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 |
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<id value="ServiceRecommendationsCS"/>
<text>
<status value="generated"/>
<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
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Also 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
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.</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
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Lateral-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
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Mediolateral (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
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Mediolateral-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
increase the chances of finding
any 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
are 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')
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]</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,
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]</td></tr><tr><td style="white-space:nowrap">Biopsy<a name="ServiceRecommendationsCS-Biopsy"> </a></td><td>Biopsy</td><td>A 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.</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
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.</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
to 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
view 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
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.</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
and/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
be 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
to 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
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.</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
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'.</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
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.</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
during 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
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.</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
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]</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
to remove fluid from
the cyst, thereby decreasing the pressure.
This 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
biopsy procedure.
In fine needle aspiration, a thin needle is inserted
into an area of abnormal-appearing
tissue or body fluid.
[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
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]</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
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]</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
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]</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.
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]</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
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]</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
in 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
in 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
to 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
view 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.
For the LM view, the tube is lateral and the detector
is placed medially
LM 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.
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.</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
view 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
view 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
be 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.
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]</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
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</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.
It 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
is 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
breast 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,
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]</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
recommended.</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
recommended.</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
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]</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
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]</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
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]</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.
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]</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.
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]</td></tr><tr><td style="white-space:nowrap">Scintimammography<a name="ServiceRecommendationsCS-Scintimammography"> </a></td><td>Scintimammography</td><td>A 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]</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.
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]</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.
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.</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.
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]</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
follow-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
follow-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
recommended.</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>
</text>
<url
value="http://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS"/>
<version value="0.3.0"/>
<name value="ServiceRecommendationsCS"/>
<title value="ServiceRecommendations CodeSystem"/>
<status value="active"/>
<experimental value="false"/>
<date value="2022-12-07T21:19:53+00:00"/>
<publisher value="HL7 International - Clinical Interoperability Council"/>
<contact>
<name value="HL7 International - Clinical Interoperability Council"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cic"/>
</telecom>
</contact>
<description value="ServiceRecommendations CodeSystem"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<caseSensitive value="false"/>
<content value="complete"/>
<count value="97"/>
<concept>
<code value="3DImaging"/>
<display value="3D Imaging"/>
<definition
value="Advanced Technology that takes multiple images, or
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Also called breast tomosynthesis."/>
</concept>
<concept>
<code value="3DSpotCC"/>
<display value="3D spot CC"/>
<definition
value="Advanced 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."/>
</concept>
<concept>
<code value="3DSpotLM"/>
<display value="3D spot LM"/>
<definition
value="Advanced Technology that takes multiple images, or
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Lateral-medial (LM) is"/>
</concept>
<concept>
<code value="3DSpotML"/>
<display value="3D spot ML"/>
<definition
value="Advanced Technology that takes multiple images, or
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Mediolateral (ML) is"/>
