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Topic starter
24 states require providers to notify patients if their mammogram shows "dense breasts". There are standard BIRADs nomenclature for reporting this.
I wonder how people are recording and tracking this in Centricity? I cannot find any factory OBS terms to store that data or map to.
I'd be interested in any solutions, forms, workflows, advice, frustrations or apoplexy anyone has had surrounding this issue (which is quite controversial btw).
Cheers.
Charles Zelnick MD
Posted : August 19, 2016 2:35 pm
We have 2x mammo machines and we use a mammo tracking software to make sure procedures like this are followed. The software we use is called MRS (Mammo Reporting System).
This software also makes sure we are in compliance with other Mammo requirements such as reporting results back to patients within 30 days of their exam as well as providing lists we can use to perform followups.
If you do not have a software system designed to track mammography I would highly recommend that you get one. I think Penrad makes an alternative to MRS but I don't know much about it.
Posted : August 22, 2016 7:23 am
We requested a Custom Observation Term from GE.
Name: BREASTDENS
Description: Breast Density
OBSTYPE: T
We then added this to one of our VFE forms where it could be tracked.
Posted : August 22, 2016 7:48 am
Topic starter
Thanks. Our radiology department does already have tracking software and sends the patients letters and callbacks.
Unfortunately they do not show up in Centricity, so we have to also track things ourselves. I think we may also ask for this Custom OBS term; if enough of us do that perhaps it will be come a universal Factory term.
I'd still be very interested in a Breast Cancer Risk calculator if anyone has got one?
Cheers.
Posted : August 22, 2016 3:26 pm
Out of curiosity, where will you use the data once it is in Centricity? I guess we have never found a need to track it within Centricity since we track everything in MRS.
I am mainly wondering so that I know if we need to be doing the same thing for any reason.
Posted : August 23, 2016 3:20 am
Topic starter
As a provider, I need to be able to find and track breast density as an independent risk factor for breast cancer.
Since there is a lot of controversy about how often to screen and whether to use MRI etc to further screen women with dense breasts, my providers want this information front and center so they can decide and counsel patients appropriately.
Patients often ask PCPs to give our own opinion about what others are recommending, since we know the patient well.
Posted : August 23, 2016 6:34 am
