RecommendationsCodeSystemCS

Recommendations CodeSystem

draftBreast Radiology0.2.0complete97 concepts

Recommendations code system

Metadata

Canonical URL: http://hl7.org/fhir/us/breast-radiology/CodeSystem/RecommendationsCodeSystemCS
ID: RecommendationsCodeSystemCS
Version: 0.2.0
Publisher: Hl7 - Clinical Interoperability Council
Case Sensitive: Yes

Concepts (97)

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. Valid for the following modalities: MG US MRI.
`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. Valid for the following modalities: MG.
`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 Valid for the following modalities: MG.
`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 Valid for the following modalities: MG.
`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 Valid for the following modalities: MG.
`AdditionalViews`	Additional views	Additional views in Mammography, MRI and US, help increase the chances of finding any possible tumors in the breast. Valid for the following modalities: MG US MRI.
`AddlitionalViewsWithPossibleUltrasound`	Addlitional views with possible ultrasound	Additional views in a Mammogram, MRI or Ultrasound are recommended. Valid for the following modalities: MG US MRI.
`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. [https://radiopaedia.org/articles/axillary-view?lang=us] Valid for the following modalities: MG US.
`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. [https://en.wikipedia.org/wiki/Tail_of_Spence] Valid for the following modalities: MG US.
`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. Valid for the following modalities: MG US MRI NM.
`BiopsyBaseOnClinical`	Biopsy base on clinical	Based on the clinical exam, a biopsy is recommended. Valid for the following modalities: MG US MRI.
`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. Valid for the following modalities: MG US.
`CCWithCompressionView`	CC with compression view	The recommendation is for a CC with compression view to be completed on an Ultrasound and/or Mammogram. Valid for the following modalities: MG US.
`CCWithMagnificationView`	CC with magnification view	The recommendation is for a CC with magnification view to be completed on an Ultrasound and/or Mammogram. Valid for the following modalities: MG US.
`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. Valid for the following modalities: MG US.
`ClinicalConsultation`	Clinical consultation	A clinical consultation is recommended. Valid for the following modalities: MG US MRI.
`ClinicalCorrelation`	Clinical correlation	The recommendation is for a clinicial correlation and/or comparison to be completed. Valid for the following modalities: MG US MRI.
`ClinicalFollow-up`	Clinical follow-up	The recommendation is for a clinical follow-up to be completed. Valid for the following modalities: MG US MRI.
`CompareToPriorExams`	Compare to prior exams	The recommendation is for a compare to prior exams to be completed. Valid for the following modalities: MG US.
`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. Valid for the following modalities: MG US.
`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". Valid for the following modalities: MG US.
`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. Valid for the following modalities: MG US MRI.
`CraniocaudalView`	Craniocaudal view	Cranial-Caudal (CC) is a view from above the breast during a mammogram or ultrasound. Valid for the following modalities: MG.
`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. Valid for the following modalities: MG US.
`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] Valid for the following modalities: MG US MRI.
`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. Valid for the following modalities: US.
`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. [https://www.webmd.com > a-to-z-guides > fine-needle-aspiration] Valid for the following modalities: MG US MRI.
`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. [https://www.nationalbreastcancer.org/diagnostic-mammogram] Valid for the following modalities: MG.
`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. [https://en.wikipedia.org/wiki/Drain_(surgery)] Valid for the following modalities: MG US MRI.
`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. [https://www.imaginis.com/mammography/ductogram-galactogram-imaging-the-breast-ducts] Valid for the following modalities: MG US MRI.
`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. [https://radiopaedia.org/articles/xccl-view?lang=us] Valid for the following modalities: MG US.
`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. [https://www.webmd.com/a-to-z-guides/fine-needle-aspiration#1] Valid for the following modalities: MG US.