</concept>
<concept>
<code value="3DSpotMLO"/>
<display value="3D spot MLO"/>
<definition
value="Advanced Technology that takes multiple images, or
X-rays, of breast tissue to recreate
a 3-dimensional picture of the breast.
Mediolateral-oblique (MLO) is"/>
</concept>
<concept>
<code value="AdditionalViews"/>
<display value="Additional views"/>
<definition
value="Additional views in Mammography, MRI and US, help
increase the chances of finding
any possible tumors in the breast."/>
</concept>
<concept>
<code value="AddlitionalViewsWithPossibleUltrasound"/>
<display value="Addlitional views with possible ultrasound"/>
<definition
value="Additional views in a Mammogram, MRI or Ultrasound
are recommended."/>
</concept>
<concept>
<code value="AxillaView"/>
<display value="Axilla view"/>
<definition
value="An 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]"/>
</concept>
<concept>
<code value="AxillaryTailView"/>
<display value="Axillary tail view"/>
<definition
value="The 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]"/>
</concept>
<concept>
<code value="Biopsy"/>
<display value="Biopsy"/>
<definition
value="A 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."/>
</concept>
<concept>
<code value="BiopsyBaseOnClinical"/>
<display value="Biopsy base on clinical"/>
<definition value="Based on the clinical exam, a biopsy is recommended."/>
</concept>
<concept>
<code value="CaudocranialView"/>
<display value="Caudocranial view"/>
<definition
value="It 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."/>
</concept>
<concept>
<code value="CCWithCompressionView"/>
<display value="CC with compression view"/>
<definition
value="The recommendation is for a CC with compression view
to be completed on an Ultrasound and/or Mammogram."/>
</concept>
<concept>
<code value="CCWithMagnificationView"/>
<display value="CC with magnification view"/>
<definition
value="The recommendation is for a CC with magnification
view to be completed on an Ultrasound and/or Mammogram."/>
</concept>
<concept>
<code value="CleavageView"/>
<display value="Cleavage view"/>
<definition
value="It 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."/>
</concept>
<concept>
<code value="ClinicalConsultation"/>
<display value="Clinical consultation"/>
<definition value="A clinical consultation is recommended."/>
</concept>
<concept>
<code value="ClinicalCorrelation"/>
<display value="Clinical correlation"/>
<definition
value="The recommendation is for a clinicial correlation
and/or comparison to be completed."/>
</concept>
<concept>
<code value="ClinicalFollow-up"/>
<display value="Clinical follow-up"/>
<definition
value="The recommendation is for a clinical follow-up to
be completed."/>
</concept>
<concept>
<code value="CompareToPriorExams"/>
<display value="Compare to prior exams"/>
<definition
value="The recommendation is for a compare to prior exams
to be completed."/>
</concept>
<concept>
<code value="CompressionViews"/>
<display value="Compression views"/>
<definition
value="It 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."/>
</concept>
<concept>
<code value="ConeCompression"/>
<display value="Cone compression"/>
<definition
value="A 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'."/>
</concept>
<concept>
<code value="CoreBiopsy"/>
<display value="Core Biopsy"/>
<definition
value="It 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."/>
</concept>
<concept>
<code value="CraniocaudalView"/>
<display value="Craniocaudal view"/>
<definition
value="Cranial-Caudal (CC) is a view from above the breast
during a mammogram or ultrasound."/>
</concept>
<concept>
<code value="Cryoablation"/>
<display value="Cryoablation"/>
<definition
value="Uses 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."/>
</concept>
<concept>
<code value="CystAspiration"/>
<display value="Cyst aspiration"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="CystAspirationForRelief"/>
<display value="Cyst aspiration for relief"/>
<definition
value="One 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."/>
</concept>
<concept>
<code value="DiagnosticAspiration"/>
<display value="Diagnostic aspiration"/>
<definition
value="This 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]"/>
</concept>
<concept>
<code value="DiagnosticMammogram"/>
<display value="Diagnostic Mammogram"/>
<definition
value="While 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]"/>
</concept>
<concept>
<code value="DrainageTube"/>
<display value="Drainage tube"/>
<definition
value="The 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]"/>
</concept>
<concept>
<code value="Ductography"/>
<display value="Ductography"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="ExaggeratedCCViews"/>
<display value="Exaggerated CC views"/>
<definition
value="An 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]"/>
</concept>
<concept>
<code value="FNABiopsy"/>
<display value="FNA biopsy"/>
<definition
value="FNA 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]"/>
</concept>
<concept>
<code value="Follow-up"/>
<display value="Follow-up"/>
<definition value="It is recommended to make a follow-up appointment."/>
</concept>
<concept>
<code value="Followup3Months"/>
<display value="Followup 3 months"/>
<definition
value="It is recommended to make a follow-up appointment
in 3 months."/>
</concept>
<concept>
<code value="Followup6Months"/>
<display value="Followup 6 months"/>
<definition
value="It is recommended to make a follow-up appointment
in 6 months."/>
</concept>
<concept>
<code value="IfPreviousShowNoChange"/>
<display value="If previous show no change"/>
<definition
value="The recommendation is for a if previous show no change
to be completed."/>
</concept>
<concept>
<code value="LateralMagnificationView"/>
<display value="Lateral magnification view"/>
<definition
value="The recommendation is for a Lateral magnification
view to be completed on Mammogram and/or Ultrasound."/>
</concept>
<concept>
<code value="LateralMedialView"/>
<display value="Lateral medial view"/>
<definition
value="There 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."/>
</concept>
<concept>
<code value="LateralView"/>
<display value="Lateral view"/>
<definition
value="There 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."/>
</concept>
<concept>
<code value="LateralWithCompressionView"/>
<display value="Lateral with compression view"/>
<definition
value="The recommendation is for a Lateral with compression
view to be completed on Mammogram."/>
</concept>
<concept>
<code value="LateromedialOblique"/>
<display value="Lateromedial oblique"/>
<definition
value="The recommendation is for a lateromedial oblique
view to be completed on Mammogram and/or Ultrasound."/>
</concept>
<concept>
<code value="LateromedialView"/>
<display value="Lateromedial view"/>
<definition
value="The recommendation is for a lateromedial view to
be completed on Mammogram and/or Ultrasound."/>
</concept>
<concept>
<code value="LymphNodeAssessment"/>
<display value="Lymph node assessment"/>
<definition
value="Lymph 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]"/>
</concept>
<concept>
<code value="MagnificationViews"/>
<display value="Magnification views"/>
<definition
value="A 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"/>
</concept>
<concept>
<code value="Mammogram"/>
<display value="Mammogram"/>
<definition
value="A mammogram is an X-Ray picture of the breast.
