CodeSystem-ServiceRecommendationsCS

Sourcehl7.fhir.us.breast-radiology#current:Breast Imaging Reporting - 2nd STU ballot (v4.0.1)
resourceTypeCodeSystem
idServiceRecommendationsCS
canonicalhttp://hl7.org/fhir/us/breast-radiology/CodeSystem/ServiceRecommendationsCS
version0.3.0
statusactive
publisherHL7 International - Clinical Interoperability Council
nameServiceRecommendationsCS
titleServiceRecommendations CodeSystem
date2022-12-07T21:19:53+00:00
experimentalfalse
descriptionServiceRecommendations CodeSystem
jurisdictionsus
caseSensitivefalse
contentcomplete
Usages

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

Code Display Definition
3DImaging 3D Imaging 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.
3DSpotCC 3D spot CC 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.
3DSpotLM 3D spot LM 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
3DSpotML 3D spot ML Advanced Technology that takes multiple images, or X-rays, of breast tissue to recreate a 3-dimensional picture of the breast. Mediolateral (ML) is
3DSpotMLO 3D spot MLO 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
AdditionalViews Additional views Additional views in Mammography, MRI and US, help increase the chances of finding any possible tumors in the breast.
AddlitionalViewsWithPossibleUltrasound Addlitional views with possible ultrasound Additional views in a Mammogram, MRI or Ultrasound are recommended.
AxillaView Axilla view 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]
AxillaryTailView Axillary tail view 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]
Biopsy Biopsy 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.
BiopsyBaseOnClinical Biopsy base on clinical Based on the clinical exam, a biopsy is recommended.
CaudocranialView Caudocranial view 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.
CCWithCompressionView CC with compression view The recommendation is for a CC with compression view to be completed on an Ultrasound and/or Mammogram.
CCWithMagnificationView CC with magnification view The recommendation is for a CC with magnification view to be completed on an Ultrasound and/or Mammogram.
CleavageView Cleavage view 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.
ClinicalConsultation Clinical consultation A clinical consultation is recommended.
ClinicalCorrelation Clinical correlation The recommendation is for a clinicial correlation and/or comparison to be completed.
ClinicalFollow-up Clinical follow-up The recommendation is for a clinical follow-up to be completed.
CompareToPriorExams Compare to prior exams The recommendation is for a compare to prior exams to be completed.
CompressionViews Compression views 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.
ConeCompression Cone compression 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'.
CoreBiopsy Core Biopsy 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.
CraniocaudalView Craniocaudal view Cranial-Caudal (CC) is a view from above the breast during a mammogram or ultrasound.
Cryoablation Cryoablation 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.
CystAspiration Cyst aspiration 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]
CystAspirationForRelief Cyst aspiration for relief 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.
DiagnosticAspiration Diagnostic aspiration 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]
DiagnosticMammogram Diagnostic Mammogram 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]
DrainageTube Drainage tube 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]
Ductography Ductography 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]
ExaggeratedCCViews Exaggerated CC views 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]
FNABiopsy FNA biopsy 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]
Follow-up Follow-up It is recommended to make a follow-up appointment.
Followup3Months Followup 3 months It is recommended to make a follow-up appointment in 3 months.
Followup6Months Followup 6 months It is recommended to make a follow-up appointment in 6 months.
IfPreviousShowNoChange If previous show no change The recommendation is for a if previous show no change to be completed.
LateralMagnificationView Lateral magnification view The recommendation is for a Lateral magnification view to be completed on Mammogram and/or Ultrasound.
LateralMedialView Lateral medial view 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.
LateralView Lateral view 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.
LateralWithCompressionView Lateral with compression view The recommendation is for a Lateral with compression view to be completed on Mammogram.
LateromedialOblique Lateromedial oblique The recommendation is for a lateromedial oblique view to be completed on Mammogram and/or Ultrasound.
LateromedialView Lateromedial view The recommendation is for a lateromedial view to be completed on Mammogram and/or Ultrasound.
LymphNodeAssessment Lymph node assessment 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]
