care plan demo dr laura esserman this work is licensed under a creative commons attribution 3.0...
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Care Plan Demo
Care Plan DemoDr Laura EssermanDr Laura Esserman
This work is licensed under a Creative Commons Attribution 3.0 Unported License.© 2007 Laura J Esserman
Info
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
Elly Doe01/01/1957
111 Main StSan Francisco, Ca 94111
Phone: 415.555.1212Cell: 415.555.1213
Email: [email protected]
Insurance:Mega Heartless Insurance of AmericaPolicy#: 1111111Phone: 888.666.9999
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Events/Tests Care Plan Trials Communicate Treatment
Events/TestsInfo Care Plan Trials Communicate Treatment
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
Mammogram
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
Mammogram
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Click for larger view
Events/TestsInfo Care Plan Trials Communicate Treatment
MammogramMammogram
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
FNA
D. Hamolsky: FNA was performed on mass at 2 o’clock position in left breast.
Ordered Cytology Assessment on FNA sample.
FNA
D. Hamolsky: FNA was performed on mass at 2 o’clock position in left breast.
Ordered Cytology Assessment on FNA sample.
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
FNAFNA
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Definition: FNA
Fine Needle Aspiration
Biopsy procedure that uses a very thin, hollow needle to remove a sample of cells from the abnormal area of the breast. Also called a fine needle biopsy.
Definition
Close
Events/TestsInfo Care Plan Trials Communicate Treatment
Cytology
Pathologist: Examined Cells from FNA sample on patient. Cells are suspicious but Not definitive for diagnosis.
Recommend further tests.
Cytology
Pathologist: Examined Cells from FNA sample on patient. Cells are suspicious but Not definitive for diagnosis.
Recommend further tests.
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
Core Biopsy
Dr. Esserman: performed core biopsy on Mass at 2 o’clock position in left breast. Requested pathology assessment for Specimen for IDC and DCIS as well as ER/PR.
Core Biopsy
Dr. Esserman: performed core biopsy on Mass at 2 o’clock position in left breast. Requested pathology assessment for Specimen for IDC and DCIS as well as ER/PR.
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
Pathology Results on Core Biopsy Sample
Dr. Smith: Examined Cells from Core Biopsy on patient. Cells clearly show IDC, grade 2.
ER: PositivePR: PositiveHer-2: 2+ (indeterminate)
Pathology Results on Core Biopsy Sample
Dr. Smith: Examined Cells from Core Biopsy on patient. Cells clearly show IDC, grade 2.
ER: PositivePR: PositiveHer-2: 2+ (indeterminate)
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Click to enlarge
Events/TestsInfo Care Plan Trials Communicate Treatment
Pathology Results on Core Biopsy Sample
Pathology Results on Core Biopsy Sample
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Events/TestsInfo Care Plan Trials Communicate Treatment
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
Initial Consultation & Mammogram
S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.
Patient was taken to imaging center for Mammogram.
Mammogram shows small mass in left breast At 2 o’clock position.
Recommend patient return for FNA
02/03/2007 NP (S. Eder)
02/21/2007 CNS (D. Hamolsky)
03/07/2007 Results: Cytology
03/16/2007 Dr. (L. Esserman)
04/10/2007 Results: Pathology
02/03/2007 Results: Mammo
04/10/2007 Pending: Risk
04/10/2007 Pending: FISH
Date: Event/Provider:
Care PlanEvents/TestsInfo Trials Communicate Treatment
Chemo:noneChemo:none
Hormone:noneHormone:none
Radiation:noneRadiation:none
Biologic:noneBiologic:none
Surgery:noneSurgery:none
Recommended Need more info
Pending Results
4/10/2007 Risk4/10/2007 FISH
4/10/2007 Risk4/10/2007 FISH
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
Care PlanEvents/TestsInfo Trials Communicate Treatment
Chemo:noneChemo:none
Hormone:noneHormone:none
Radiation:noneRadiation:none
Biologic:noneBiologic:none
Surgery:noneSurgery:none
Recommended Need more info
Pending Results
4/10/2007 Risk4/10/2007 FISH
4/10/2007 Risk4/10/2007 FISH
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
noneBCTmast.