It is used to look for early signs of breast cancer."/>
</concept>
<concept>
<code value="Mammogram3MonthFollow-up"/>
<display value="Mammogram 3 month follow-up"/>
<definition value="A three month follow-up is recommended."/>
</concept>
<concept>
<code value="Mammogram6MonthFollow-up"/>
<display value="Mammogram 6 month follow-up"/>
<definition value="A six month follow-up is recommended."/>
</concept>
<concept>
<code value="MammogramAndUltrasound3MonthFollow-up"/>
<display value="Mammogram and ultrasound 3 month follow-up"/>
<definition
value="A three month follow-up with ultrasound is recommended."/>
</concept>
<concept>
<code value="MammogramAndUltrasound6MonthFollow-up"/>
<display value="Mammogram and ultrasound 6 month follow-up"/>
<definition
value="A six month follow-up with ultrasound is recommended."/>
</concept>
<concept>
<code value="MediolateralObliqueView"/>
<display value="Mediolateral oblique view"/>
<definition value="A mediolateral oblique view is recommended."/>
</concept>
<concept>
<code value="MediolateralView"/>
<display value="Mediolateral view"/>
<definition value="A mediolateral view is recommended."/>
</concept>
<concept>
<code value="MLOWithCompressionView"/>
<display value="MLO with compression view"/>
<definition
value="An additional MLO with compression view of the breast
is recommended."/>
</concept>
<concept>
<code value="MLOWithMagnificationView"/>
<display value="MLO with magnification view"/>
<definition
value="An additional MLO with magnification view of the
breast is recommended."/>
</concept>
<concept>
<code value="MRI"/>
<display value="MRI"/>
<definition value="An MRI is recommended."/>
</concept>
<concept>
<code value="MRIBiopsy"/>
<display value="MRI biopsy"/>
<definition value="An MRI with biopsy is recommended."/>
</concept>
<concept>
<code value="MRIFollow-up"/>
<display value="MRI follow-up"/>
<definition value="An MRI follow-up is recommended."/>
</concept>
<concept>
<code value="NeedleLocationAndSurgicalBiopsy"/>
<display value="Needle location and surgical biopsy"/>
<definition
value="A Needle localization and surgical biopsy is recommended."/>
</concept>
<concept>
<code value="NippleInProfileView"/>
<display value="Nipple in profile view"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="OffAngleCCView"/>
<display value="Off angle CC view"/>
<definition
value="An additional off angle CC view of the breast is
recommended."/>
</concept>
<concept>
<code value="OffAngleMLOView"/>
<display value="Off angle MLO view"/>
<definition
value="An additional off angle MLO view of the breast is
recommended."/>
</concept>
<concept>
<code value="Poss.StereotacticBx"/>
<display value="Poss. Stereotactic Bx"/>
<definition
value="Stereotactic 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]"/>
</concept>
<concept>
<code value="PossibleCoreBiopsy"/>
<display value="Possible core biopsy"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="PossibleDiagnosticMammogram"/>
<display value="Possible Diagnostic Mammogram"/>
<definition value="A possible diagnostic mammogram is recommended."/>
</concept>
<concept>
<code value="PossibleStereotacticVacuumBiopsy"/>
<display value="Possible stereotactic vacuum biopsy"/>
<definition
value="Based 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]"/>
</concept>
<concept>
<code value="PossibleSurgicalConsult"/>
<display value="Possible surgical consult"/>
<definition value="A possible surgical consultation may be recommended."/>
</concept>
<concept>
<code value="PossibleSurgicalEvaluation"/>
<display value="Possible surgical evaluation"/>
<definition value="A possible surgical evaluation is recommended."/>
</concept>
<concept>
<code value="PossibleUltrasound"/>
<display value="Possible ultrasound"/>
<definition value="A possible ultrasound is recommended."/>
</concept>
<concept>
<code value="PossibleUltrasoundGuidedBiopsy"/>
<display value="Possible ultrasound guided biopsy"/>
<definition value="A possible ultrasound guided biopsy is recommended."/>
</concept>
<concept>
<code value="PossibleVacuumBiopsy"/>
<display value="Possible vacuum biopsy"/>
<definition value="A possible vacuum biopsy is recommended."/>
</concept>
<concept>
<code value="RepeatCCView"/>
<display value="Repeat CC view"/>
<definition value="Another CC view of Mammogram is recommended."/>
</concept>
<concept>
<code value="RepeatMLOView"/>
