This value set includes codes based on the following rules:

• Include these codes as defined in http://dicom.nema.org/resources/ontology/DCM

  Code	Display	Definition
  111140	Normal interval follow-up	Follow up study at 12 months for women ≥ 40 years of age having a prior negative study and no mitigating risk factors for breast cancer.
  111141	Any decision to biopsy should be based on clinical assessment	Any decision to perform tissue acquisition should be based on clinical assessment.
  111142	Follow-up at short interval (1-11 months)	Follow-up at short interval (1-11 months).
  111121	Follow-up post biopsy as directed by clinician	An indication that the patient should seek post procedural follow-up directives from a clinical health care provider.
  111143	Biopsy should be considered	Tissue acquisition should be considered.
  111144	Needle localization and biopsy	Breast tissue acquisition following the identification of an area of concern with the placement of a needle or needle-wire assembly.
  111122	Known biopsy proven malignancy - take appropriate action	A recommendation on a patient with known cancer to take steps appropriate to the diagnosis.
  111145	Histology using core biopsy	Pathologic analysis of breast tissue and lesions using core tissue samples.
  111410	Surgical consult	Referred for evaluation by a surgeon.
  111135	Additional projections	Views not inclusive of MLO and CC (BI-RADS®).
  111146	Suggestive of malignancy - take appropriate action	Lesions that do not have the characteristic morphologies of breast cancer but have a definite probability of being malignant. There is a sufficient concern to urge a biopsy.
  111136	Spot magnification view(s)	A spot or coned down compression of the breast providing a reduction in the thickness and a magnification of the localized area of interest and improved separation of breast tissue.
  111147	Cytologic analysis	Cellular analysis of specimen.
  111148	Biopsy should be strongly considered	Tissue acquisition should be strongly considered.
  111138	Old films for comparison	Obtain previous mammography studies to compare to present study.
  111149	Highly suggestive of malignancy - take appropriate action	Lesions have a high probability of being cancer, which require additional action.

• Include these codes as defined in http://snomed.info/sct

  Code	Display
  399055006	Spot compression
  371572003	Nuclear medicine procedure
  241615005	MRI of breast
  16310003	Diagnostic ultrasonography
  399163009	Magnification views
  386053000	Evaluation procedure
  18102001	Mammary ductogram