Care PlanEvents/TestsInfo Trials Communicate Treatment
Chemo:noneChemo:none
Hormone:noneHormone:none
Radiation:noneRadiation:none
Biologic:noneBiologic:none
Surgery:noneSurgery:none
Recommended Need more info
Pending Results
4/10/2007 Risk4/10/2007 FISH
4/10/2007 Risk4/10/2007 FISH
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
noneBCTmast.BCT
Care PlanEvents/TestsInfo Trials Communicate Treatment
Chemo:noneChemo:none
Hormone:noneHormone:none
Radiation:noneRadiation:none
Biologic:noneBiologic:none
Surgery:BCTSurgery:BCT
Recommended Need more info
Pending Results
4/10/2007 Risk4/10/2007 FISH
4/10/2007 Risk4/10/2007 FISH
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
Care PlanEvents/TestsInfo Trials Communicate Treatment
Option 1:
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
AprilAprilAprilApril
MayMayMayMay
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JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
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back
SS CCHH
Forward
Option 2:
AprilAprilAprilApril
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JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
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NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
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Forward
HH SS CC
Care PlanEvents/TestsInfo Trials Communicate Treatment
Option 1:
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
SS CCHH
Forward
Option 2:
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
Forward
HH SS CC
SurgerySurgery
Care PlanEvents/TestsInfo Trials Communicate Treatment
Option 1:
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
SS CCHH
Forward
Option 2:
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
Forward
HH SS CC
SurgerySurgery ChemotherapyChemotherapy
Care PlanEvents/TestsInfo Trials Communicate Treatment
Option 1:
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
SS CCHH
Forward
Option 2:
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
back
Forward
HH SS CC
SurgerySurgery ChemotherapyChemotherapy
Hormone TherapyHormone Therapy
Care PlanEvents/TestsInfo Trials Communicate Treatment
Option 1: Choose a date for Surgery
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
ChoicesChoices DecisionsDecisions ScheduleSchedule
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
backSurgerySurgery ChemotherapyChemotherapy
Hormone TherapyHormone Therapy Forward
Option 2: Choose a date for Surgery
AprilAprilAprilApril
MayMayMayMay
JuneJuneJuneJune
JulyJulyJulyJuly
AugustAugustAugustAugust
SeptemberSeptemberSeptemberSeptember
OctoberOctoberOctoberOctober
NovemberNovemberNovemberNovember
DecemberDecemberDecemberDecember
JanuaryJanuaryJanuaryJanuary
FebruaryFebruaryFebruaryFebruary
MarchMarchMarchMarch
backSurgerySurgery ChemotherapyChemotherapy
Hormone TherapyHormone Therapy Forward
TrialsEvents/TestsInfo Care Plan Communicate Treatment
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
Tumor Bank
Alfred Au
353-9984
After your surgery, a piece of tumor is saved for future research
Breast Symptoms
Claudia West
476-5131
A study to identify problems such as lymphedema, nerve pain and changes in movement and strength that women may experience
Hormonal Therapy for DCIS
Juan Lessing
353-7408
This study looks at whether DCIS can be treated with 3 months of hormone blocking medications.
Statins John Parr
353-4024
Patients with DCIS or early stage breast cancer planning to undergo mastectomy will be chosen by chance to take fluvastitin
Targit Thea Sakata
353-7407
Patients will either take normal radiation therapy or radiation during surgery.
CommunicateEvents/TestsInfo Care Plan Trials Treatment
Patient: Elly DoeDoB: 01/01/1957 (50)
Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+
To:UCSF SchedulerDr EssermanDr. MeliskoMom
To:UCSF SchedulerDr EssermanDr. MeliskoMom
Health Blog
4/10/07 From: Dr. E (UCSF)About your option1, start with chemo- gives us info about response, may get you to BCT
4/11/07 From: Dr. H (Marin)Not sure you will get to BCT with option 1, you may have more DCIS, maybe surgery should come first
4/14/07 From: Aunt Ellen (Pittsburgh) I did not have treatment that way
4/22/07 URGENT! From: Dr E (UCSF) Please call me 415-555-1212.
4/10/07 From: Dr. E (UCSF)About your option1, start with chemo- gives us info about response, may get you to BCT
4/11/07 From: Dr. H (Marin)Not sure you will get to BCT with option 1, you may have more DCIS, maybe surgery should come first
4/14/07 From: Aunt Ellen (Pittsburgh) I did not have treatment that way
4/22/07 URGENT! From: Dr E (UCSF) Please call me 415-555-1212.
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