants.\nThe ability to see the scar through the compressor\npaddle offers to the mammographer\nthe possibility to flatten it properly, reducing\nthe formation of scar folds as well\nartifacts from false parenchymal distortion.</td></tr><tr><td style=\"white-space:nowrap\">CCWithCompressionView<a name=\"ServiceRecommendationsCS-CCWithCompressionView\"> </a></td><td>CC with compression view</td><td>The recommendation is for a CC with compression view\nto be completed on an Ultrasound and/or Mammogram.</td></tr><tr><td style=\"white-space:nowrap\">CCWithMagnificationView<a name=\"ServiceRecommendationsCS-CCWithMagnificationView\"> </a></td><td>CC with magnification view</td><td>The recommendation is for a CC with magnification\nview to be completed on an Ultrasound and/or Mammogram.</td></tr><tr><td style=\"white-space:nowrap\">CleavageView<a name=\"ServiceRecommendationsCS-CleavageView\"> </a></td><td>Cleavage view</td><td>It is recommended that a cleavage view is captured\nvia Mammogram and/or Ultrasound.\nAlso called 'valley view' is a mammogram view that\nimages the most central portions\nof the breasts.\nTo get as much central tissue as possible, the mammogram\ntechnologist will place\nboth breasts on the plate at the same time to image\nthe medial half of both breasts.</td></tr><tr><td style=\"white-space:nowrap\">ClinicalConsultation<a name=\"ServiceRecommendationsCS-ClinicalConsultation\"> </a></td><td>Clinical consultation</td><td>A clinical consultation is recommended.</td></tr><tr><td style=\"white-space:nowrap\">ClinicalCorrelation<a name=\"ServiceRecommendationsCS-ClinicalCorrelation\"> </a></td><td>Clinical correlation</td><td>The recommendation is for a clinicial correlation\nand/or comparison to be completed.</td></tr><tr><td style=\"white-space:nowrap\">ClinicalFollow-up<a name=\"ServiceRecommendationsCS-ClinicalFollow-up\"> </a></td><td>Clinical follow-up</td><td>The recommendation is for a clinical follow-up to\nbe completed.</td></tr><tr><td style=\"white-space:nowrap\">CompareToPriorExams<a name=\"ServiceRecommendationsCS-CompareToPriorExams\"> </a></td><td>Compare to prior exams</td><td>The recommendation is for a compare to prior exams\nto be completed.</td></tr><tr><td style=\"white-space:nowrap\">CompressionViews<a name=\"ServiceRecommendationsCS-CompressionViews\"> </a></td><td>Compression views</td><td>It is recommended that a compression view is admininstered\nvia Mammogram or Ultrasound.\nAll mammograms use compression of the breast.\nBy applying compression to only a specific area of\nthe breast, the effective pressure\nis increased on that spot.\nThis results in better tissue separation and allows\nbetter visualization of the area\nof the breast needing additional examination.</td></tr><tr><td style=\"white-space:nowrap\">ConeCompression<a name=\"ServiceRecommendationsCS-ConeCompression\"> </a></td><td>Cone compression</td><td>A cone compression is recommended to catch a specific\nspot or view during the mammogram\nand/or ultrasound.\nSpot views apply the compression to a smaller area\nof tissue using a small compression\nplate or 'cone'.</td></tr><tr><td style=\"white-space:nowrap\">CoreBiopsy<a name=\"ServiceRecommendationsCS-CoreBiopsy\"> </a></td><td>Core Biopsy</td><td>It is recommended that a core biopsy procedure is\nadministered.\nIt is a procedure where a needle is passed through\nthe skin to take a sample of tissue\nfrom a mass or lump.\nThe tissue is then examined under a microscope for\nany abnormalities.</td></tr><tr><td style=\"white-space:nowrap\">CraniocaudalView<a name=\"ServiceRecommendationsCS-CraniocaudalView\"> </a></td><td>Craniocaudal view</td><td>Cranial-Caudal (CC) is a view from above the breast\nduring a mammogram or ultrasound.</td></tr><tr><td style=\"white-space:nowrap\">Cryoablation<a name=\"ServiceRecommendationsCS-Cryoablation\"> </a></td><td>Cryoablation</td><td>Uses imaging guidance, a needle-like applicator called\na cryoprobe, and liquid nitrogen\nor argon gas to create intense cold to freeze and\ndestroy diseased tissue, including\ncancer cells.\nIt may be used to treat a variety of skin conditions\nas well as tumors within the\nliver, kidneys, bones, lungs and breasts.</td></tr><tr><td style=\"white-space:nowrap\">CystAspiration<a name=\"ServiceRecommendationsCS-CystAspiration\"> </a></td><td>Cyst aspiration</td><td>A cyst aspiration is a procedure used to drain fluid\nfrom a breast cyst.\nThe vast majority of cysts are benign (non-cancerous),\nthough some are quite tender.\nAspirating the fluid from a cyst may alleviate symptoms\nor discomfort.\nIn some cases, specimens are sent to pathology.\n[www.carolmilgardbreastcenter.org > Cyst_Aspiration]</td></tr><tr><td style=\"white-space:nowrap\">CystAspirationForRelief<a name=\"ServiceRecommendationsCS-CystAspirationForRelief\"> </a></td><td>Cyst aspiration for relief</td><td>One way to get relief from the pain of a cyst is\nto remove fluid from\nthe cyst, thereby decreasing the pressure.\nThis is called aspiration for relief.</td></tr><tr><td style=\"white-space:nowrap\">DiagnosticAspiration<a name=\"ServiceRecommendationsCS-DiagnosticAspiration\"> </a></td><td>Diagnostic aspiration</td><td>This is a fine needle aspiration and is a type of\nbiopsy procedure.\nIn fine needle aspiration, a thin needle is inserted\ninto an area of abnormal-appearing\ntissue or body fluid.\n[www.webmd.com]</td></tr><tr><td style=\"white-space:nowrap\">DiagnosticMammogram<a name=\"ServiceRecommendationsCS-DiagnosticMammogram\"> </a></td><td>Diagnostic Mammogram</td><td>While screening mammograms are used as a routine\ncheck-up for breast health, diagnostic\nmammograms are used after suspicious results on a\nscreening mammogram or after some\nsigns of breast cancer alert the physician to check\nthe tissue.These signs may include\na lump or breast pain.\n[www.nationalbreastcancer.org]</td></tr><tr><td style=\"white-space:nowrap\">DrainageTube<a name=\"ServiceRecommendationsCS-DrainageTube\"> </a></td><td>Drainage tube</td><td>The recommendation is for a drainage tube to be attached\nto breast.\nA drainage tube is a tube used to remove pus, blood\nor other fluids from a wound.\nThis is a common practice by surgeons or interventional\nradiologists.\n[en.wikipedia.org]</td></tr><tr><td style=\"white-space:nowrap\">Ductography<a name=\"ServiceRecommendationsCS-Ductography\"> </a></td><td>Ductography</td><td>A ductogram, also called a galactogram, is a special\ntype of mammogram used for imaging\nthe breast ducts.