MagnificationViews Magnification views 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
Mammogram Mammogram A mammogram is an X-Ray picture of the breast. It is used to look for early signs of breast cancer.
Mammogram3MonthFollow-up Mammogram 3 month follow-up A three month follow-up is recommended.
Mammogram6MonthFollow-up Mammogram 6 month follow-up A six month follow-up is recommended.
MammogramAndUltrasound3MonthFollow-up Mammogram and ultrasound 3 month follow-up A three month follow-up with ultrasound is recommended.
MammogramAndUltrasound6MonthFollow-up Mammogram and ultrasound 6 month follow-up A six month follow-up with ultrasound is recommended.
MediolateralObliqueView Mediolateral oblique view A mediolateral oblique view is recommended.
MediolateralView Mediolateral view A mediolateral view is recommended.
MLOWithCompressionView MLO with compression view An additional MLO with compression view of the breast is recommended.
MLOWithMagnificationView MLO with magnification view An additional MLO with magnification view of the breast is recommended.
MRI MRI An MRI is recommended.
MRIBiopsy MRI biopsy An MRI with biopsy is recommended.
MRIFollow-up MRI follow-up An MRI follow-up is recommended.
NeedleLocationAndSurgicalBiopsy Needle location and surgical biopsy A Needle localization and surgical biopsy is recommended.
NippleInProfileView Nipple in profile view 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]
OffAngleCCView Off angle CC view An additional off angle CC view of the breast is recommended.
OffAngleMLOView Off angle MLO view An additional off angle MLO view of the breast is recommended.
Poss.StereotacticBx Poss. Stereotactic Bx 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]
PossibleCoreBiopsy Possible core biopsy 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]
PossibleDiagnosticMammogram Possible Diagnostic Mammogram A possible diagnostic mammogram is recommended.
PossibleStereotacticVacuumBiopsy Possible stereotactic vacuum biopsy 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]
PossibleSurgicalConsult Possible surgical consult A possible surgical consultation may be recommended.
PossibleSurgicalEvaluation Possible surgical evaluation A possible surgical evaluation is recommended.
PossibleUltrasound Possible ultrasound A possible ultrasound is recommended.
PossibleUltrasoundGuidedBiopsy Possible ultrasound guided biopsy A possible ultrasound guided biopsy is recommended.
PossibleVacuumBiopsy Possible vacuum biopsy A possible vacuum biopsy is recommended.
RepeatCCView Repeat CC view Another CC view of Mammogram is recommended.
RepeatMLOView Repeat MLO view Another MLO view of Mammogram is recommended.
RolledLateralView Rolled lateral view 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]
RolledMedialView Rolled medial view A rolled medial view is recommended.
ScintimammogramGuidedBiopsy Scintimammogram Guided Biopsy 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]
Scintimammography Scintimammography 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]
SpotCompression Spot compression 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]
SpotMagnificationViews Spot magnification views Spot magnification views are recommended.
StereotacticBx Stereotactic bx A stereotactic biopsy is recommended.
SuperolateralIOView Superolateral IO view 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.
SurgicalBiopsy Surgical biopsy 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]
SurgicalConsult Surgical consult A surgical consult is recommended.
SurgicalConsultAndBiopsy Surgical consult and biopsy A surgical consult and biopsy is recommended.
SurgicalEvaluation Surgical evaluation The recommendation is for a surgical evaluation.
SurgicalExcision Surgical excision The recommendation is for a surgical excision.
SurgicalOncologicEvaluation Surgical oncologic evaluation The recommendation is for a surgical oncologic evaluation.
SurgicalOncologicalConsult Surgical oncological consult The recommendation is for a surgical oncologic consult.
TangentialView Tangential view A tangential view is recommended.
TangentialViews Tangential views Tangential views are recommended.
Ultrasound Ultrasound An ultrasound is recommended.
Ultrasound2ndLook Ultrasound 2nd Look An additional ultrasound is recommended.
Ultrasound3MonthFollow-up Ultrasound 3 month follow-up An additional ultrasound is recommended in a 3 month follow-up.
Ultrasound6MonthFollow-up Ultrasound 6 month follow-up An additional ultrasound is recommended in a 3 month follow-up.
UltrasoundGuidedBx Ultrasound guided bx An ultrasound guided biopsy is recommended.
UltrasoundLocationAndSurgicalBiopsy Ultrasound location and surgical biopsy An ultrasound localized and surgical biopsy is recommended.
UltrasoundWithPossibleAddlitonalViews Ultrasound with possible addlitonal views An ultrasound with possible additional views are recommended.
Unspecified/Other Unspecified / other Unspecified / other
VacuumBx Vacuum Bx A vacuum biopsy is recommended.

Produced 08 Sep 2023