`Follow-up`	Follow-up	It is recommended to make a follow-up appointment. Valid for the following modalities: US.
`Followup3Months`	Followup 3 months	It is recommended to make a follow-up appointment in 3 months. Valid for the following modalities: MG US.
`Followup6Months`	Followup 6 months	It is recommended to make a follow-up appointment in 6 months. Valid for the following modalities: MG US MRI.
`IfPreviousShowNoChange`	If previous show no change	The recommendation is for a if previous show no change to be completed. Valid for the following modalities: US MRI.
`LateralMagnificationView`	Lateral magnification view	The recommendation is for a Lateral magnification view to be completed on Mammogram and/or Ultrasound. Valid for the following modalities: MG.
`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. Valid for the following modalities: MG US.
`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. Valid for the following modalities: MG US.
`LateralWithCompressionView`	Lateral with compression view	The recommendation is for a Lateral with compression view to be completed on Mammogram. Valid for the following modalities: MG US.
`LateromedialOblique`	Lateromedial oblique	The recommendation is for a lateromedial oblique view to be completed on Mammogram and/or Ultrasound. Valid for the following modalities: MG US.
`LateromedialView`	Lateromedial view	The recommendation is for a lateromedial view to be completed on Mammogram and/or Ultrasound. Valid for the following modalities: MG US.
`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. [https://stanfordmedicine25.stanford.edu/the25/lymph.html] Valid for the following modalities: MG.
`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 Valid for the following modalities: MG US MRI NM.
`Mammogram`	Mammogram	A mammogram is an X-Ray picture of the breast. It is used to look for early signs of breast cancer. Valid for the following modalities: MRI.
`Mammogram3MonthFollow-up`	Mammogram 3 month follow-up	A three month follow-up is recommended. Valid for the following modalities: MG US.
`Mammogram6MonthFollow-up`	Mammogram 6 month follow-up	A six month follow-up is recommended. Valid for the following modalities: MG US.
`MammogramAndUltrasound3MonthFollow-up`	Mammogram and ultrasound 3 month follow-up	A three month follow-up with ultrasound is recommended. Valid for the following modalities: MG US.
`MammogramAndUltrasound6MonthFollow-up`	Mammogram and ultrasound 6 month follow-up	A six month follow-up with ultrasound is recommended. Valid for the following modalities: MG US.
`MediolateralObliqueView`	Mediolateral oblique view	A mediolateral oblique view is recommended. Valid for the following modalities: MG.
`MediolateralView`	Mediolateral view	A mediolateral view is recommended. Valid for the following modalities: MG.
`MLOWithCompressionView`	MLO with compression view	An additional MLO with compression view of the breast is recommended. Valid for the following modalities: MG US.
`MLOWithMagnificationView`	MLO with magnification view	An additional MLO with magnification view of the breast is recommended. Valid for the following modalities: MG US.
`MRI`	MRI	An MRI is recommended. Valid for the following modalities: MG US.
`MRIBiopsy`	MRI biopsy	An MRI with biopsy is recommended. Valid for the following modalities: MG US MRI NM.
`MRIFollow-up`	MRI follow-up	An MRI follow-up is recommended. Valid for the following modalities: MRI NM.
`NeedleLocationAndSurgicalBiopsy`	Needle location and surgical biopsy	A Needle localization and surgical biopsy is recommended. Valid for the following modalities: MG US MRI.
`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.) [https://www.mammoguide.com/mammo-techniques.html] Valid for the following modalities: MG.
`OffAngleCCView`	Off angle CC view	An additional off angle CC view of the breast is recommended. Valid for the following modalities: MG US.
`OffAngleMLOView`	Off angle MLO view	An additional off angle MLO view of the breast is recommended. Valid for the following modalities: MG US.
`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. [https://www.radiologyinfo.org/en/info.cfm?pg=breastbixr] Valid for the following modalities: MG.
`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. [https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-biopsy/core-needle-biopsy-of-the-breast.html] Valid for the following modalities: MG US.
`PossibleDiagnosticMammogram`	Possible Diagnostic Mammogram	A possible diagnostic mammogram is recommended. Valid for the following modalities: MG.