\nIt can aid in diagnosing the cause of abnormal nipple\ndischarges.\nDuctography (also called galactography or ductogalactography)\nis a special type of\ncontrast enhanced mammography used for imaging the\nbreast ducts.\nDuctography can aid in diagnosing the cause of an\nabnormal nipple discharge and is\nvaluable in diagnosing intraductal papillomas and\nother conditions.\n[www.imaginis.com]</td></tr><tr><td style=\"white-space:nowrap\">ExaggeratedCCViews<a name=\"ServiceRecommendationsCS-ExaggeratedCCViews\"> </a></td><td>Exaggerated CC views</td><td>An XCCL view is a supplementary mammographic view.\nIt is a type of exaggerated cranio-caudal view.\nIt is particularly good for imaging the lateral aspect\nof the breast. It is often\ndone when a lesion is suspected on a MLO view but\ncannot be seen on the CC view. In\nthis view, the lateral aspect of the breast is placed\nforward.\nOne rationale of performing this view is that many\ncancers are located in the lateral\naspect of the breast.\nAn XCCM view is a supplementary mammographic view.\nIt is a type of exaggerated cranio-caudal view.\nIt is particularly good for imaging the medial portion\nof the breast.\nIn this view, the medial portion of the breast is\nplaced forward.\nA negative 15degrees tube tilt is suggested.\nAn optimal XCCM view requires the most medial portion\nof the breast and the nipple\nin profile to be clearly displayed.\n[radiopaedia.org]</td></tr><tr><td style=\"white-space:nowrap\">FNABiopsy<a name=\"ServiceRecommendationsCS-FNABiopsy\"> </a></td><td>FNA biopsy</td><td>FNA stands for Fine needle aspiration and this is\na type of biopsy procedure.\nIn fine needle aspiration, a thin needle is inserted\ninto an area of abnormal-appearing\ntissue or body fluid.\nAs with other types of biopsies, the sample collected\nduring fine needle aspiration\ncan help make a diagnosis or rule out conditions\nsuch as cancer.\n[www.webmd.com]</td></tr><tr><td style=\"white-space:nowrap\">Follow-up<a name=\"ServiceRecommendationsCS-Follow-up\"> </a></td><td>Follow-up</td><td>It is recommended to make a follow-up appointment.</td></tr><tr><td style=\"white-space:nowrap\">Followup3Months<a name=\"ServiceRecommendationsCS-Followup3Months\"> </a></td><td>Followup 3 months</td><td>It is recommended to make a follow-up appointment\nin 3 months.</td></tr><tr><td style=\"white-space:nowrap\">Followup6Months<a name=\"ServiceRecommendationsCS-Followup6Months\"> </a></td><td>Followup 6 months</td><td>It is recommended to make a follow-up appointment\nin 6 months.</td></tr><tr><td style=\"white-space:nowrap\">IfPreviousShowNoChange<a name=\"ServiceRecommendationsCS-IfPreviousShowNoChange\"> </a></td><td>If previous show no change</td><td>The recommendation is for a if previous show no change\nto be completed.</td></tr><tr><td style=\"white-space:nowrap\">LateralMagnificationView<a name=\"ServiceRecommendationsCS-LateralMagnificationView\"> </a></td><td>Lateral magnification view</td><td>The recommendation is for a Lateral magnification\nview to be completed on Mammogram and/or Ultrasound.</td></tr><tr><td style=\"white-space:nowrap\">LateralMedialView<a name=\"ServiceRecommendationsCS-LateralMedialView\"> </a></td><td>Lateral medial view</td><td>There are different views of the breast in mammography.\nFor the LM view, the tube is lateral and the detector\nis placed medially\nLM view is best for evaluating medial lesions.</td></tr><tr><td style=\"white-space:nowrap\">LateralView<a name=\"ServiceRecommendationsCS-LateralView\"> </a></td><td>Lateral view</td><td>There are different views of the breast in mammography.\nThe lateral view is a view obtained at virtually\nevery diagnostic evaluation.\nA lateral view may be obtained as a mediolateral\nview (ML) or lateromedial view (LM)\nview depending on where the imaging tube and detector\nare located.</td></tr><tr><td style=\"white-space:nowrap\">LateralWithCompressionView<a name=\"ServiceRecommendationsCS-LateralWithCompressionView\"> </a></td><td>Lateral with compression view</td><td>The recommendation is for a Lateral with compression\nview to be completed on Mammogram.</td></tr><tr><td style=\"white-space:nowrap\">LateromedialOblique<a name=\"ServiceRecommendationsCS-LateromedialOblique\"> </a></td><td>Lateromedial oblique</td><td>The recommendation is for a lateromedial oblique\nview to be completed on Mammogram and/or Ultrasound.</td></tr><tr><td style=\"white-space:nowrap\">LateromedialView<a name=\"ServiceRecommendationsCS-LateromedialView\"> </a></td><td>Lateromedial view</td><td>The recommendation is for a lateromedial view to\nbe completed on Mammogram and/or Ultrasound.</td></tr><tr><td style=\"white-space:nowrap\">LymphNodeAssessment<a name=\"ServiceRecommendationsCS-LymphNodeAssessment\"> </a></td><td>Lymph node assessment</td><td>Lymph Node Exam.\nPalpation of the lymph nodes provides information\nabout the possible presence of\na malignant or inflammatory process and the localization\nor generalization of that\nprocess.\n[stanford.edu]</td></tr><tr><td style=\"white-space:nowrap\">MagnificationViews<a name=\"ServiceRecommendationsCS-MagnificationViews\"> </a></td><td>Magnification views</td><td>A magnification view in mammography is performed\nto evaluate and count microcalcifications and\nits extension (as well the assessment of the borders\nand the tissue structures of\na suspicious area or a mass) by using a magnification\ndevice which brings the breast\naway from the film plate and closer to the x-ray\nsource.\nThis allows the acquisition of magnified images (1.5x\nto 2x magnification) of the\nregion of interest. radiopaedia.org > articles > magnification-view-mammography</td></tr><tr><td style=\"white-space:nowrap\">Mammogram<a name=\"ServiceRecommendationsCS-Mammogram\"> </a></td><td>Mammogram</td><td>A mammogram is an X-Ray picture of the breast.\nIt is used to look for early signs of breast cancer.</td></tr><tr><td style=\"white-space:nowrap\">Mammogram3MonthFollow-up<a name=\"ServiceRecommendationsCS-Mammogram3MonthFollow-up\"> </a></td><td>Mammogram 3 month follow-up</td><td>A three month follow-up is recommended.