Relevant Patient Information Templates
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## Relevant Patient Information Templates

### TID 9000 Relevant Patient Information for Breast Imaging

This template collects a patient's relevant information as it relates to breast imaging. This template, together with its subordinate templates, describes the history of a patient's reproductive system, hormone medications, past procedures, risk factors, and indicated problems as they relate to breast health.

Type:

  Extensible

Order:

  Significant

Table TID 9000. Relevant Patient Information for Breast Imaging

| NL | Rel with Parent | VT | Concept Name | VM | Req Type | Condition | Value Set Constraint
--- | --- | --- | --- | --- | --- | --- | --- | ---
1 |  |  | CONTAINER | EV (111511, DCM, "Relevant Patient Information for Breast Imaging") | 1 | M |  |
2 | > | HAS CONCEPT MOD | INCLUDE | DTID 1204 “Language of Content Item and Descendants” | 1 | M |  |
3 | > | CONTAINS | INCLUDE | DTID 3114 “Patient Assessment” | 1 | U |  |
4 | > | CONTAINS | INCLUDE | DTID 9001 “Gynecological History” | 1 | U |  |
5 | > | CONTAINS | INCLUDE | DTID 9002 “Medication, Substance, Environmental Exposure” | 1 | U |  | $ContainerConcept = EV (10160-0, LN, "History Of Medication Use") $CodeConcept = EV (111516, DCM, "Medication Type") $CodeValue = DCID 6080 “Gynecological Hormones”
6 | > | CONTAINS | INCLUDE | DTID 9003 “Previous Procedure” | 1 | U |  | $ProcedureList = DCID 6083 “Procedures for Breast” $ProcedureModifier = DCID 6058 “Procedure Modifiers for Breast” $NumConceptName = DCID 6095 “Numeric Properties of Procedures” $LateralityValue = DCID 6022 “Side” $ProcedureResult = DCID 6063 “Interventional Procedure Results” $ComplicationValue = DCID 6062 “Interventional Procedure Complications”
7 | > | CONTAINS | INCLUDE | DTID 9004 “Indicated Problem” | 1 | U |  | $ProblemList = DCID 6055 “Breast Clinical Finding Or Indicated Problem” $LateralityValue = DCID 6022 “Side” $LocationValue = DCID 6018 “Clockface Location or Region”, DCID 6020 “Quadrant Location”
8 | > | CONTAINS | INCLUDE | DTID 9005 “Risk Factor” | 1 | U |  | $RiskList = DCID 6081 “Breast Cancer Risk Factors” $FamilyList = DCID 7451 “Family Member”

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