Description

Patient population identified as average risk. Provides criteria to determine age to start, screening modality, and screening interval for these populations of patients.

Clinical Review

Mid-Level Flow

Semi-Structured Logic Statements

Inclusions

None.

Exclusions

None.

Events

Name
Age group
Patient age group
Source
Source of recommendation
<40
Patient age < 40 years
40-44
Patient age >=40 and <=44
45-54
Patient age >=45 and <=54
>=55
Patient age >=55
ACS
Source of recommendation is ACS
USPSTF
Source of recommendation is USPSTF

Actions

Start screening at 40 years old
Description
Source: USPSTF
Pseudocode
Next due date = date patient is 40 years old
Offer annual screening mammogram
Description
Source: ACS
Women between 40 and 44 have the option to start screening with a mammogram every year.
Pseudocode
Screening age = >= 40 and <44
Screening modality = mammography
Screening interval = annual
Next due date = 'Date of last mammography' plus 1 year OR Now if 'Last mammography' does not exist
Annual screening mammogram
Description
Source: ACS
Women 45 to 54 should get mammograms every year.
Pseudocode
Screening age = >= 45 and <54
Screening modality = mammography
Screening interval = annual
Next due date = 'Date of last mammography' plus 1 year OR Now if 'Last mammography' does not exist
Biennial screening mammogram or continue screening annually
Description
Source: ACS
Women 55 and older can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.
Pseudocode
Screening age = >= 55
Screening modality = mammography
Screening interval = biennial OR annual
Next due date = 'Date of last mammography' plus 1 or 2 years OR Now if 'Last mammography' does not exist
Biennial screening mammogram
Description
Pseudocode
Screening age = >= 40
Screening modality = mammography
Screening interval = biennial
Next due date = 'Date of last mammography' plus 2 years OR Now if 'Last mammography' does not exist

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Public Release Case Number 24-2711
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