</td></tr><tr><td style=\"white-space:nowrap\">Mammogram6MonthFollow-up<a name=\"ServiceRecommendationsCS-Mammogram6MonthFollow-up\"> </a></td><td>Mammogram 6 month follow-up</td><td>A six month follow-up is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MammogramAndUltrasound3MonthFollow-up<a name=\"ServiceRecommendationsCS-MammogramAndUltrasound3MonthFollow-up\"> </a></td><td>Mammogram and ultrasound 3 month follow-up</td><td>A three month follow-up with ultrasound is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MammogramAndUltrasound6MonthFollow-up<a name=\"ServiceRecommendationsCS-MammogramAndUltrasound6MonthFollow-up\"> </a></td><td>Mammogram and ultrasound 6 month follow-up</td><td>A six month follow-up with ultrasound is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MediolateralObliqueView<a name=\"ServiceRecommendationsCS-MediolateralObliqueView\"> </a></td><td>Mediolateral oblique view</td><td>A mediolateral oblique view is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MediolateralView<a name=\"ServiceRecommendationsCS-MediolateralView\"> </a></td><td>Mediolateral view</td><td>A mediolateral view is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MLOWithCompressionView<a name=\"ServiceRecommendationsCS-MLOWithCompressionView\"> </a></td><td>MLO with compression view</td><td>An additional MLO with compression view of the breast\nis recommended.</td></tr><tr><td style=\"white-space:nowrap\">MLOWithMagnificationView<a name=\"ServiceRecommendationsCS-MLOWithMagnificationView\"> </a></td><td>MLO with magnification view</td><td>An additional MLO with magnification view of the\nbreast is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MRI<a name=\"ServiceRecommendationsCS-MRI\"> </a></td><td>MRI</td><td>An MRI is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MRIBiopsy<a name=\"ServiceRecommendationsCS-MRIBiopsy\"> </a></td><td>MRI biopsy</td><td>An MRI with biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">MRIFollow-up<a name=\"ServiceRecommendationsCS-MRIFollow-up\"> </a></td><td>MRI follow-up</td><td>An MRI follow-up is recommended.</td></tr><tr><td style=\"white-space:nowrap\">NeedleLocationAndSurgicalBiopsy<a name=\"ServiceRecommendationsCS-NeedleLocationAndSurgicalBiopsy\"> </a></td><td>Needle location and surgical biopsy</td><td>A Needle localization and surgical biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">NippleInProfileView<a name=\"ServiceRecommendationsCS-NippleInProfileView\"> </a></td><td>Nipple in profile view</td><td>A technically adequate exam has the nipple in profile,\nallows visualization of the\ninframammary fold and includes the pectoralis muscle\nextending down to the posterior\nnipple line (an oblique line drawn straight back\nfrom the nipple.)\n[www.mammoguide.com]</td></tr><tr><td style=\"white-space:nowrap\">OffAngleCCView<a name=\"ServiceRecommendationsCS-OffAngleCCView\"> </a></td><td>Off angle CC view</td><td>An additional off angle CC view of the breast is\nrecommended.</td></tr><tr><td style=\"white-space:nowrap\">OffAngleMLOView<a name=\"ServiceRecommendationsCS-OffAngleMLOView\"> </a></td><td>Off angle MLO view</td><td>An additional off angle MLO view of the breast is\nrecommended.</td></tr><tr><td style=\"white-space:nowrap\">Poss.StereotacticBx<a name=\"ServiceRecommendationsCS-Poss.46StereotacticBx\"> </a></td><td>Poss. Stereotactic Bx</td><td>Stereotactic breast biopsy uses mammography - a specific\ntype of breast imaging that\nuses low-dose x-rays - to help locate a breast abnormality\nand remove a tissue sample\nfor examination under a microscope.\nIt's less invasive than surgical biopsy, leaves little\nto no scarring and can be\nan excellent way to evaluate calcium deposits or\ntiny masses that are not visible\non ultrasound.\n[www.radiologyinfo.org]</td></tr><tr><td style=\"white-space:nowrap\">PossibleCoreBiopsy<a name=\"ServiceRecommendationsCS-PossibleCoreBiopsy\"> </a></td><td>Possible core biopsy</td><td>A core needle biopsy (CNB) uses a hollow needle\nto take out pieces of breast tissue from\na suspicious area in an imaging test.\nThe needle may be attached to a spring-loaded tool\nthat moves the needle in and out\nof the tissue quickly, or it may be attached to a\nsuction device that helps pull\nbreast tissue into the needle.\nA small cylinder (core) of tissue is taken out in\nthe needle.\nSeveral cores are often removed.\n[www.cancer.org]</td></tr><tr><td style=\"white-space:nowrap\">PossibleDiagnosticMammogram<a name=\"ServiceRecommendationsCS-PossibleDiagnosticMammogram\"> </a></td><td>Possible Diagnostic Mammogram</td><td>A possible diagnostic mammogram is recommended.</td></tr><tr><td style=\"white-space:nowrap\">PossibleStereotacticVacuumBiopsy<a name=\"ServiceRecommendationsCS-PossibleStereotacticVacuumBiopsy\"> </a></td><td>Possible stereotactic vacuum biopsy</td><td>Based on the results of the mammogram, a possible\nstereotactic vacuum biopsy is recommended.\nDuring this type of biopsy, small samples of tissue\nare removed from the breast using\na hollow needle, which is precisely guided to the\ncorrect location using x-rays and\ncomputer generated coordinates of the concerning\narea of breast tissue.\n[www.genesishealth.com]</td></tr><tr><td style=\"white-space:nowrap\">PossibleSurgicalConsult<a name=\"ServiceRecommendationsCS-PossibleSurgicalConsult\"> </a></td><td>Possible surgical consult</td><td>A possible surgical consultation may be recommended.</td></tr><tr><td style=\"white-space:nowrap\">PossibleSurgicalEvaluation<a name=\"ServiceRecommendationsCS-PossibleSurgicalEvaluation\"> </a></td><td>Possible surgical evaluation</td><td>A possible surgical evaluation is recommended.</td></tr><tr><td style=\"white-space:nowrap\">PossibleUltrasound<a name=\"ServiceRecommendationsCS-PossibleUltrasound\"> </a></td><td>Possible ultrasound</td><td>A possible ultrasound is recommended.</td></tr><tr><td style=\"white-space:nowrap\">PossibleUltrasoundGuidedBiopsy<a name=\"ServiceRecommendationsCS-PossibleUltrasoundGuidedBiopsy\"> </a></td><td>Possible ultrasound guided biopsy</td><td>A possible ultrasound guided biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">PossibleVacuumBiopsy<a name=\"ServiceRecommendationsCS-PossibleVacuumBiopsy\"> </a></td><td>Possible vacuum biopsy</td><td>A possible vacuum biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">RepeatCCView<a name=\"ServiceRecommendationsCS-RepeatCCView\"> </a></td><td>Repeat CC view</td><td>Another CC view of Mammogram is recommended.</td></tr><tr><td style=\"white-space:nowrap\">RepeatMLOView<a name=\"ServiceRecommendationsCS-RepeatMLOView\"> </a></td><td>Repeat MLO view</td><td>Another MLO view of Mammogram is recommended.</td></tr><tr><td style=\"white-space:nowrap\">RolledLateralView<a name=\"ServiceRecommendationsCS-RolledLateralView\"> </a></td><td>Rolled lateral view</td><td>A rolled CC lateral view is recommended.