<display value="Repeat MLO view"/>
<definition value="Another MLO view of Mammogram is recommended."/>
</concept>
<concept>
<code value="RolledLateralView"/>
<display value="Rolled lateral view"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="RolledMedialView"/>
<display value="Rolled medial view"/>
<definition value="A rolled medial view is recommended."/>
</concept>
<concept>
<code value="ScintimammogramGuidedBiopsy"/>
<display value="Scintimammogram Guided Biopsy"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="Scintimammography"/>
<display value="Scintimammography"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="SpotCompression"/>
<display value="Spot compression"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="SpotMagnificationViews"/>
<display value="Spot magnification views"/>
<definition value="Spot magnification views are recommended."/>
</concept>
<concept>
<code value="StereotacticBx"/>
<display value="Stereotactic bx"/>
<definition value="A stereotactic biopsy is recommended."/>
</concept>
<concept>
<code value="SuperolateralIOView"/>
<display value="Superolateral IO view"/>
<definition
value="A 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."/>
</concept>
<concept>
<code value="SurgicalBiopsy"/>
<display value="Surgical biopsy"/>
<definition
value="A 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]"/>
</concept>
<concept>
<code value="SurgicalConsult"/>
<display value="Surgical consult"/>
<definition value="A surgical consult is recommended."/>
</concept>
<concept>
<code value="SurgicalConsultAndBiopsy"/>
<display value="Surgical consult and biopsy"/>
<definition value="A surgical consult and biopsy is recommended."/>
</concept>
<concept>
<code value="SurgicalEvaluation"/>
<display value="Surgical evaluation"/>
<definition value="The recommendation is for a surgical evaluation."/>
</concept>
<concept>
<code value="SurgicalExcision"/>
<display value="Surgical excision"/>
<definition value="The recommendation is for a surgical excision."/>
</concept>
<concept>
<code value="SurgicalOncologicEvaluation"/>
<display value="Surgical oncologic evaluation"/>
<definition
value="The recommendation is for a surgical oncologic evaluation."/>
</concept>
<concept>
<code value="SurgicalOncologicalConsult"/>
<display value="Surgical oncological consult"/>
<definition
value="The recommendation is for a surgical oncologic consult."/>
</concept>
<concept>
<code value="TangentialView"/>
<display value="Tangential view"/>
<definition value="A tangential view is recommended."/>
</concept>
<concept>
<code value="TangentialViews"/>
<display value="Tangential views"/>
<definition value="Tangential views are recommended."/>
</concept>
<concept>
<code value="Ultrasound"/>
<display value="Ultrasound"/>
<definition value="An ultrasound is recommended."/>
</concept>
<concept>
<code value="Ultrasound2ndLook"/>
<display value="Ultrasound 2nd Look"/>
<definition value="An additional ultrasound is recommended."/>
</concept>
<concept>
<code value="Ultrasound3MonthFollow-up"/>
<display value="Ultrasound 3 month follow-up"/>
<definition
value="An additional ultrasound is recommended in a 3 month
follow-up."/>
</concept>
<concept>
<code value="Ultrasound6MonthFollow-up"/>
<display value="Ultrasound 6 month follow-up"/>
<definition
value="An additional ultrasound is recommended in a 3 month
follow-up."/>
</concept>
<concept>
<code value="UltrasoundGuidedBx"/>
<display value="Ultrasound guided bx"/>
<definition value="An ultrasound guided biopsy is recommended."/>
</concept>
<concept>
<code value="UltrasoundLocationAndSurgicalBiopsy"/>
<display value="Ultrasound location and surgical biopsy"/>
<definition
value="An ultrasound localized and surgical biopsy is recommended."/>
</concept>
<concept>
<code value="UltrasoundWithPossibleAddlitonalViews"/>
<display value="Ultrasound with possible addlitonal views"/>
<definition
value="An ultrasound with possible additional views are
recommended."/>
</concept>
<concept>
<code value="Unspecified/Other"/>
<display value="Unspecified / other"/>
<definition value="Unspecified / other"/>
</concept>
<concept>
<code value="VacuumBx"/>
<display value="Vacuum Bx"/>
<definition value="A vacuum biopsy is recommended."/>
</concept>
</CodeSystem>
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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