BI-RADS (Breast Imaging Reporting and Data System)
Standardizes breast imaging assessment and management recommendations to ensure consistent reporting and follow-up
- Highest activation tier
- Recommended
- How it is scored
- Scored in code; a detected disagreeing draft value is flagged for correction
- Scoring type
- classification
- Care settings
- Inpatient, Outpatient
When it activates
Scribeable activates a calculator from the encounter. The BI-RADS (Breast Imaging Reporting and Data System) can activate when the transcript or pasted chart context documents any of these:
- Mammogram interpretation
- Breast imaging assessment
- Breast biopsy decision
- Breast mass evaluation
- Screening mammography follow-up
A coded diagnosis can also activate it. ICD-10 prefixes carried by the registry: C50, D05, N63, R92.
Inputs the note needs
1 input. Each is resolved from the transcript, the pasted chart context and charted labs; at this calculator’s tier a missing input is never requested, and a missing required input keeps the score out of the draft.
| Input | Type | Unit / options | Guidance |
|---|---|---|---|
| BI-RADS assessment category (0-6) | exam |
Scoring
Category 0: Incomplete — needs additional imaging. Category 1: Negative — routine screening. Category 2: Benign — routine screening. Category 3: Probably benign (<2% malignancy) — short-interval follow-up. Category 4: Suspicious (4A 2-10%, 4B 10-50%, 4C 50-95%) — tissue diagnosis recommended. Category 5: Highly suggestive of malignancy (>95%) — tissue diagnosis required. Category 6: Known biopsy-proven malignancy.
Interpretation
BI-RADS 0: Recall for diagnostic workup (spot compression, ultrasound, MRI). BI-RADS 1-2: Return to routine screening interval. BI-RADS 3: 6-month follow-up imaging, requires 2 years of stability to downgrade. BI-RADS 4A: Low suspicion biopsy — core needle preferred. BI-RADS 4B-C: Intermediate to high suspicion — biopsy indicated, concordance assessment essential. BI-RADS 5: Biopsy required — surgical consultation indicated. BI-RADS 6: Staging and treatment planning.
Evidence
Sources carried in Scribeable's citation registry for this calculator; guideline version: ACR BI-RADS 5th Ed.
- American College of Radiology. BI-RADS Atlas, 5th Edition — Breast Imaging Reporting and Data SystemACR BI-RADS 5th Ed · 2013 · ACR · Consensus · link last verified 2026-03-28
How Scribeable handles it in the note
When an encounter activates the BI-RADS (Breast Imaging Reporting and Data System) (its highest tier is recommended), Scribeable does not ask you for missing inputs. The score is computed in code from whatever inputs resolve from the transcript, the pasted chart context or charted labs; a computed value is written into the draft only when every required input already resolves.
The score is computed in code from the resolved inputs, not recalled by the language model. If the draft states a BI-RADS (Breast Imaging Reporting and Data System) value that disagrees with the computed one, the disagreement is flagged to the second drafting pass, which is instructed to correct the score and its interpretation before you see the note.
Classified as a staging or classification system: activated strictly, because a wrong stage on the wrong patient is a documentation hazard.
See it activate on your own encounter
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