\nA rolled CC view Is performed to locate a lesion\nonly visible in the cranio-caudal\nview, or when overlapped tissues in the standard\nview can simulate or partially conceal\na lesion: changing of tissues distribution allows\nto determine whether or not its\npresence.\nWhen the lesion identified moves medially or laterally\nrespect to the standard projection,\nit is possible to determine in which quadrant it\nis localized.\nThe breast is positioned on the image receptor as\nfor the cranio-caudal view, then\nis rotated medially or laterally around the axis\nof the nipple prior to applying\ncompression.\n[radiopaedia.org]</td></tr><tr><td style=\"white-space:nowrap\">RolledMedialView<a name=\"ServiceRecommendationsCS-RolledMedialView\"> </a></td><td>Rolled medial view</td><td>A rolled medial view is recommended.</td></tr><tr><td style=\"white-space:nowrap\">ScintimammogramGuidedBiopsy<a name=\"ServiceRecommendationsCS-ScintimammogramGuidedBiopsy\"> </a></td><td>Scintimammogram Guided Biopsy</td><td>A Scintimammogram guided biopsy is recommended.\nThis is performed by taking samples of an abnormality\nunder guidance from the Scintimammogram.\nScintimammography uses small amounts of radioactive\nmaterial, a special camera and a computer to help\ninvestigate a breast abnormality.\nThis helps to guide the radiologist's biopsy equipment\n\nto the site of the imaging abnormality.\n[www.radiologyinfo.org]</td></tr><tr><td style=\"white-space:nowrap\">Scintimammography<a name=\"ServiceRecommendationsCS-Scintimammography\"> </a></td><td>Scintimammography</td><td>A scintimammogram is recommended.\nScintimammography is also known as nuclear medicine\nbreast imaging, Breast Specific\nGamma Imaging (BSGI) and Molecular Breast Imaging\n(MBI).\nThis type of exam is used to investigate a breast\nabnormality found with mammography.\nScintimammography uses small amounts of radioactive\nmaterial, a special camera and\na computer to help investigate a breast abnormality.\nScintimammography can detect cancer even when dense\nbreast tissue and breast implants\nare present.\nIt can reduce unnecessary procedures by helping determine\nwhether a biopsy is needed.\n[www.radiologyinfo.org]</td></tr><tr><td style=\"white-space:nowrap\">SpotCompression<a name=\"ServiceRecommendationsCS-SpotCompression\"> </a></td><td>Spot compression</td><td>A spot compression is recommended.\nA spot view (also known as a spot compression view\nor focal compression view) is\nan additional mammographic view performed by applying\nthe compression to a smaller\narea of tissue using a small compression paddle,\nincreasing the effective pressure\non that spot.\nThis results in better tissue separation and allows\nbetter visualization of the breast\ntissue in that area.\nIt is used to distinguish between the presence of\na true lesion and an overlap of\ntissues, as well to better show the borders of an\nabnormality or questionable area\nor a little cluster of faint microcalcifications\nin a dense area.\n[radiopaedia.org]</td></tr><tr><td style=\"white-space:nowrap\">SpotMagnificationViews<a name=\"ServiceRecommendationsCS-SpotMagnificationViews\"> </a></td><td>Spot magnification views</td><td>Spot magnification views are recommended.</td></tr><tr><td style=\"white-space:nowrap\">StereotacticBx<a name=\"ServiceRecommendationsCS-StereotacticBx\"> </a></td><td>Stereotactic bx</td><td>A stereotactic biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">SuperolateralIOView<a name=\"ServiceRecommendationsCS-SuperolateralIOView\"> </a></td><td>Superolateral IO view</td><td>A superolateral IO view is recommended.\nThe view of the upper outer quadrant of the breast.\nThis is the quadrant of the breast that is closest\nto the armpit.\nThere are 4 quadrants in the anatomy of a breast.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalBiopsy<a name=\"ServiceRecommendationsCS-SurgicalBiopsy\"> </a></td><td>Surgical biopsy</td><td>A surgical biopsy is recommended.\nA surgical biopsy is a procedure that involves the\nsurgical removal of tissue from\na lump or mass for examination under a microscope.\nThis test may also be called an open biopsy.\nSurgical biopsies can be excisional (removal of an\nentire lump or abnormal area)\nor incisional (removal of a piece of a lump or abnormal\narea).\n[www.cancer.ca]</td></tr><tr><td style=\"white-space:nowrap\">SurgicalConsult<a name=\"ServiceRecommendationsCS-SurgicalConsult\"> </a></td><td>Surgical consult</td><td>A surgical consult is recommended.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalConsultAndBiopsy<a name=\"ServiceRecommendationsCS-SurgicalConsultAndBiopsy\"> </a></td><td>Surgical consult and biopsy</td><td>A surgical consult and biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalEvaluation<a name=\"ServiceRecommendationsCS-SurgicalEvaluation\"> </a></td><td>Surgical evaluation</td><td>The recommendation is for a surgical evaluation.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalExcision<a name=\"ServiceRecommendationsCS-SurgicalExcision\"> </a></td><td>Surgical excision</td><td>The recommendation is for a surgical excision.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalOncologicEvaluation<a name=\"ServiceRecommendationsCS-SurgicalOncologicEvaluation\"> </a></td><td>Surgical oncologic evaluation</td><td>The recommendation is for a surgical oncologic evaluation.</td></tr><tr><td style=\"white-space:nowrap\">SurgicalOncologicalConsult<a name=\"ServiceRecommendationsCS-SurgicalOncologicalConsult\"> </a></td><td>Surgical oncological consult</td><td>The recommendation is for a surgical oncologic consult.</td></tr><tr><td style=\"white-space:nowrap\">TangentialView<a name=\"ServiceRecommendationsCS-TangentialView\"> </a></td><td>Tangential view</td><td>A tangential view is recommended.</td></tr><tr><td style=\"white-space:nowrap\">TangentialViews<a name=\"ServiceRecommendationsCS-TangentialViews\"> </a></td><td>Tangential views</td><td>Tangential views are recommended.</td></tr><tr><td style=\"white-space:nowrap\">Ultrasound<a name=\"ServiceRecommendationsCS-Ultrasound\"> </a></td><td>Ultrasound</td><td>An ultrasound is recommended.</td></tr><tr><td style=\"white-space:nowrap\">Ultrasound2ndLook<a name=\"ServiceRecommendationsCS-Ultrasound2ndLook\"> </a></td><td>Ultrasound 2nd Look</td><td>An additional ultrasound is recommended.</td></tr><tr><td style=\"white-space:nowrap\">Ultrasound3MonthFollow-up<a name=\"ServiceRecommendationsCS-Ultrasound3MonthFollow-up\"> </a></td><td>Ultrasound 3 month follow-up</td><td>An additional ultrasound is recommended in a 3 month\nfollow-up.