Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide
1.0.0 - ci-build
Breast Cancer Screening and Management (BCSM) Clinical Decision Support (CDS) Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Generated Narrative: Bundle PrimaryScreeningDecision_JosephineGreene-past-breast-pain-adh-biopsy
Bundle PrimaryScreeningDecision_JosephineGreene-past-breast-pain-adh-biopsy of type collection
Entry 1 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/CarePlan/14
Resource CarePlan:
Generated Narrative: CarePlan 14
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Josephine38 Greene57
created: 2024-12-10 00:00:00+0000
Activities
Reference Bundle: type = collection
Entry 2 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/RequestGroup/15
Resource RequestGroup:
Generated Narrative: RequestGroup 15
instantiatesCanonical: Primary Screening Decision
status: Draft
intent: Proposal
subject: Josephine38 Greene57
action
id
ACSMammoAtypicalBiopsyRecommendation Flag Extension: Not due
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 past atypical biopsy 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: 2025-11-15 , Once per 1 year
resource: Bundle: type = collection
action
id
ACSAtypicalBiopsytitle: Perform lifetime risk assessment
description: Consider performing assessment of lifetime risk. If estimated lifetime risk is >20%, patient may be eligible for supplemental screening with annual screening MRI.
code: Perform lifetime risk assessment
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 resource: Bundle: type = collection
Entry 3 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/16
Resource ServiceRequest:
Generated Narrative: ServiceRequest 16
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: MG Breast Screening
subject: Josephine38 Greene57
occurrence: 2025-11-15
reasonCode: Atypical biopsy
Entry 4 - fullUrl = http://cancerscreeningcds.github.io/bcsm-cds/ServiceRequest/17
Resource ServiceRequest:
Generated Narrative: ServiceRequest 17
basedOn: Breast Cancer Screening Service Request
status: option
intent: Proposal
code: Perform lifetime risk assessment
subject: Josephine38 Greene57
reasonCode: Atypical biopsy