Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_276\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup 276</b></p><a name=\"276\"> </a><a name=\"hc276\"> </a><a name=\"276-en-US\"> </a><p><b>instantiatesCanonical</b>: <a href=\"PlanDefinition-flow-DecisionToScreen.html\">Decision to Screen</a></p><p><b>status</b>: Draft</p><p><b>intent</b>: Proposal</p><p><b>subject</b>: <a href=\"Bundle-act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#Patient_55c03346-9d8e-4810-a819-ada1cdbc00ea\">Jane Doe</a></p><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningAge</blockquote><p><b>title</b>: Shared decision making to continue screening based on age</p><p><b>description</b>: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making.\n\nThe USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system sdmcontinue}\">Shared decision making to continue screening</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>USPSTF</td><td>Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement</td><td><div><p>US Preventive Services Task Force. 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Published online April 30, 2024.</p>\n</div></td><td><a href=\"https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening\">https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#CommunicationRequest_277\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>SDMContinueScreeningLifeExp</blockquote><p><b>title</b>: Shared decision making to continue screening based on life expectancy</p><p><b>description</b>: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making.\n\nACS advises that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or more.\n\nLife expectancy is generally defined as having greater than a 50% probability of surviving 10 years. A validated tool such as www.eprognosis.com can help guide decision making.</p><p><b>code</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system sdmcontinue}\">Shared decision making to continue screening</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Citation</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>ACS</td><td>Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society</td><td><div><p>Saslow D, Boetes C, Burke W, Harms S, Leach MO, Lehman CD, Morris E, Pisano E, Schnall M, Sener S, Smith RA, Warner E, Yaffe M, Andrews KS, Russell CA; American Cancer Society Breast Cancer Advisory Group. American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography. CA Cancer J Clin. 2007 Mar-Apr;57(2):75-89.</p>\n</div></td><td><a href=\"https://jamanetwork.com/journals/jama/fullarticle/2463262\">https://jamanetwork.com/journals/jama/fullarticle/2463262</a></td></tr></table><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#CommunicationRequest_278\">Bundle: type = collection</a></p></blockquote><blockquote><p><b>action</b></p><blockquote><p><b>id</b></p>ACSMammoAfterBrca</blockquote><p><b>Recommendation Flag Extension</b>: <span title=\"Codes:{http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system overdue}\">Overdue</span></p><p><b>title</b>: Annual screening mammogram</p><p><b>description</b>: Annual screening mammogram after 5 years from breast cancer onset is recomended.</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 24606-6}\">MG Breast Screening</span></p><h3>Documentations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Label</b></td><td><b>Display</b></td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td>Citation</td><td>ACS</td><td>American Cancer Society Recommendations for the Early Detection of Breast Cancer</td><td><a href=\"https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html\">https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html</a></td></tr></table><p><b>timing</b>: Events: 2024-01-01 , Once per 1 year</p><p><b>resource</b>: <a href=\"Bundle-DecisionToScreen_act-sdmcontinueage_act-sdmcontinuelifexp_end-decisionhighrisk.html#ServiceRequest_279\">Bundle: type = collection</a></p></blockquote></div>"
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