</td></tr><tr><td style=\"white-space:nowrap\">Ultrasound6MonthFollow-up<a name=\"ServiceRecommendationsCS-Ultrasound6MonthFollow-up\"> </a></td><td>Ultrasound 6 month follow-up</td><td>An additional ultrasound is recommended in a 3 month\nfollow-up.</td></tr><tr><td style=\"white-space:nowrap\">UltrasoundGuidedBx<a name=\"ServiceRecommendationsCS-UltrasoundGuidedBx\"> </a></td><td>Ultrasound guided bx</td><td>An ultrasound guided biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">UltrasoundLocationAndSurgicalBiopsy<a name=\"ServiceRecommendationsCS-UltrasoundLocationAndSurgicalBiopsy\"> </a></td><td>Ultrasound location and surgical biopsy</td><td>An ultrasound localized and surgical biopsy is recommended.</td></tr><tr><td style=\"white-space:nowrap\">UltrasoundWithPossibleAddlitonalViews<a name=\"ServiceRecommendationsCS-UltrasoundWithPossibleAddlitonalViews\"> </a></td><td>Ultrasound with possible addlitonal views</td><td>An ultrasound with possible additional views are\nrecommended.</td></tr><tr><td style=\"white-space:nowrap\">Unspecified/Other<a name=\"ServiceRecommendationsCS-Unspecified.47Other\"> </a></td><td>Unspecified / other</td><td>Unspecified / other</td></tr><tr><td style=\"white-space:nowrap\">VacuumBx<a name=\"ServiceRecommendationsCS-VacuumBx\"> </a></td><td>Vacuum Bx</td><td>A vacuum biopsy is recommended.</td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS",
"version" : "0.3.0",
"name" : "ServiceRecommendationsCS",
"title" : "ServiceRecommendations CodeSystem",
"status" : "active",
"experimental" : false,
"date" : "2022-12-07T21:19:53+00:00",
"publisher" : "HL7 International - Clinical Interoperability Council",
"contact" : [
{
"name" : "HL7 International - Clinical Interoperability Council",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cic"
}
]
}
],
"description" : "ServiceRecommendations CodeSystem",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"caseSensitive" : false,
"content" : "complete",
"count" : 97,
"concept" : [
{
"code" : "3DImaging",
"display" : "3D Imaging",
"definition" : "Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nAlso called breast tomosynthesis."
},
{
"code" : "3DSpotCC",
"display" : "3D spot CC",
"definition" : "Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nCranial-Caudal (CC) is a 3D view from above the breast."
},
{
"code" : "3DSpotLM",
"display" : "3D spot LM",
"definition" : "Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nLateral-medial (LM) is"
},
{
"code" : "3DSpotML",
"display" : "3D spot ML",
"definition" : "Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nMediolateral (ML) is"
},
{
"code" : "3DSpotMLO",
"display" : "3D spot MLO",
"definition" : "Advanced Technology that takes multiple images, or\nX-rays, of breast tissue to recreate\na 3-dimensional picture of the breast.\nMediolateral-oblique (MLO) is"
},
{
"code" : "AdditionalViews",
"display" : "Additional views",
"definition" : "Additional views in Mammography, MRI and US, help\nincrease the chances of finding\nany possible tumors in the breast."
},
{
"code" : "AddlitionalViewsWithPossibleUltrasound",
"display" : "Addlitional views with possible ultrasound",
"definition" : "Additional views in a Mammogram, MRI or Ultrasound\nare recommended."
},
{
"code" : "AxillaView",
"display" : "Axilla view",
"definition" : "An axillary view (also known as a 'Cleopatra view')\nis a type of view in mammography. It is\nan exaggerated craniocaudal view for better imaging\nof the lateral portion of the\nbreast to the axillary tail.\nThis projection is performed whenever we want to\nshow a lesion seen only in the axillary\ntail on the MLO view.\nAn optimal axillary view require to be clearly displayed\nthe most lateral portion\nof the breast including the axillary tail, as well\nthe pectoral muscle and the nipple\nin profile.\n[radiopaedia.org]"
},
{
"code" : "AxillaryTailView",
"display" : "Axillary tail view",
"definition" : "The tail of Spence (Spence's tail, axillary process,\naxillary tail) is an extension\nof the tissue of the breast that extends into the\naxilla.\nIt is actually an extension of the upper lateral\nquadrant of the breast.\nIt passes into the axilla through an opening in the\ndeep fascia called foramen of\nLanger.\n[en.wikipedia.org]"
},
{
"code" : "Biopsy",
"display" : "Biopsy",
"definition" : "A biopsy is recommended.\nAn examination under a microscope of the specific\ntissue removed from the body.\nThe examination is used to check for abnormalities\nor cancer cells."
},
{
"code" : "BiopsyBaseOnClinical",
"display" : "Biopsy base on clinical",
"definition" : "Based on the clinical exam, a biopsy is recommended."
},
{
"code" : "CaudocranialView",
"display" : "Caudocranial view",
"definition" : "It is recommended that a Caudocranial view is captured\nby Ultrasound and/or Mammogram.\nIt is useful for the study of breasts in the lower\nquadrants.\nThe patient will bend forward at the waist to view\nthe underside of the breast.\nAlso called a reverse CC view.\nThe reversed CC view is an additional view.\nIt is useful for the study of breasts with surgical\nscars in the lower quadrants.\nThe ability to see the scar through the compressor\npaddle offers to the mammographer\nthe possibility to flatten it properly, reducing\nthe formation of scar folds as well\nartifacts from false parenchymal distortion."
},
{
"code" : "CCWithCompressionView",
"display" : "CC with compression view",
"definition" : "The recommendation is for a CC with compression view\nto be completed on an Ultrasound and/or Mammogram."
},
{
"code" : "CCWithMagnificationView",
"display" : "CC with magnification view",
"definition" : "The recommendation is for a CC with magnification\nview to be completed on an Ultrasound and/or Mammogram."
},
{
"code" : "CleavageView",
"display" : "Cleavage view",
"definition" : "It is recommended that a cleavage view is captured\nvia Mammogram and/or Ultrasound.\nAlso called 'valley view' is a mammogram view that\nimages the most central portions\nof the breasts.\nTo get as much central tissue as possible, the mammogram\ntechnologist will place\nboth breasts on the plate at the same time to image\nthe medial half of both breasts."
},
{
"code" : "ClinicalConsultation",
"display" : "Clinical consultation",
"definition" : "A clinical consultation is recommended."
},
{
"code" : "ClinicalCorrelation",
"display" : "Clinical correlation",
"definition" : "The recommendation is for a clinicial correlation\nand/or comparison to be completed."
