Generated Narrative: RequestGroup 292

instantiatesCanonical: Decision to Screen

status: Draft

intent: Proposal

subject: Jane Doe

action

id

SDMContinueScreeningLifeExp

title: Shared decision making to continue screening based on life expectancy

description: Decision to continue screening mammography in cases of limited life expectancy should be based on shared decision-making. ACS 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. Life 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.

code: Shared decision making to continue screening

Documentations

-	Type	Label	Display	Citation	Url
*	Citation	ACS	Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society	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.	https://jamanetwork.com/journals/jama/fullarticle/2463262

resource: Bundle: type = collection

action

id

ACSMammoHighRisk

Recommendation Flag Extension: Overdue

title: Annual screening mammogram starting age 30

description: An annual screening mammogram starting at age 30 is recommended. Women who are at higher than average risk for breast cancer based on certain risk factors should get a mammogram every year, typically starting at age 30.

code: MG Breast Screening

Documentations

-	Type	Label	Display	Url
*	Citation	ACS	American Cancer Society Recommendations for the Early Detection of Breast Cancer	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

timing: Events: 2011-01-01 , Once per 1 year

resource: Bundle: type = collection

action

id

ACSMriHighRisk

Recommendation Flag Extension: Overdue

title: Annual screening MRI starting age 30

description: An annual screening MRI starting at age 30 is recommended. Women who are at higher than average risk for breast cancer based on certain risk factors should get a breast MRI every year, typically starting at age 30.

code: MR Breast

Documentations

-	Type	Label	Display	Citation	Url
*	Citation	ACS	American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography	Oeffinger KC, Fontham ETH, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. JAMA. 2015;314(15):1599–1614.	https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/canjclin.57.2.75

timing: Events: 2011-01-01 , Once per 1 year

resource: Bundle: type = collection

action

id

USPSTFRecommendation

Recommendation Flag Extension: Overdue

title: Biennial screening mammo starting age 40

description: Biennial screening mammogram starting at age 40

code: MG Breast Screening

Documentations

-	Type	Label	Display	Citation	Url
*	Citation	USPSTF	Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement	US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024.	https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening

timing: Events: 2021-01-01 , Once per 2 years

resource: Bundle: type = collection