<description value="Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making. The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older."/> <code> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/plan-definition-action-code-system"/> <code value="sdmcontinue"/> <display value="Shared decision making to continue screening"/> </coding> </code> <documentation> <type value="citation"/> <label value="USPSTF"/> <display value="Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement"/> <citation value="US Preventive Services Task Force. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. Published online April 30, 2024."/> <url value="https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening"/> </documentation> <resource> <reference value="CommunicationRequest/303"/> </resource> </action> <action id="ACSMammoAfterBrca"> <extension url="http://cancerscreeningcds.github.io/bcsm-cds/StructureDefinition/csm-recommendation-flag"> <valueCodeableConcept> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/recommendation-flag-code-system"/> <code value="overdue"/> <display value="Overdue"/> </coding> </valueCodeableConcept> </extension> <title value="Annual screening mammogram"/> <description value="Annual screening mammogram after 5 years from breast cancer onset is recomended."/> <code> <coding> <system value="http://loinc.org"/> <code value="24606-6"/> <display value="MG Breast Screening"/> </coding> </code> <documentation> <type value="citation"/> <label value="ACS"/> <display value="American Cancer Society Recommendations for the Early Detection of Breast Cancer"/> <url value="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"/> </documentation> <timingTiming> <event value="2024-01-01"/> <repeat> <boundsPeriod> <start value="2024-01-01"/> </boundsPeriod> <frequency value="1"/> <period value="1"/> <periodUnit value="a"/> </repeat> </timingTiming> <resource> <reference value="ServiceRequest/304"/> </resource> </action> </RequestGroup> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/CommunicationRequest/303"/> <resource> <CommunicationRequest> <id value="303"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="CommunicationRequest_303"> </a>Generated Narrative: CommunicationRequest 303<a name="303"> </a><a name="hc303"> </a><a name="303-en-US"> </a>basedOn: <a href="ActivityDefinition-CommunicateSDMContinueScreening.html">Communicate Shared Decision Making to Continue Screening</a>status: optionsubject: <a href="Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30">Jane Doe</a><h3>Payloads</h3><table class="grid"><tr><td style="display: none">-</td><td>Content[x]</td></tr><tr><td style="display: none">*</td><td>Shared decision making to continue screening</td></tr></table>reasonCode: Age over 74 years</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/CommunicateSDMContinueScreening"/> </basedOn> <status value="option"/> <subject> <reference value="Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30"/> <display value="Jane Doe"/> </subject> <payload> <contentString value="Shared decision making to continue screening"/> </payload> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="ageover74"/> <display value="Age over 74 years"/> </coding> </reasonCode> </CommunicationRequest> </resource> </entry> <entry> <fullUrl value="http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/304"/> <resource> <ServiceRequest> <id value="304"/> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_304"> </a>Generated Narrative: ServiceRequest 304<a name="304"> </a><a name="hc304"> </a><a name="304-en-US"> </a>basedOn: <a href="ActivityDefinition-BreastCancerScreeningServiceRequest.html">Breast Cancer Screening Service Request</a>status: optionintent: Proposalcode: MG Breast Screeningsubject: <a href="Bundle-eve-AgeOver74__act-sdmcontinueage__eve-highriskexclusions__end-decisionhighrisk.html#Patient_6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30">Jane Doe</a>occurrence: 2024-01-01reasonCode: Previous breast cancer</div> </text> <basedOn> <reference value="http://cancerscreeningcds.github.io/bcsm-cds/ActivityDefinition/BreastCancerScreeningServiceRequest"/> </basedOn> <status value="option"/> <intent value="proposal"/> <code> <coding> <system value="http://loinc.org"/> <code value="24606-6"/> <display value="MG Breast Screening"/> </coding> </code> <subject> <reference value="Patient/6c04b9d7-f2ff-4748-8f18-3ba0ae8cfd30"/> <display value="Jane Doe"/> </subject> <occurrenceDateTime value="2024-01-01"/> <reasonCode> <coding> <system value="http://cancerscreeningcds.github.io/bcsm-cds/CodeSystem/screening-observation-code-system"/> <code value="hxbreastca"/> <display value="Previous breast cancer"/> </coding> </reasonCode> </ServiceRequest> </resource> </entry> </Bundle>

Generated Narrative: RequestGroup 302

instantiatesCanonical: Decision to Screen

status: Draft

intent: Proposal

subject: Jane Doe

action
id
SDMContinueScreeningAge
title: Shared decision making to continue screening based on age
description: Decision to continue screening mammography in average risk women age 75 years or older should be based on shared decision-making. The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of screening mammography in women 75 years or older.
code: Shared decision making to continue 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
resource: Bundle: type = collection

action
id
ACSMammoAfterBrca
Recommendation Flag Extension: Overdue
title: Annual screening mammogram
description: Annual screening mammogram after 5 years from breast cancer onset is recomended.
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: 2024-01-01 , Once per 1 year
resource: Bundle: type = collection

Activities

Documentations

Documentations