},
{
"code" : "ClinicalFollow-up",
"display" : "Clinical follow-up",
"definition" : "The recommendation is for a clinical follow-up to\nbe completed."
},
{
"code" : "CompareToPriorExams",
"display" : "Compare to prior exams",
"definition" : "The recommendation is for a compare to prior exams\nto be completed."
},
{
"code" : "CompressionViews",
"display" : "Compression views",
"definition" : "It is recommended that a compression view is admininstered\nvia Mammogram or Ultrasound.\nAll mammograms use compression of the breast.\nBy applying compression to only a specific area of\nthe breast, the effective pressure\nis increased on that spot.\nThis results in better tissue separation and allows\nbetter visualization of the area\nof the breast needing additional examination."
},
{
"code" : "ConeCompression",
"display" : "Cone compression",
"definition" : "A cone compression is recommended to catch a specific\nspot or view during the mammogram\nand/or ultrasound.\nSpot views apply the compression to a smaller area\nof tissue using a small compression\nplate or 'cone'."
},
{
"code" : "CoreBiopsy",
"display" : "Core Biopsy",
"definition" : "It is recommended that a core biopsy procedure is\nadministered.\nIt is a procedure where a needle is passed through\nthe skin to take a sample of tissue\nfrom a mass or lump.\nThe tissue is then examined under a microscope for\nany abnormalities."
},
{
"code" : "CraniocaudalView",
"display" : "Craniocaudal view",
"definition" : "Cranial-Caudal (CC) is a view from above the breast\nduring a mammogram or ultrasound."
},
{
"code" : "Cryoablation",
"display" : "Cryoablation",
"definition" : "Uses imaging guidance, a needle-like applicator called\na cryoprobe, and liquid nitrogen\nor argon gas to create intense cold to freeze and\ndestroy diseased tissue, including\ncancer cells.\nIt may be used to treat a variety of skin conditions\nas well as tumors within the\nliver, kidneys, bones, lungs and breasts."
},
{
"code" : "CystAspiration",
"display" : "Cyst aspiration",
"definition" : "A cyst aspiration is a procedure used to drain fluid\nfrom a breast cyst.\nThe vast majority of cysts are benign (non-cancerous),\nthough some are quite tender.\nAspirating the fluid from a cyst may alleviate symptoms\nor discomfort.\nIn some cases, specimens are sent to pathology.\n[www.carolmilgardbreastcenter.org > Cyst_Aspiration]"
},
{
"code" : "CystAspirationForRelief",
"display" : "Cyst aspiration for relief",
"definition" : "One way to get relief from the pain of a cyst is\nto remove fluid from\nthe cyst, thereby decreasing the pressure.\nThis is called aspiration for relief."
},
{
"code" : "DiagnosticAspiration",
"display" : "Diagnostic aspiration",
"definition" : "This is a fine needle aspiration and is a type of\nbiopsy procedure.\nIn fine needle aspiration, a thin needle is inserted\ninto an area of abnormal-appearing\ntissue or body fluid.\n[www.webmd.com]"
},
{
"code" : "DiagnosticMammogram",
"display" : "Diagnostic Mammogram",
"definition" : "While screening mammograms are used as a routine\ncheck-up for breast health, diagnostic\nmammograms are used after suspicious results on a\nscreening mammogram or after some\nsigns of breast cancer alert the physician to check\nthe tissue.These signs may include\na lump or breast pain.\n[www.nationalbreastcancer.org]"
},
{
"code" : "DrainageTube",
"display" : "Drainage tube",
"definition" : "The recommendation is for a drainage tube to be attached\nto breast.\nA drainage tube is a tube used to remove pus, blood\nor other fluids from a wound.\nThis is a common practice by surgeons or interventional\nradiologists.\n[en.wikipedia.org]"
},
{
"code" : "Ductography",
"display" : "Ductography",
"definition" : "A ductogram, also called a galactogram, is a special\ntype of mammogram used for imaging\nthe breast ducts.\nIt can aid in diagnosing the cause of abnormal nipple\ndischarges.\nDuctography (also called galactography or ductogalactography)\nis a special type of\ncontrast enhanced mammography used for imaging the\nbreast ducts.\nDuctography can aid in diagnosing the cause of an\nabnormal nipple discharge and is\nvaluable in diagnosing intraductal papillomas and\nother conditions.\n[www.imaginis.com]"
},
{
"code" : "ExaggeratedCCViews",
"display" : "Exaggerated CC views",
"definition" : "An XCCL view is a supplementary mammographic view.\nIt is a type of exaggerated cranio-caudal view.\nIt is particularly good for imaging the lateral aspect\nof the breast. It is often\ndone when a lesion is suspected on a MLO view but\ncannot be seen on the CC view. In\nthis view, the lateral aspect of the breast is placed\nforward.\nOne rationale of performing this view is that many\ncancers are located in the lateral\naspect of the breast.\nAn XCCM view is a supplementary mammographic view.\nIt is a type of exaggerated cranio-caudal view.\nIt is particularly good for imaging the medial portion\nof the breast.\nIn this view, the medial portion of the breast is\nplaced forward.\nA negative 15degrees tube tilt is suggested.\nAn optimal XCCM view requires the most medial portion\nof the breast and the nipple\nin profile to be clearly displayed.\n[radiopaedia.org]"
},
{
"code" : "FNABiopsy",
"display" : "FNA biopsy",
"definition" : "FNA stands for Fine needle aspiration and this is\na type of biopsy procedure.\nIn fine needle aspiration, a thin needle is inserted\ninto an area of abnormal-appearing\ntissue or body fluid.\nAs with other types of biopsies, the sample collected\nduring fine needle aspiration\ncan help make a diagnosis or rule out conditions\nsuch as cancer.\n[www.webmd.com]"
},
{
"code" : "Follow-up",
"display" : "Follow-up",
"definition" : "It is recommended to make a follow-up appointment."
},
{
"code" : "Followup3Months",
"display" : "Followup 3 months",
"definition" : "It is recommended to make a follow-up appointment\nin 3 months."
},
{
"code" : "Followup6Months",
"display" : "Followup 6 months",
"definition" : "It is recommended to make a follow-up appointment\nin 6 months."
},
{
"code" : "IfPreviousShowNoChange",
"display" : "If previous show no change",
"definition" : "The recommendation is for a if previous show no change\nto be completed."
},
{
"code" : "LateralMagnificationView",
"display" : "Lateral magnification view",
"definition" : "The recommendation is for a Lateral magnification\nview to be completed on Mammogram and/or Ultrasound."
},
{
"code" : "LateralMedialView",
"display" : "Lateral medial view",
"definition" : "There are different views of the breast in mammography.\nFor the LM view, the tube is lateral and the detector\nis placed medially\nLM view is best for evaluating medial lesions."
