Description

Identifies patient who may be due for screening based on prior assessment and documentation of next due date and flags patient who may be overdue for potential enhanced outreach efforts.

Intended for use with either individual patient alerts, within the context of a clinical encounter or outside an encounter, or for generating asynchronous reports on a cohort/panel of patients in order to target outreach or escalation.

Mid-Level Flow Diagram

Next due date isavailable?Age 40-74 withoutscreening in past 27months?Selected interval forscreening?Due for screening?Due for annualscreening?Due for biennialscreening?Flag overdueOrder screening mammogramDetermine next due dateOrder screening MRI if eligibleendendendyesnoyesunknownannualbiennialoverdueoverdueoverdueduedueduenot duenot duenot due

Semi-Structured Logic Statements

Inclusions

None.

Exclusions

None.

Events

NameDescription
Next due date is available?
Documented next due date, based on output of previous pathways.
EXISTS next due date
Age 40-74 without screening in past 27 months?
No screening mammography within past 27 months in patient 40–74 years of age
Age is >= 40 AND age is <=74 AND ('Last mammography' does not exist OR 'Last mammography' date is > 27 months ago)
Selected interval for screening?
Documented interval for screening based on output of previous pathways, if available.
ANNUAL if preferred interval is annual
OR
BIENNIAL if preferred interval is biennial
OR
UNKNOWN if not documented
Due for screening?
Refer to next due date, which is the output of previous pathways involving assessment of patient history and risk factors, to determine whether patient is currently due for screening study, overdue or not yet due.

OVERDUE if next due date > 3 months
OR
DUE if next due date within 2 months from now OR < 3 months ago
OR
Otherwise NOT DUE
Due for biennial screening?
Refer to next due date, which is the output of previous pathways involving assessment of patient history and risk factors, to determine whether patient is currently due for screening study, overdue or not yet due.

OVERDUE if next due date > 3 months
OR
DUE if next due date within 2 months from now OR < 3 months ago
OR
Otherwise NOT DUE
Due for annual screening?
Refer to next due date, which is the output of previous pathways involving assessment of patient history and risk factors, to determine whether patient is currently due for screening study, overdue or not yet due.

OVERDUE if next due date > 2 months
OR
DUE if next due date within 2 months from now OR < 2 months ago
OR
Otherwise NOT DUE

Actions

Determine next due date
Description
Determine whether patient is eligible for screening and if so, document next due date
Pseudocode
See 'Decision to Screen' flow logic
Flag overdue
Description
Flag patient as overdue for routine screening to allow clinician alert or patient outreach
Pseudocode
Order screening mammogram
Description
Order screening mammography
Pseudocode
ORDER for screening mammography if 'Pending mammography' does not exist
Order screening MRI if eligible
Description
Order screening MRI as determined by prior assessment of patient eligibility for supplemental screening
Pseudocode
ORDER for screening MRI if 'Pending MRI' does not exist AND patient is eligible for MRI

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Public Release Case Number 24-2711
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