`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. [https://www.genesishealth.com/care-treatment/cancer/treat/breast/diagnosis/sterotactic_vacuum/] Valid for the following modalities: MG.
`PossibleSurgicalConsult`	Possible surgical consult	A possible surgical consultation may be recommended. Valid for the following modalities: NM.
`PossibleSurgicalEvaluation`	Possible surgical evaluation	A possible surgical evaluation is recommended. Valid for the following modalities: NM.
`PossibleUltrasound`	Possible ultrasound	A possible ultrasound is recommended. Valid for the following modalities: MG.
`PossibleUltrasoundGuidedBiopsy`	Possible ultrasound guided biopsy	A possible ultrasound guided biopsy is recommended. Valid for the following modalities: MG.
`PossibleVacuumBiopsy`	Possible vacuum biopsy	A possible vacuum biopsy is recommended. Valid for the following modalities: MG.
`RepeatCCView`	Repeat CC view	Another CC view of Mammogram is recommended. Valid for the following modalities: MG.
`RepeatMLOView`	Repeat MLO view	Another MLO view of Mammogram is recommended. Valid for the following modalities: MG.
`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. [https://radiopaedia.org/articles/rolled-cc-view-1?lang=us] Valid for the following modalities: MG US.
`RolledMedialView`	Rolled medial view	A rolled medial view is recommended. Valid for the following modalities: MG US.
`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. [https://www.radiologyinfo.org/en/info.cfm?pg=breastbixr] Valid for the following modalities: MG.
`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. [https://www.radiologyinfo.org/en/info.cfm?pg=scintimammo] Valid for the following modalities: MG US MRI.
`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. [https://radiopaedia.org/articles/spot-view-mammography?lang=us] Valid for the following modalities: MG US NM.
`SpotMagnificationViews`	Spot magnification views	Spot magnification views are recommended. Valid for the following modalities: MG.
`StereotacticBx`	Stereotactic bx	A stereotactic biopsy is recommended. Valid for the following modalities: MG US MRI NM.
`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. Valid for the following modalities: MG US.
`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). [https://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/tests-and-procedures/surgical-biopsy/?region=on] Valid for the following modalities: NM.
`SurgicalConsult`	Surgical consult	A surgical consult is recommended. Valid for the following modalities: MG US MRI NM.
`SurgicalConsultAndBiopsy`	Surgical consult and biopsy	A surgical consult and biopsy is recommended. Valid for the following modalities: MG US MRI.
`SurgicalEvaluation`	Surgical evaluation	The recommendation is for a surgical evaluation. Valid for the following modalities: NM.
`SurgicalExcision`	Surgical excision	The recommendation is for a surgical excision. Valid for the following modalities: NM.
`SurgicalOncologicEvaluation`	Surgical oncologic evaluation	The recommendation is for a surgical oncologic evaluation. Valid for the following modalities: NM.
`SurgicalOncologicalConsult`	Surgical oncological consult	The recommendation is for a surgical oncologic consult. Valid for the following modalities: MG US MRI NM.
`TangentialView`	Tangential view	A tangential view is recommended. Valid for the following modalities: MG US.
`TangentialViews`	Tangential views	Tangential views are recommended. Valid for the following modalities: MG US.
`Ultrasound`	Ultrasound	An ultrasound is recommended. Valid for the following modalities: MG MRI NM.
`Ultrasound2ndLook`	Ultrasound 2nd Look	An additional ultrasound is recommended. Valid for the following modalities: MG US MRI NM.
`Ultrasound3MonthFollow-up`	Ultrasound 3 month follow-up	An additional ultrasound is recommended in a 3 month follow-up. Valid for the following modalities: MG US.
`Ultrasound6MonthFollow-up`	Ultrasound 6 month follow-up	An additional ultrasound is recommended in a 3 month follow-up. Valid for the following modalities: MG US.
`UltrasoundGuidedBx`	Ultrasound guided bx	An ultrasound guided biopsy is recommended. Valid for the following modalities: MG US MRI NM.
`UltrasoundLocationAndSurgicalBiopsy`	Ultrasound location and surgical biopsy	An ultrasound localized and surgical biopsy is recommended. Valid for the following modalities: MG US.
`UltrasoundWithPossibleAddlitonalViews`	Ultrasound with possible addlitonal views	An ultrasound with possible additional views are recommended. Valid for the following modalities: MG.
`Unspecified/Other`	Unspecified / other	Unspecified / other Valid for the following modalities: US MRI.
`VacuumBx`	Vacuum Bx	A vacuum biopsy is recommended. Valid for the following modalities: MG US.