},
{
"code" : "LateralView",
"display" : "Lateral view",
"definition" : "There are different views of the breast in mammography.\nThe lateral view is a view obtained at virtually\nevery diagnostic evaluation.\nA lateral view may be obtained as a mediolateral\nview (ML) or lateromedial view (LM)\nview depending on where the imaging tube and detector\nare located."
},
{
"code" : "LateralWithCompressionView",
"display" : "Lateral with compression view",
"definition" : "The recommendation is for a Lateral with compression\nview to be completed on Mammogram."
},
{
"code" : "LateromedialOblique",
"display" : "Lateromedial oblique",
"definition" : "The recommendation is for a lateromedial oblique\nview to be completed on Mammogram and/or Ultrasound."
},
{
"code" : "LateromedialView",
"display" : "Lateromedial view",
"definition" : "The recommendation is for a lateromedial view to\nbe completed on Mammogram and/or Ultrasound."
},
{
"code" : "LymphNodeAssessment",
"display" : "Lymph node assessment",
"definition" : "Lymph Node Exam.\nPalpation of the lymph nodes provides information\nabout the possible presence of\na malignant or inflammatory process and the localization\nor generalization of that\nprocess.\n[stanford.edu]"
},
{
"code" : "MagnificationViews",
"display" : "Magnification views",
"definition" : "A magnification view in mammography is performed\nto evaluate and count microcalcifications and\nits extension (as well the assessment of the borders\nand the tissue structures of\na suspicious area or a mass) by using a magnification\ndevice which brings the breast\naway from the film plate and closer to the x-ray\nsource.\nThis allows the acquisition of magnified images (1.5x\nto 2x magnification) of the\nregion of interest. radiopaedia.org > articles > magnification-view-mammography"
},
{
"code" : "Mammogram",
"display" : "Mammogram",
"definition" : "A mammogram is an X-Ray picture of the breast.\nIt is used to look for early signs of breast cancer."
},
{
"code" : "Mammogram3MonthFollow-up",
"display" : "Mammogram 3 month follow-up",
"definition" : "A three month follow-up is recommended."
},
{
"code" : "Mammogram6MonthFollow-up",
"display" : "Mammogram 6 month follow-up",
"definition" : "A six month follow-up is recommended."
},
{
"code" : "MammogramAndUltrasound3MonthFollow-up",
"display" : "Mammogram and ultrasound 3 month follow-up",
"definition" : "A three month follow-up with ultrasound is recommended."
},
{
"code" : "MammogramAndUltrasound6MonthFollow-up",
"display" : "Mammogram and ultrasound 6 month follow-up",
"definition" : "A six month follow-up with ultrasound is recommended."
},
{
"code" : "MediolateralObliqueView",
"display" : "Mediolateral oblique view",
"definition" : "A mediolateral oblique view is recommended."
},
{
"code" : "MediolateralView",
"display" : "Mediolateral view",
"definition" : "A mediolateral view is recommended."
},
{
"code" : "MLOWithCompressionView",
"display" : "MLO with compression view",
"definition" : "An additional MLO with compression view of the breast\nis recommended."
},
{
"code" : "MLOWithMagnificationView",
"display" : "MLO with magnification view",
"definition" : "An additional MLO with magnification view of the\nbreast is recommended."
},
{
"code" : "MRI",
"display" : "MRI",
"definition" : "An MRI is recommended."
},
{
"code" : "MRIBiopsy",
"display" : "MRI biopsy",
"definition" : "An MRI with biopsy is recommended."
},
{
"code" : "MRIFollow-up",
"display" : "MRI follow-up",
"definition" : "An MRI follow-up is recommended."
},
{
"code" : "NeedleLocationAndSurgicalBiopsy",
"display" : "Needle location and surgical biopsy",
"definition" : "A Needle localization and surgical biopsy is recommended."
},
{
"code" : "NippleInProfileView",
"display" : "Nipple in profile view",
"definition" : "A technically adequate exam has the nipple in profile,\nallows visualization of the\ninframammary fold and includes the pectoralis muscle\nextending down to the posterior\nnipple line (an oblique line drawn straight back\nfrom the nipple.)\n[www.mammoguide.com]"
},
{
"code" : "OffAngleCCView",
"display" : "Off angle CC view",
"definition" : "An additional off angle CC view of the breast is\nrecommended."
},
{
"code" : "OffAngleMLOView",
"display" : "Off angle MLO view",
"definition" : "An additional off angle MLO view of the breast is\nrecommended."
},
{
"code" : "Poss.StereotacticBx",
"display" : "Poss. Stereotactic Bx",
"definition" : "Stereotactic breast biopsy uses mammography - a specific\ntype of breast imaging that\nuses low-dose x-rays - to help locate a breast abnormality\nand remove a tissue sample\nfor examination under a microscope.\nIt's less invasive than surgical biopsy, leaves little\nto no scarring and can be\nan excellent way to evaluate calcium deposits or\ntiny masses that are not visible\non ultrasound.\n[www.radiologyinfo.org]"
},
{
"code" : "PossibleCoreBiopsy",
"display" : "Possible core biopsy",
"definition" : "A core needle biopsy (CNB) uses a hollow needle\nto take out pieces of breast tissue from\na suspicious area in an imaging test.\nThe needle may be attached to a spring-loaded tool\nthat moves the needle in and out\nof the tissue quickly, or it may be attached to a\nsuction device that helps pull\nbreast tissue into the needle.\nA small cylinder (core) of tissue is taken out in\nthe needle.\nSeveral cores are often removed.\n[www.cancer.org]"
},
{
"code" : "PossibleDiagnosticMammogram",
"display" : "Possible Diagnostic Mammogram",
"definition" : "A possible diagnostic mammogram is recommended."
},
{
"code" : "PossibleStereotacticVacuumBiopsy",
"display" : "Possible stereotactic vacuum biopsy",
"definition" : "Based on the results of the mammogram, a possible\nstereotactic vacuum biopsy is recommended.\nDuring this type of biopsy, small samples of tissue\nare removed from the breast using\na hollow needle, which is precisely guided to the\ncorrect location using x-rays and\ncomputer generated coordinates of the concerning\narea of breast tissue.\n[www.genesishealth.com]"
},
{
"code" : "PossibleSurgicalConsult",
"display" : "Possible surgical consult",
"definition" : "A possible surgical consultation may be recommended."
},
{
"code" : "PossibleSurgicalEvaluation",
"display" : "Possible surgical evaluation",
"definition" : "A possible surgical evaluation is recommended."
},
{
"code" : "PossibleUltrasound",
"display" : "Possible ultrasound",
"definition" : "A possible ultrasound is recommended."
},
{
"code" : "PossibleUltrasoundGuidedBiopsy",
"display" : "Possible ultrasound guided biopsy",
"definition" : "A possible ultrasound guided biopsy is recommended."
},
{
"code" : "PossibleVacuumBiopsy",
"display" : "Possible vacuum biopsy",
"definition" : "A possible vacuum biopsy is recommended."
},
{
"code" : "RepeatCCView",
"display" : "Repeat CC view",
"definition" : "Another CC view of Mammogram is recommended."
},
{
"code" : "RepeatMLOView",
"display" : "Repeat MLO view",
"definition" : "Another MLO view of Mammogram is recommended."
},
{
"code" : "RolledLateralView",
"display" : "Rolled lateral view",
"definition" : "A rolled CC lateral view is recommended.\nA rolled CC view Is performed to locate a lesion\nonly visible in the cranio-caudal\nview, or when overlapped tissues in the standard\nview can simulate or partially conceal\na lesion: changing of tissues distribution allows\nto determine whether or not its\npresence.\nWhen the lesion identified moves medially or laterally\nrespect to the standard projection,\nit is possible to determine in which quadrant it\nis localized.\nThe breast is positioned on the image receptor as\nfor the cranio-caudal view, then\nis rotated medially or laterally around the axis\nof the nipple prior to applying\ncompression.\n[radiopaedia.org]"
},
{
"code" : "RolledMedialView",
"display" : "Rolled medial view",
"definition" : "A rolled medial view is recommended."
},
{
"code" : "ScintimammogramGuidedBiopsy",
"display" : "Scintimammogram Guided Biopsy",
"definition" : "A Scintimammogram guided biopsy is recommended.\nThis is performed by taking samples of an abnormality\nunder guidance from the Scintimammogram.\nScintimammography uses small amounts of radioactive\nmaterial, a special camera and a computer to help\ninvestigate a breast abnormality.\nThis helps to guide the radiologist's biopsy equipment\n\nto the site of the imaging abnormality.\n[www.radiologyinfo.org]"
},
{
"code" : "Scintimammography",
"display" : "Scintimammography",
"definition" : "A scintimammogram is recommended.\nScintimammography is also known as nuclear medicine\nbreast imaging, Breast Specific\nGamma Imaging (BSGI) and Molecular Breast Imaging\n(MBI).\nThis type of exam is used to investigate a breast\nabnormality found with mammography.\nScintimammography uses small amounts of radioactive\nmaterial, a special camera and\na computer to help investigate a breast abnormality.\nScintimammography can detect cancer even when dense\nbreast tissue and breast implants\nare present.\nIt can reduce unnecessary procedures by helping determine\nwhether a biopsy is needed.\n[www.radiologyinfo.org]"
},
{
"code" : "SpotCompression",
"display" : "Spot compression",
"definition" : "A spot compression is recommended.\nA spot view (also known as a spot compression view\nor focal compression view) is\nan additional mammographic view performed by applying\nthe compression to a smaller\narea of tissue using a small compression paddle,\nincreasing the effective pressure\non that spot.\nThis results in better tissue separation and allows\nbetter visualization of the breast\ntissue in that area.\nIt is used to distinguish between the presence of\na true lesion and an overlap of\ntissues, as well to better show the borders of an\nabnormality or questionable area\nor a little cluster of faint microcalcifications\nin a dense area.\n[radiopaedia.org]"
},
{
"code" : "SpotMagnificationViews",
"display" : "Spot magnification views",
"definition" : "Spot magnification views are recommended."
},
{
"code" : "StereotacticBx",
"display" : "Stereotactic bx",
"definition" : "A stereotactic biopsy is recommended."
},
{
"code" : "SuperolateralIOView",
"display" : "Superolateral IO view",
"definition" : "A superolateral IO view is recommended.\nThe view of the upper outer quadrant of the breast.\nThis is the quadrant of the breast that is closest\nto the armpit.\nThere are 4 quadrants in the anatomy of a breast."
},
{
"code" : "SurgicalBiopsy",
"display" : "Surgical biopsy",
"definition" : "A surgical biopsy is recommended.\nA surgical biopsy is a procedure that involves the\nsurgical removal of tissue from\na lump or mass for examination under a microscope.\nThis test may also be called an open biopsy.\nSurgical biopsies can be excisional (removal of an\nentire lump or abnormal area)\nor incisional (removal of a piece of a lump or abnormal\narea).\n[www.cancer.ca]"
},
{
"code" : "SurgicalConsult",
"display" : "Surgical consult",
"definition" : "A surgical consult is recommended."
},
{
"code" : "SurgicalConsultAndBiopsy",
"display" : "Surgical consult and biopsy",
"definition" : "A surgical consult and biopsy is recommended."
},
{
"code" : "SurgicalEvaluation",
"display" : "Surgical evaluation",
"definition" : "The recommendation is for a surgical evaluation."
},
{
"code" : "SurgicalExcision",
"display" : "Surgical excision",
"definition" : "The recommendation is for a surgical excision."
},
{
"code" : "SurgicalOncologicEvaluation",
"display" : "Surgical oncologic evaluation",
"definition" : "The recommendation is for a surgical oncologic evaluation."
},
{
"code" : "SurgicalOncologicalConsult",
"display" : "Surgical oncological consult",
"definition" : "The recommendation is for a surgical oncologic consult."
},
{
"code" : "TangentialView",
"display" : "Tangential view",
"definition" : "A tangential view is recommended."
},
{
"code" : "TangentialViews",
"display" : "Tangential views",
"definition" : "Tangential views are recommended."
},
{
"code" : "Ultrasound",
"display" : "Ultrasound",
"definition" : "An ultrasound is recommended."
},
{
"code" : "Ultrasound2ndLook",
"display" : "Ultrasound 2nd Look",
"definition" : "An additional ultrasound is recommended."
},
{
"code" : "Ultrasound3MonthFollow-up",
"display" : "Ultrasound 3 month follow-up",
"definition" : "An additional ultrasound is recommended in a 3 month\nfollow-up."
},
{
"code" : "Ultrasound6MonthFollow-up",
"display" : "Ultrasound 6 month follow-up",
"definition" : "An additional ultrasound is recommended in a 3 month\nfollow-up."
},
{
"code" : "UltrasoundGuidedBx",
"display" : "Ultrasound guided bx",
"definition" : "An ultrasound guided biopsy is recommended."
},
{
"code" : "UltrasoundLocationAndSurgicalBiopsy",
"display" : "Ultrasound location and surgical biopsy",
"definition" : "An ultrasound localized and surgical biopsy is recommended."
},
{
"code" : "UltrasoundWithPossibleAddlitonalViews",
"display" : "Ultrasound with possible addlitonal views",
"definition" : "An ultrasound with possible additional views are\nrecommended."
},
{
"code" : "Unspecified/Other",
"display" : "Unspecified / other",
"definition" : "Unspecified / other"
},
{
"code" : "VacuumBx",
"display" : "Vacuum Bx",
"definition" : "A vacuum biopsy is recommended."
}
]
}
IG © 2020+ HL7 International - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.3.0 based on FHIR 4.0.1. Generated 2022-12-07
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